Clinical trial NCT00603070: Electronic Prescribing and Electronic Transmission of Discharge Medication Lists
Official title: Electronic Prescribing and Electronic Transmission of Discharge Medication Lists to Improve Ambulatory Medication Safety
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Medication Errors
Keywords: Medication Errors
Adverse Drug Events
Patient Safety
Electronic Prescribing Systems
Medication Reconciliation
Lead sponsor: Weill Medical College of Cornell University
Sponsor class: OTHER
Collaborators: name: Agency for Healthcare Research and Quality (AHRQ)
name: New York Presbyterian Hospital
name: Columbia University
name: Oregon Health and Science University
First posted: 2008-01-28
Enrollment: 130
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Physicians and Nurse Practitioners from 2 office practices in the Ambulatory Care Network at NYPH, Associates in Internal Medicine (AIM) on the Columbia campus and Cornell Internal Medicine Associates (CIMA) on the Cornell campus.

Brief summary: The purpose of this study is twofold:

1. to measure the effects of transitioning from one electronic prescribing system to another in the ambulatory setting on medication errors and human-computer interactions
2. to evaluate the impact of electronic transmission of discharge medication lists to the ambulatory setting on medication discrepancies and adverse drug events


Eligibility criteria: Inclusion Criteria:

* Physicians or nurse practitioners with at least 4 clinic sessions per week

Primary outcomes:
measure: Prescription medication errors
timeFrame: 2 weeks prior, 3 months, 1 year after intervention and 2 years after intervention
measure: Medication discrepancies (as detected on a comparison between inpatient and outpatient medical records)
timeFrame: 30 days after patient is discharged from hospital
measure: Patient adverse drug events (as determined by patient telephone interview and medical record review)
timeFrame: 30 days after patient hospital discharge
Secondary outcomes:
measure: Human-Computer interactions as measured by physician interview and direct observation of physician work
timeFrame: 3 months after intervention
Other outcomes:
Locations:
city: New York
country: United States
facility: Weill Cornell Internal Medicine Associates
state: New York
Study officials:
affiliation: Weill Medical College of Cornell University
name: Rainu Kaushal, MD, MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Abramson EL, Malhotra S, Osorio SN, Edwards A, Cheriff A, Cole C, Kaushal R. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013 Jun;20(e1):e52-8. doi: 10.1136/amiajnl-2012-001328. Epub 2013 Apr 11.
citation: Abramson EL, Patel V, Malhotra S, Pfoh ER, Nena Osorio S, Cheriff A, Cole CL, Bunce A, Ash J, Kaushal R. Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. Int J Med Inform. 2012 Aug;81(8):539-48. doi: 10.1016/j.ijmedinf.2012.02.010. Epub 2012 Mar 30.
citation: Abramson EL, Malhotra S, Fischer K, Edwards A, Pfoh ER, Osorio SN, Cheriff A, Kaushal R. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011 Aug;26(8):868-74. doi: 10.1007/s11606-011-1703-z. Epub 2011 Apr 16.