Statewide Implementation of Electronic Health Records

January 23, 2014 updated by: david bates, Agency for Healthcare Research and Quality (AHRQ)

To determine the effects of Electronic Health Record use on medication error rates in primary care office practices.

Hypothesis: Adoption of Electronic Health Records through this program will reduce medication errors

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

From the practices committed to implementing EHR in early 2005, we randomly selected 15 adult community-based primary care physicians. We selected 15 similar physicians in practices that were not planning to adopt in that time period.

At each of these physicians' practices we documented rates of medication errors for one week prior to the implementation of an EHR using duplicate prescription pads. Two months after the implementation in the adopting group, allowing some time for familiarization with the tool, we collected two weeks of data using computer-based information (in the adopting arm) and duplicate prescriptions (in the non-adopting arm).

Study Type

Interventional

Enrollment (Anticipated)

2030

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Massachusetts
      • Boston, Massachusetts, United States, 02116
        • Brigham and Women's Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • All patients of physicians participating in the study

Exclusion Criteria:

  • Any patients who are not part of a panel of a participating physician
  • Any patients who are younger than 18 years of age
  • Any patients who came in for a second visit within each data collection period

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Non-Randomized
  • Interventional Model: Factorial Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: 1
Paper prescribing, 2005 and 2007
Experimental: 2
Paper prescribing 2005 vs. electronic prescribing 2007
Other: Electronic Health Record Implementation
Intervention subjects implemented electronic prescribing as part of an electronic health record implementation
Other Names:
  • eClinical Works

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
1. Medication errors
Time Frame: 2005-2007
2005-2007
2. Near misses
Time Frame: 2005-2007
2005-2007
3. Adverse drug events
Time Frame: 2005-2007
2005-2007

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Agency for Healthcare Research and Quality (AHRQ)

Collaborators

Massachusetts eHealth Collaborative

Investigators

  • Principal Investigator: David W. Bates, MD, MPH, Brigham and Women's Hospital, Partners Healthcare System Inc.
  • Principal Investigator: Rainu Kaushal, MD, MPH, Cornell Weill Medical College

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2005

Primary Completion (Actual)

November 1, 2007

Study Completion (Actual)

December 1, 2012

Study Registration Dates

First Submitted

September 22, 2005

First Submitted That Met QC Criteria

September 23, 2005

First Posted (Estimate)

September 26, 2005

Study Record Updates

Last Update Posted (Estimate)

January 24, 2014

Last Update Submitted That Met QC Criteria

January 23, 2014

Last Verified

January 1, 2014

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • HS015397

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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