Electronic Prescribing and Electronic Transmission of Discharge Medication Lists

February 17, 2012 updated by: Weill Medical College of Cornell University

Electronic Prescribing and Electronic Transmission of Discharge Medication Lists to Improve Ambulatory Medication Safety

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

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

130

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
    • New York
      • New York, New York, United States, 10021
        • Weill Cornell Internal Medicine Associates

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

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.

Description

Inclusion Criteria:

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

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

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
1
All physicians and nurse practitioners at 1 ambulatory care clinics
Other: E-prescribing system
Transition from home-grown to vendor-based ambulatory e-prescribing systems
Other Names:
  • WebCIS
  • CLIMACS
  • EpicCare
  • Eclypsis
2
All physicians and nurse practitioners at 1 ambulatory care clinics
Other: Electronic transmission of medication discharge lists
Patient discharge medication lists will be transmitted upon discharge from their inpatient medical record to their outpatient medical record and their outpatient provider will be notified of this transmission.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Prescription medication errors
Time Frame: 2 weeks prior, 3 months, 1 year after intervention and 2 years after intervention
2 weeks prior, 3 months, 1 year after intervention and 2 years after intervention
Medication discrepancies (as detected on a comparison between inpatient and outpatient medical records)
Time Frame: 30 days after patient is discharged from hospital
30 days after patient is discharged from hospital
Patient adverse drug events (as determined by patient telephone interview and medical record review)
Time Frame: 30 days after patient hospital discharge
30 days after patient hospital discharge

Secondary Outcome Measures

Outcome Measure
Time Frame
Human-Computer interactions as measured by physician interview and direct observation of physician work
Time Frame: 3 months after intervention
3 months after intervention

Collaborators and Investigators

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

Sponsor

Weill Medical College of Cornell University

Collaborators

Columbia University
Oregon Health and Science University
New York Presbyterian Hospital
Agency for Healthcare Research and Quality (AHRQ)

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

March 1, 2008

Primary Completion (Actual)

March 1, 2011

Study Completion (Actual)

March 1, 2011

Study Registration Dates

First Submitted

January 15, 2008

First Submitted That Met QC Criteria

January 26, 2008

First Posted (Estimate)

January 28, 2008

Study Record Updates

Last Update Posted (Estimate)

February 20, 2012

Last Update Submitted That Met QC Criteria

February 17, 2012

Last Verified

February 1, 2012

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • R18HS017029-01 (U.S. AHRQ Grant/Contract)

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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