PictureRx: Improving Medication Safety in Health Disparity Populations

Medication Reconciliation Clinical Trial

Official title:

PictureRx: Improving Medication Safety in Health Disparity Populations

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02289469
• Other study ID #: 5R44MD004048-04
• Status: Completed
• Phase: N/A
• First received: November 9, 2014
• Last updated: July 5, 2017
• Start date: April 2015
• Est. completion date: March 2016

Study information

• Verified date: July 2017
• Source: PictureRx, LLC
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Medication safety is an important concern in hospital Emergency Departments (EDs), which provide approximately 136 million patient visits annually in the US. An accurate list of the patient's medications is often needed to inform medical decision-making. Moreover, health care facilities are required to provide patients with an accurate, reconciled list of their medications upon completion of the visit. However, for 37-87% of patients in the ED, errors are present in the documented medication list, and patients often leave without an updated list of their medications or a good understanding of their self-care instructions. This increases the risk of harmful adverse drug events. Health disparity populations, who are more likely to seek care in EDs and who more often have difficulty providing a complete medication history, are disproportionately affected.

Health information technology has the potential to improve medication safety in this setting. PictureRx is an internet-based platform designed to improve medication management in vulnerable populations. It allows users to generate illustrated medication lists in an easily-understood, patient-centered format, in either English or Spanish. The investigators have developed a process for importing prescription fill data from the Surescripts Medication History service, which covers 96% of US pharmacies, into the PictureRx platform. The investigators are developing a mobile tablet PC-based medication history platform that receives and processes the Surescripts data, as well as prompts verification and additional information about the medication regimen.

This trial will assess the effect of the PictureRx medication history platform on the accuracy and efficiency of the medication reconciliation process, as well as patient understanding and satisfaction, in hospital Emergency Departments.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 488
• Est. completion date: March 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Prescribed one or more prescription medications

Exclusion Criteria:

• Too ill to complete informed consent process

Related Conditions & MeSH terms

• Medication Reconciliation

Intervention

Other:
• PictureRx medication history platform
Tablet PC-based tool to take more complete and accurate medication history

Locations

Country	Name	City	State
United States	University of Cincinnatti	Cincinnati	Ohio

Sponsors (2)

Lead Sponsor	Collaborator
PictureRx, LLC	University of Cincinnati

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants With Changes/Updates in Medication List	Participants for whom nurses made updates or corrections to the medication history in electronic health record	1 day
Secondary	Patient Understanding	Assessment of patient understanding of their medication regimen using 4 questions: I understand what medicines I am supposed to take.; I understand how much medicine I am supposed to take at a time.; I understand what time of day to take each of my medicines.; I understand what each of my medicines is for. Participants had the following response options: Strongly Disagree, Disagree, Neutral, Agree, Strongly Agree Due to formatting restrictions on this site and the results being nearly identical for each question, only answers to question 1 are reported below.	1 week