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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00225563
Other study ID # 7UC1HS015316-02
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 21, 2007
Est. completion date May 2014

Study information

Verified date June 2018
Source Weill Medical College of Cornell University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The Taconic IPA, a 2,500 physician independent practice association (IPA) located in Fishkill, New York (NY), is involved in an information technology project to improve the quality, safety and efficiency of healthcare in the region. Over the past three years, the organization has worked with area hospitals and laboratories to create a community wide electronic data exchange. Currently, the Taconic IPA is in the midst of implementing a full electronic health record in some practices and e-prescribing in other practices. The purpose is to study the impact of an electronic health record on safety and quality measures.


Description:

We propose to measure differences in patient safety and quality measures among three groups: the control group consisting of physicians with paper-based office practices, a group of physicians using the clinical messaging system and electronic prescribing, and a group of physicians using the EMR and electronic prescribing.

We plan to introduce a vendor based electronic prescribing system by July 2005. This system will be offered to all physicians using clinical messaging and will be integrated with the EMR system. The system will have clinical decision support, such as checks for drug-drug interactions.

Our evaluation will measure differences in rates of medication errors and quality measures amongst these three groups. We will use a study design of a pre-post evaluation with a comparison control group. We will detect medical errors by prescription and chart review. We will determine compliance with quality measures through a combination of electronic data and chart review.


Recruitment information / eligibility

Status Completed
Enrollment 30
Est. completion date May 2014
Est. primary completion date May 25, 2012
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Physicians' prescriptions and medical records in office practices enrolled in the study

Exclusion Criteria:

- Other physicians not enrolled in the study

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Electronic Health Record
e-prescribing methods

Locations

Country Name City State
United States Taconic IPA Fishkill New York

Sponsors (1)

Lead Sponsor Collaborator
Weill Medical College of Cornell University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Medication errors 2007-2012
Primary Near misses 2007-2012
Primary Adverse drug events 2007-2012
Primary Quality measures 2007-2012
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