Statewide Implementation of Electronic Health Records

Medication Errors Clinical Trial

Official title:

Statewide Implementation of Electronic Health Records

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00225576
• Other study ID #: HS015397
• Status: Completed
• Phase: Phase 2
• First received: September 22, 2005
• Last updated: January 23, 2014
• Start date: September 2005
• Est. completion date: December 2012

Study information

• Verified date: January 2014
• Source: Agency for Healthcare Research and Quality (AHRQ)
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

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

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2030
• Est. completion date: December 2012
• Est. primary completion date: November 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

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 Design

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Medication Errors

Intervention

Other:
• Electronic Health Record Implementation
Intervention subjects implemented electronic prescribing as part of an electronic health record implementation

Locations

Country	Name	City	State
United States	Brigham and Women's Hospital	Boston	Massachusetts

Sponsors (2)

Lead Sponsor	Collaborator
Agency for Healthcare Research and Quality (AHRQ)	Massachusetts eHealth Collaborative

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	1. Medication errors		2005-2007	Yes
Primary	2. Near misses		2005-2007	Yes
Primary	3. Adverse drug events		2005-2007	Yes