Outpatient Prescription Errors: Detection, Analysis, & NCT00256568

Clinical Trial Details — Status: Completed

Administrative data
NCT number	NCT00256568
Other study ID #	K08HS013891
Secondary ID
Status	Completed
Phase	N/A
First received	November 17, 2005
Last updated	December 14, 2011
Start date	September 2003
Est. completion date	August 2008

Study information
Verified date	December 2011
Source	University of Vermont
Contact	n/a
Is FDA regulated	No
Health authority	United States: Institutional Review Board
Study type	Observational

Clinical Trial Summary

The purpose of this study is to better understand outpatient prescribing errors through clinic and pharmacy-based error reporting systems.

Description:

Medication errors cause substantial morbidity and mortality in the United States. However, relatively little is known about medication errors in the outpatient setting. The broad goal of this proposal is to improve outpatient safety. Specifically, this research plan promotes the understanding of the causes of outpatient prescription errors. The specific aims of this project are:

1. To develop and evaluate a novel reporting system in physicians' offices for detecting prescription errors

2. To develop and evaluate a novel improvement system in community pharmacies to increase prescription error reporting by pharmacists

3. To analyze reports of outpatient prescription errors and understand their root causes

To achieve these specific aims, statewide research will be conducted utilizing qualitative and quantitative methods including root cause analysis, failure mode and effects analysis, and surveys. This research plan will promote patient safety by furthering the understanding of the causes of outpatient prescription errors in all outpatient populations, including rural, women, children, elderly, low income, and the chronically ill.

Recruitment information / eligibility
Status	Completed
Enrollment	103
Est. completion date	August 2008
Est. primary completion date
Accepts healthy volunteers	Accepts Healthy Volunteers
Gender	Both
Age group	18 Years and older
Eligibility	Inclusion Criteria: - Employed in a physician's office or community pharmacy Exclusion Criteria: - Not employed in a physician's office or community pharmacy

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

Medication Errors

Intervention

Behavioral:
• reporting system
Nurses and office staff were asked to report all communications with community pharmacists regarding prescription problems

Locations
Country	Name	City	State
United States	University of Vermont, Division of General Internal Medicine	Burlington	Vermont

Sponsors *(3)*
Lead Sponsor	Collaborator
University of Vermont	Agency for Healthcare Research and Quality (AHRQ), Vermont Program for Quality in Health Care

Country where clinical trial is conducted

United States,

References & Publications (3)

Kennedy AG, Littenberg B, Senders JW. Using nurses and office staff to report prescribing errors in primary care. Int J Qual Health Care. 2008 Aug;20(4):238-45. doi: 10.1093/intqhc/mzn015. Epub 2008 Apr 22. — View Citation

Kennedy AG, Littenberg B, Vezina LC. Vioxx-Viagra confusion. Am J Health Syst Pharm. 2002 Nov 1;59(21):2112. — View Citation

Kennedy AG, Littenberg B. Medication error reporting by community pharmacists in Vermont. J Am Pharm Assoc (2003). 2004 Jul-Aug;44(4):434-8. — View Citation

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Outpatient Prescription Errors: Detection, Analysis, and Impact on Safety

Clinical Trial Details — Status: Completed

Administrative data

Study information