Goal: Improving the knowledge, skills and attitudes of physicians in the outpatient clinic towards their CPOE-system to prevent adverse drug events. Domain: Physicians in internal medicine and its subspecialties in the outpatient clinic Not Applicable
Conditions
Interventions
The doctors will be divided in two groups:
Group 1: will receive intensive education on the CPOE system, including a small group session and e-learning
Group 2: will no
Sponsors
University Medical Centre Utrecht (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Eligibility of physicians for entering the trial: 1. Physicians who work in a department where CPOE is available for a minimum of one month, and who received the standard training approach more than one month ago 2. Physicians who work in an organisation where it is possible to log CPOE data - specialists and residents of internal medicine, cardiology, pulmonology, geriatrics, gastroenterology and rheumatology 3. Physicians working at the outpatient clinic for at least 4 hours a week 4. Physicians who agreed to participate in the study Eligibility of patients for participation: 1. Patients older than 18 years old 2. Patients visiting the outpatient clinic during the 4-week enrolment period, consulting a physician who is participating in the study
Exclusion criteria
Exclusion criteria: For physicians: 1. Physicians who were involved in the development of the educational intervention 2. Physicians who work with a system that does not meet the basic requirements of a CPOE system, which are: possibility to store a current medication list and allergies, and basic decision support (drug-drug interaction, dose, duplicate order, contra-indications) (van der Sijs 2010) 3. Physicians who work in an organisation that intends to change the CPOE system during the course of the study 4. Physicians who work in an organisation that is undertaking interventions that might overlap with this intervention For patients: 1. Patients who are unable to understand and talk Dutch or English 2. Patients who have insufficient understanding of their medications to answer questions about their medicaments, or patients who do not have a caregiver who can answer the questions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of medication discrepancies. Medication discrepancies will be determined by comparing information from the patient with the medication record in CPOE. Patient information is gathered by a telephone questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| There are four secondary outcome measures of this study: 1. The estimated number of medication discrepancies with potential for causing harm (PADEs) [measurement of performance]. An expert panel will estimate whether, and to which extend, an incomplete medication record may lead to a PADE. 2. Use of CPOE: We will compare the CPOE-use before and after the intervention. This will give us information on the effect of the intensive education. Moreover, we will get an indication whether there is retention of learning over a longer period of time. 3. Knowledge, skills & attitudes: With an assessment after the intervention period, we will measure physicians? knowledge, skills and attitudes regarding CPOE-mediated medication management [measurement of learning]. 4. Satisfaction: After every educational part of the intervention (3 x 30 minutes e-learning, group session) we will ask participants to rate their satisfaction with that part of the course and give an overall satisfaction score [measurement of reaction]. We will ask them if they think this part was: nice/boring, educational/ learnt nothing, easy/difficult. | — |
Countries
Netherlands
Outcome results
None listed