Medication Errors
Conditions
Keywords
Medication Errors, Adverse Drug Events, Patient Safety, Electronic Prescribing Systems, Medication Reconciliation
Brief summary
The purpose of this study is twofold: 1. to measure the effects of transitioning from one electronic prescribing system to another in the ambulatory setting on medication errors and human-computer interactions 2. to evaluate the impact of electronic transmission of discharge medication lists to the ambulatory setting on medication discrepancies and adverse drug events
Interventions
OTHERE-prescribing system
Transition from home-grown to vendor-based ambulatory e-prescribing systems
OTHERElectronic transmission of medication discharge lists
Patient discharge medication lists will be transmitted upon discharge from their inpatient medical record to their outpatient medical record and their outpatient provider will be notified of this transmission.
Sponsors
Weill Medical College of Cornell University
Agency for Healthcare Research and Quality (AHRQ)
New York Presbyterian Hospital
Columbia University
Oregon Health and Science University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Physicians or nurse practitioners with at least 4 clinic sessions per week
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prescription medication errors | 2 weeks prior, 3 months, 1 year after intervention and 2 years after intervention |
| Medication discrepancies (as detected on a comparison between inpatient and outpatient medical records) | 30 days after patient is discharged from hospital |
| Patient adverse drug events (as determined by patient telephone interview and medical record review) | 30 days after patient hospital discharge |
Secondary
| Measure | Time frame |
|---|---|
| Human-Computer interactions as measured by physician interview and direct observation of physician work | 3 months after intervention |
Countries
United States
Outcome results
None listed