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Efficacy of the Pre-Admission Medication List (PAML) Builder Reminder Prompts

Effect of Reminder Prompts on Utilization of the PAML Builder Application Features

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00657462
Acronym
PAMLTIPS
Enrollment
14122
Registered
2008-04-14
Start date
2008-04-30
Completion date
2008-07-31
Last updated
2017-01-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Utilization of Software Application Features

Keywords

Medical Informatics Applications, Software, Utilization

Brief summary

This project will study whether reminder prompts increase PAML Builder application feature utilization.

Detailed description

This project will study whether reminder prompts increase Pre-Admission Medication List (PAML) Builder application feature utilization. PAML Builder is an application designed and maintained by Partners Information Systems that assists clinicians in medication reconciliation - a process important for patient safety and quality of care. We have determined that several potentially helpful features of the application are not being utilized as frequently as had been expected. These features include: 1. copying the pre-admission medication list (PAML) to the clipboard 2. viewing the detailed audit trail of all changes made to the PAML 3. sorting the list of medications obtained from other electronic sources by therapeutic class. Reminder prompts (sometimes referred to as Tip of the Day) have been employed to increase user awareness of underutilized application features. However, anecdotally some users find them unhelpful and potentially irritating. It is therefore important to determine whether reminder prompts accomplish the stated task of increasing application feature utilization. This project will compare PAML Builder application feature utilization before and after a pilot rollout of reminder prompts to determine whether they should be implemented permanently.

Interventions

Users of the PAML Builder application will receive reminders about three application features (copy/paste, audit trail, sort medications by class) at the startup of the application

Sponsors

Massachusetts General Hospital
CollaboratorOTHER
Brigham and Women's Hospital
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* users of the PAML Builder application (physicians, nurses, pharmacists)

Exclusion criteria

* none

Design outcomes

Primary

MeasureTime frame
Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms).The entire study period

Secondary

MeasureTime frame
Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms).The entire study period
Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminder.The entire study period
Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminders.The entire study period.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026