Perioperative Adverse Medication Events, Perioperative Medication Errors
Conditions
Keywords
medication safety, perioperative, anesthesiology, clinical decision support
Brief summary
The purpose of this study is to assess the effect of a novel clinical decision support application on the rate of perioperative medication errors and preventable adverse medication events. The investigators hypothesize that the perioperative clinical decision support application will reduce the incidence of perioperative medication errors and adverse medication events compared to the standard of care.
Interventions
Robust, real-time medication-related clinical decision support application for use in the operating room. The application is fully integrated with existing clinical systems. It provides visual alerts for medication errors and adverse medication events at the point-of-care.
Sponsors
Karen C. Nanji,M.D.,M.P.H.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Randomized, non-blinded, parallel-arm clinical trial to assess the incidence of medication errors and adverse medication events with and without the use of an electronic clinical decision support application.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Anesthesia clinician (anesthesiologists, certified registered nurse anesthetists (CRNAs), student nurse anesthetists, fellows and residents) at Massachusetts General Hospital.
Exclusion criteria
* Study staff
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Combined incidence of medication errors and adverse medication events in the perioperative setting | 6 months | Number of medication errors and adverse medication events / number of medications administered |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of medication errors the perioperative setting | 6 months | Number of errors / number of medications administered |
| Incidence of adverse medication events in the perioperative setting | 6 months | Number of adverse medication events / number of medications administered |
| Preventability of medication errors and adverse medication events | 6 months | Four-point Likert scale for preventability: definitely preventable, probably preventable, probably not preventable, and definitely not preventability |
| Severity of harm (or potential harm) associated with both medication errors and adverse medication events in the perioperative setting | 6 months | Four-point Likert scale for severity: Fatal Life-threatening: The event has the potential to cause symptoms that if not treated would put the patient at risk of death. Serious: The event has the potential to cause symptoms that are associated with a serious level of harm that is not high enough to be life-threatening. Significant: The event has the potential to cause symptoms that while harmful to the patient pose little or no threat to the patient's function. |
Contacts
Primary ContactKaren C Nanji, M.D., M.P.H.
Outcome results
None listed