Statewide Implementation of Electronic Health Records
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Medication Errors
- Sponsor
- Agency for Healthcare Research and Quality (AHRQ)
- Enrollment
- 2030
- Locations
- 1
- Primary Endpoint
- 1. Medication errors
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
To determine the effects of Electronic Health Record use on medication error rates in primary care office practices.
Hypothesis: Adoption of Electronic Health Records through this program will reduce medication errors
Detailed Description
From the practices committed to implementing EHR in early 2005, we randomly selected 15 adult community-based primary care physicians. We selected 15 similar physicians in practices that were not planning to adopt in that time period. At each of these physicians' practices we documented rates of medication errors for one week prior to the implementation of an EHR using duplicate prescription pads. Two months after the implementation in the adopting group, allowing some time for familiarization with the tool, we collected two weeks of data using computer-based information (in the adopting arm) and duplicate prescriptions (in the non-adopting arm).
Investigators
david bates
Chief of General Medicine, BWH
Agency for Healthcare Research and Quality (AHRQ)
Eligibility Criteria
Inclusion Criteria
- •All patients of physicians participating in the study
Exclusion Criteria
- •Any patients who are not part of a panel of a participating physician
- •Any patients who are younger than 18 years of age
- •Any patients who came in for a second visit within each data collection period
Outcomes
Primary Outcomes
1. Medication errors
Time Frame: 2005-2007
2. Near misses
Time Frame: 2005-2007
3. Adverse drug events
Time Frame: 2005-2007