Statewide Implementation of Electronic Health Records
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 2,030
- 试验地点
- 2
- 主要终点
- 1. Medication errors
研究概览
简要总结
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
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients of physicians participating in the study
排除标准
- •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
结局指标
主要结局
1. Medication errors
时间窗: 2005-2007
2. Near misses
时间窗: 2005-2007
3. Adverse drug events
时间窗: 2005-2007
次要结局
未报告次要终点
研究者
david bates
Chief of General Medicine, BWH
Agency for Healthcare Research and Quality (AHRQ)