MedPath

Statewide Implementation of Electronic Health Records

Phase 2
Completed
Conditions
Medication Errors
Interventions
Other: Electronic Health Record Implementation
Registration Number
NCT00225576
Lead Sponsor
Agency for Healthcare Research and Quality (AHRQ)
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).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2030
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
2Electronic Health Record ImplementationPaper prescribing 2005 vs. electronic prescribing 2007
Primary Outcome Measures
NameTimeMethod
1. Medication errors2005-2007
2. Near misses2005-2007
3. Adverse drug events2005-2007
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

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