Evaluation of an Outpatient Modified Prescription Form

Not Applicable

Completed

• Conditions: Medication Errors

• Registration Number: NCT00256594
• Lead Sponsor: University of Vermont

Brief Summary

The purpose of this study is to determine if a modified paper prescribing form decreases prescribing errors compared to a traditional or standard paper prescribing form.

Detailed Description

The broad goal of this proposal is to reduce outpatient prescribing errors in rural primary care practices. Although computerized technology is available for prescribing, it has not yet been implemented in most settings. Additionally, rural prescribers will likely be the last to have the means to adopt this technology. Due to the substantial morbidity and mortality in the United States caused by outpatient medication errors, there is an urgent need for low-cost solutions. This research plan will evaluate a modified paper prescription form that may be implemented in rural primary care settings cheaply and quickly with the goal of outpatient prescription error reduction.

The specific aims of this project are:

1. To determine if a modified paper prescription form decreases overall prescribing errors compared to a standard paper prescription form

2. To determine if a modified paper prescription form decreases omission errors compared to a standard paper prescription form

3. To determine prescriber satisfaction with the modified prescription form

Rural prescribers from four states will be randomly recruited to write prescriptions on standard and modified forms. Prescription duplicates of both types will be analyzed for errors. Prescriber satisfaction with the modified form will be evaluated using surveys and focus groups.

Medication errors are a public health problem. Low-cost technology that is shown to reduce medication errors would benefit all rural patients who receive prescriptions.

Study Timeline

• Study Start: 2005-08
• Study First Submitted: 2005-11-17
• Study First Submitted QC: 2005-11-17
• Study First Posted: 2005-11-21
• Primary Completion: 2010-02
• Study Completion: 2011-01
• Status Verified: 2011-12
• Last Update Submitted: 2011-12-14
• Last Update Posted: 2011-12-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

• Must be a physician, nurse practitioner, or physician assistant with a current license to write outpatient prescriptions
• Must practice in Family Practice, Internal Medicine, or Pediatrics
• Must practice in rural Vermont, West Virginia, South Dakota, or Montana
• Must write outpatient paper prescriptions
• Must write prescriptions in English

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Exclusion Criteria

• Not licensed to write prescriptions
• Practice in a specialty, inpatient, or long term care setting
• Do not write paper prescriptions
• Do not write prescriptions in English

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
error rates of standard versus modified prescriptions per prescriber	200 prescriptions each

Trial Locations

Locations (1)

University of Vermont, Division of General Internal Medicine; 🇺🇸 Burlington, Vermont, United States