RCT: The Effect of an Electronic Clinical Decision Support Application on Perioperative Medication Errors.

Not Applicable

• Conditions: Perioperative Adverse Medication Events; Perioperative Medication Errors
• Interventions: Other: Electronic Clinical Decision Support Application

• Registration Number: NCT04342013
• Lead Sponsor: Karen C. Nanji,M.D.,M.P.H.

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-04-01
• Study First Submitted QC: 2020-04-09
• Study First Posted: 2020-04-10
• Status Verified: 2020-08
• Last Update Submitted: 2020-08-31
• Last Update Posted: 2020-09-02
• Study Start: 2021-03
• Primary Completion: 2021-12
• Study Completion: 2021-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Anesthesia clinician (anesthesiologists, certified registered nurse anesthetists (CRNAs), student nurse anesthetists, fellows and residents) at Massachusetts General Hospital.

Exclusion Criteria

• Study staff

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Perioperative Clinical Decision Support Application	Electronic Clinical Decision Support Application	Participants will be observed performing clinical tasks and documenting medication administrations with use of the clinical decision support application in the perioperative setting.

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
Incidence of medication errors the perioperative setting	6 months	Number of errors / 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
Incidence of adverse medication events in the perioperative setting	6 months	Number of adverse medication events / number of medications administered
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.