ISRCTN50890124
Completed
N/A
Effectiveness of an intensive educational intervention for Computerized Physician Order Entry (CPOE)-mediated medication management in the outpatient clinic to increase quality of care and patient safety: a multicentre, cluster randomized, controlled trial and cost-effectiveness analysis
niversity Medical Centre Utrecht (Netherlands)0 sites1,218 target enrollmentJune 10, 2013
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Goal: Improving the knowledge, skills and attitudes of physicians in the outpatient clinic towards their CPOE-system to prevent adverse drug events. Domain: Physicians in internal medicine and its subspecialties in the outpatient clinic
- Sponsor
- niversity Medical Centre Utrecht (Netherlands)
- Enrollment
- 1218
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
2015 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/25997633 2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/29399852 (added 25/06/2019)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Eligibility of physicians for entering the trial:
- •1\. Physicians who work in a department where CPOE is available for a minimum of one month, and who received the standard training approach more than one month ago
- •2\. Physicians who work in an organisation where it is possible to log CPOE data \- specialists and residents of internal medicine, cardiology, pulmonology, geriatrics, gastroenterology and rheumatology
- •3\. Physicians working at the outpatient clinic for at least 4 hours a week
- •4\. Physicians who agreed to participate in the study
- •Eligibility of patients for participation:
- •1\. Patients older than 18 years old
- •2\. Patients visiting the outpatient clinic during the 4\-week enrolment period, consulting a physician who is participating in the study
Exclusion Criteria
- •For physicians:
- •1\. Physicians who were involved in the development of the educational intervention
- •2\. Physicians who work with a system that does not meet the basic requirements of a CPOE system, which are: possibility to store a current medication list and allergies, and basic decision support (drug\-drug interaction, dose, duplicate order, contra\-indications) (van der Sijs 2010\)
- •3\. Physicians who work in an organisation that intends to change the CPOE system during the course of the study
- •4\. Physicians who work in an organisation that is undertaking interventions that might overlap with this intervention
- •For patients:
- •1\. Patients who are unable to understand and talk Dutch or English
- •2\. Patients who have insufficient understanding of their medications to answer questions about their medicaments, or patients who do not have a caregiver who can answer the questions
Outcomes
Primary Outcomes
Not specified
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