Education for physicians to improve prescribing medication through the Computerized Physician Order Entry (CPOE) system

Not Applicable

Completed

• 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; Not Applicable

• Registration Number: ISRCTN50890124
• Lead Sponsor: niversity Medical Centre Utrecht (Netherlands)

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)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-06-10
• Study Completion: 2015-04-01
• Last Update Posted: 15 July 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1218

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

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The number of medication discrepancies. Medication discrepancies will be determined by comparing information from the patient with the medication record in CPOE. Patient information is gathered by a telephone questionnaire.