Efficacy of the Pre-Admission Medication List (PAML) Builder Reminder Prompts

Not Applicable

Completed

• Conditions: Utilization of Software Application Features
• Interventions: Other: Reminders

• Registration Number: NCT00657462
• Lead Sponsor: Brigham and Women's Hospital

Brief Summary

This project will study whether reminder prompts increase PAML Builder application feature utilization.

Detailed Description

This project will study whether reminder prompts increase Pre-Admission Medication List (PAML) Builder application feature utilization. PAML Builder is an application designed and maintained by Partners Information Systems that assists clinicians in medication reconciliation - a process important for patient safety and quality of care. We have determined that several potentially helpful features of the application are not being utilized as frequently as had been expected. These features include:

1. copying the pre-admission medication list (PAML) to the clipboard

2. viewing the detailed audit trail of all changes made to the PAML

3. sorting the list of medications obtained from other electronic sources by therapeutic class.

Reminder prompts (sometimes referred to as "Tip of the Day") have been employed to increase user awareness of underutilized application features. However, anecdotally some users find them unhelpful and potentially irritating. It is therefore important to determine whether reminder prompts accomplish the stated task of increasing application feature utilization. This project will compare PAML Builder application feature utilization before and after a pilot rollout of reminder prompts to determine whether they should be implemented permanently.

Study Timeline

• Study Start: 2008-04
• Study First Submitted: 2008-04-09
• Study First Submitted QC: 2008-04-11
• Study First Posted: 2008-04-14
• Primary Completion: 2008-07
• Study Completion: 2008-07
• Status Verified: 2017-01
• Last Update Submitted: 2017-01-30
• Last Update Posted: 2017-01-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14122

Inclusion Criteria

• users of the PAML Builder application (physicians, nurses, pharmacists)

Exclusion Criteria

• none

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
B	Reminders	Receives the intervention (reminders displayed at the application startup) only during the second period (period 2) of the study.
A	Reminders	Receives the intervention (reminders displayed at the startup of the application) for both periods (period 1 and period 2) of the study.

Primary Outcome Measures

Name	Time	Method
Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms).	The entire study period

Secondary Outcome Measures

Name	Time	Method
Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminder.	The entire study period
Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms).	The entire study period
Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminders.	The entire study period.

Trial Locations

Locations (2)

Massachusetts General Hospital; 🇺🇸 Boston, Massachusetts, United States

Brigham and Women's Hospital; 🇺🇸 Boston, Massachusetts, United States