NCT01126034已完成不适用
Improving Metoclopramide Prescribing Practices at Penn Through a Physician-targeted Intervention
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 85
- 试验地点
- 1
- 主要终点
- Discontinuation of metoclopramide therapy
研究概览
简要总结
The investigators hypothesized that:
- an intervention targeted at the prescribing physician would increase the rate of a metoclopramide discontinuation among patients prescribed the medication for questionable or unclear indications; and 2) the discontinuation would be durable.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Physicians at University of Pennsylvania Health System who ordered an active metoclopramide prescription with a questionable indication.
排除标准
- •Physicians-in-training (e.g., residents, fellows)
- •Physicians how were investigators on this study
- •Physicians serving on the the University of Pennsylvania Drug Use and Effects Committee or Information Technology Oversight Board
研究组 & 干预措施
intervention
Experimental
Physicians in the intervention group were mailed a written feedback letter regarding their patients who were prescribed questionable metoclopramide therapy. Non-intervention providers received no letter. The letter consisted of the following components:
- The name and medical record # of the patients involved
- Information regarding the metoclopramide prescription: dates, dosage, indication recorded, and the duration of therapy
- A reminder of the adverse effect of long-term metoclopramide therapy
- A recommendation to consider having the patient undergo a trial of metoclopramide discontinuation if appropriate, and documentation of a discussion of risk and benefits of metoclopramide therapy with patients
- A request that the physician document the discontinuation trial in the electronic medical record
干预措施: intervention letter (Other)
non-intervention
No Intervention
No intervention letters were sent to subjects in this arm
结局指标
主要结局
Discontinuation of metoclopramide therapy
时间窗: 12 weeks after intervention period
Twelve weeks after the intervention period, we searched the medical records of patients in the intervention and non-intervention groups to determine whether discontinuation of metoclopramide therapy had taken place.
次要结局
未报告次要终点
研究者
研究点 (1)
Loading locations...
相似试验
终止
不适用
Strategies to Improve Prescribing in Heart Failure PatientsChronic Heart FailureNCT01023438Niguarda Hospital30
Unknown
不适用
Pharmaceutical Care and Clinical Outcomes for the Elderly Taking Potentially Inappropriate MedicationElderlyChronic DiseaseNCT00844025Shin Kong Wu Ho-Su Memorial Hospital120
招募中
不适用
Improved Prescribing for Older Nursing Home PatientsOlder PeopleNursing Home ResidentsPrescribingAdvance Care PlanningMedication ReviewsDecision MakingPrescribing PracticesNCT06731361Amsterdam UMC, location VUmc450
已完成
不适用
Clinical and Economic Impact of Interventions by a Clinical Pharmacist on Antibiotic Use on Surgical WardsBacterial InfectionsNCT00431483Ludwig-Maximilians - University of Munich779
已完成
不适用
Educational Intervention to Increase Physician Satisfaction and Effectiveness With a New Electronic Health RecordAttitude of Health PersonnelNCT02015702The Reading Hospital and Medical Center44