Serious Medication Errors in Pediatrics: Evaluation of Prevention Strategies

NCT ID: NCT00153205

Last Updated: 2017-02-16

Basic Information

• Recruitment Status: WITHDRAWN
• Clinical Phase: NA
• Study Classification: INTERVENTIONAL
• Study Start Date: 2000-02-29
• Study Completion Date: 2007-05-31

Brief Summary

The purpose of this study is to determine how effective ward-based clinical pharmacists and computerized physician order entry systems are in reducing serious medication errors in pediatric inpatients.

Detailed Description

This is a prospective cohort study at Children's Hospital and Brigham and Women's Hospital (BWH), before and after the introduction of two distinct interventions. The first intervention at Children's Hospital was the introduction of clinical pharmacists on inpatient pediatric wards to target errors at the stages of physician ordering and nurse transcription. The second intervention is technological: the introduction of physician computer order entry at the BWH neonatal intensive care unit (NICU). This intervention will most effectively target errors at the stage of physician ordering, and secondarily address errors at the stage of pharmacy dispensing and nurse transcription. Data on serious medication errors will be collected pre and post each intervention.

Conditions

Medication Errors

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Introduction of A Clinical Pharmacist

Group Type: PLACEBO_COMPARATOR

computerized physician order entry

Intervention Type: BEHAVIORAL

Technological

Group Type: EXPERIMENTAL

computerized physician order entry

Intervention Type: BEHAVIORAL

Interventions

computerized physician order entry

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Patients in the BWH NICU in the study pods during the study period

Exclusion Criteria

• Patients in other units, non-study pods, or outside of the study period

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Patient Safety Foundation

OTHER

Sponsor Role: collaborator

Boston Children's Hospital

OTHER

Sponsor Role: collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role: lead

Responsible Party

Rainu Kaushal, MD

Rainu Kaushal, MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Rainu Kaushal

Role: PRINCIPAL_INVESTIGATOR

BWH

Locations

Brigham and Women's Hospital

Boston, Massachusetts, United States

Countries

United States

Other Identifiers

2005-P-000322/1; BWH

Identifier Type: -

Identifier Source: org_study_id