Taconic Health Information Network and Community (THINC)

NCT ID: NCT00225563

Last Updated: 2019-11-25

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-07-21
• Study Completion Date: 2014-05-31

Brief Summary

The Taconic IPA, a 2,500 physician independent practice association (IPA) located in Fishkill, New York (NY), is involved in an information technology project to improve the quality, safety and efficiency of healthcare in the region. Over the past three years, the organization has worked with area hospitals and laboratories to create a community wide electronic data exchange. Currently, the Taconic IPA is in the midst of implementing a full electronic health record in some practices and e-prescribing in other practices. The purpose is to study the impact of an electronic health record on safety and quality measures.

Detailed Description

We propose to measure differences in patient safety and quality measures among three groups: the control group consisting of physicians with paper-based office practices, a group of physicians using the clinical messaging system and electronic prescribing, and a group of physicians using the EMR and electronic prescribing.

We plan to introduce a vendor based electronic prescribing system by July 2005. This system will be offered to all physicians using clinical messaging and will be integrated with the EMR system. The system will have clinical decision support, such as checks for drug-drug interactions.

Our evaluation will measure differences in rates of medication errors and quality measures amongst these three groups. We will use a study design of a pre-post evaluation with a comparison control group. We will detect medical errors by prescription and chart review. We will determine compliance with quality measures through a combination of electronic data and chart review.

Conditions

Medication Errors

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

e-prescribing

Providers who used electronic prescriptions. electronic health records were used as opposed to paper based prescriptions

Group Type: ACTIVE_COMPARATOR

Electronic Health Record

Intervention Type: DEVICE

e-prescribing methods

Paper-based prescriptions

providers who used paper based prescriptions

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Electronic Health Record

e-prescribing methods

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Physicians' prescriptions and medical records in office practices enrolled in the study

Exclusion Criteria

• Other physicians not enrolled in the study

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Weill Medical College of Cornell University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

A. John Blair, MD

Role: PRINCIPAL_INVESTIGATOR

Taconic IPA

Rainu Kaushal, MD

Role: PRINCIPAL_INVESTIGATOR

Partners Health Care

Locations

Taconic IPA

Fishkill, New York, United States

Countries

United States

References

Abramson EL, Barron Y, Quaresimo J, Kaushal R. Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Jt Comm J Qual Patient Saf. 2011 Oct;37(10):470-8. doi: 10.1016/s1553-7250(11)37060-2.

Reference Type: DERIVED

PMID: 22013821 (View on PubMed)

Kaushal R, Kern LM, Barron Y, Quaresimo J, Abramson EL. Electronic prescribing improves medication safety in community-based office practices. J Gen Intern Med. 2010 Jun;25(6):530-6. doi: 10.1007/s11606-009-1238-8. Epub 2010 Feb 26.

Reference Type: DERIVED

PMID: 20186499 (View on PubMed)

Other Identifiers

7UC1HS015316-02

Identifier Type: AHRQ

Identifier Source: org_study_id

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