Statewide Implementation of Electronic Health Records

NCT ID: NCT00225576

Last Updated: 2014-01-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

2030 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2012-12-31

Brief Summary

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To determine the effects of Electronic Health Record use on medication error rates in primary care office practices.

Hypothesis: Adoption of Electronic Health Records through this program will reduce medication errors

Detailed Description

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From the practices committed to implementing EHR in early 2005, we randomly selected 15 adult community-based primary care physicians. We selected 15 similar physicians in practices that were not planning to adopt in that time period.

At each of these physicians' practices we documented rates of medication errors for one week prior to the implementation of an EHR using duplicate prescription pads. Two months after the implementation in the adopting group, allowing some time for familiarization with the tool, we collected two weeks of data using computer-based information (in the adopting arm) and duplicate prescriptions (in the non-adopting arm).

Conditions

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Medication Errors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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1

Paper prescribing, 2005 and 2007

Group Type NO_INTERVENTION

No interventions assigned to this group

2

Paper prescribing 2005 vs. electronic prescribing 2007

Group Type EXPERIMENTAL

Electronic Health Record Implementation

Intervention Type OTHER

Intervention subjects implemented electronic prescribing as part of an electronic health record implementation

Interventions

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Electronic Health Record Implementation

Intervention subjects implemented electronic prescribing as part of an electronic health record implementation

Intervention Type OTHER

Other Intervention Names

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eClinical Works

Eligibility Criteria

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Inclusion Criteria

* All patients of physicians participating in the study

Exclusion Criteria

* Any patients who are not part of a panel of a participating physician
* Any patients who are younger than 18 years of age
* Any patients who came in for a second visit within each data collection period
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Massachusetts eHealth Collaborative

OTHER

Sponsor Role collaborator

Agency for Healthcare Research and Quality (AHRQ)

FED

Sponsor Role lead

Responsible Party

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david bates

Chief of General Medicine, BWH

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David W. Bates, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital, Partners Healthcare System Inc.

Rainu Kaushal, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Cornell Weill Medical College

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Abramson EL, Bates DW, Jenter C, Volk LA, Barron Y, Quaresimo J, Seger AC, Burdick E, Simon S, Kaushal R. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012 Jul-Aug;19(4):644-8. doi: 10.1136/amiajnl-2011-000345. Epub 2011 Dec 1.

Reference Type DERIVED
PMID: 22140209 (View on PubMed)

Other Identifiers

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HS015397

Identifier Type: -

Identifier Source: org_study_id

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