Medication Reconciliation Technology to Improve Quality of Transitional Care

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

PHASE3

Total Enrollment

4818 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2012-04-30

Brief Summary

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This study addresses the problem of inadequate medication reconciliation as patients cross boundaries between inpatient and outpatient care (ambulatory care). The purpose of this study is to determine whether a new, computer-based application, integrated with electronic prescribing, improves erroneous discrepancies between pre-hospital medications and medications upon patients' return to ambulatory care.

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Detailed Description

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This project will test a systems-based intervention of the electronic medical records system. The specific aims of this study are to integrate a new electronic medication reconciliation (MR) system with an electronic prescribing system, conduct a randomized controlled trial of MR, and determine whether electronic facilitation of MR alters MR and the incidence of medication errors in ambulatory care. On a patient's hospital admission, a new Web-based MR module will receive an automatically compiled outpatient medication list. Following discussion with the patient, medical personnel will update the list, which will then be delivered to the computer-based provider order entry system and become actionable for prescribing. Main outcomes include adverse drug events and erroneous discrepancies between the pre-admission medication list and the medication list upon the patient's return to ambulatory care. We hypothesize that electronic facilitation of inpatient MR will improve completion of MR and will decrease the incidence of drug-related medical errors.

Conditions

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Medication Reconciliation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Electronic medication reconciliation

Providers have access to a new, computer-based application to facilitate documentation and prescribing of outpatient medications in the inpatient setting.

Group Type EXPERIMENTAL

Electronic medication reconciliation

Intervention Type OTHER

A new, computer-based application will be used to document and prescribe outpatient medications in the inpatient setting.

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Electronic medication reconciliation

A new, computer-based application will be used to document and prescribe outpatient medications in the inpatient setting.

Intervention Type OTHER

Other Intervention Names

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MedMatch

Eligibility Criteria

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Inclusion Criteria

* Patients admitted to the Medicine Service during a 12-month period
* Physicians who provide inpatient or ambulatory care for participating patients.
* Pharmacists who provide care for participating patients.

Exclusion Criteria

* Patients admitted but not seen in a primary-care clinic within the preceding 12 months
* If an enrolled subject is determined to be a prisoner or pregnant woman, then the study will discontinue the subject for research purposes or will submit an amendment at that time.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No