Trial Outcomes & Findings for Virtual Continuity and Its Impact on Complex Hospitalized Patients' Care (NCT NCT01397253)
NCT ID: NCT01397253
Last Updated: 2015-04-16
Results Overview
Medication name, dose, and frequency of administration for patient pre-admission medications will be recorded. Medications received during the hospitalization and discharge medications will be obtained by medical record review following hospital discharge. Pre-admission medications will be compared to discharge medications and differences will be considered discharge medication variances. Two trained pharmacists will independently review medication variances to determine clinical indications or medication errors.
Recruitment status
COMPLETED
Study phase
PHASE3
Target enrollment
835 participants
Primary outcome timeframe
Approximately 1-30 days
Results posted on
2015-04-16
Participant Flow
Participant milestones
| Measure |
(Usual) MedTrak System of PCP Notification
MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital.
|
Automated Communication Tools
An enhanced version of MedTrak (the present system of PCP notification). Electronic medical record links will be developed and used to allow automated communication with the PCP.
Automated communication tools will include:
* PCP notification of patient admission and location
* Data on medications begun on admission
* Automated alerts on changes in patient status and location while the patient is hospitalized
* Links to the EMR and to hospital physician contact information on all email alerts
* Real-time delivery of discharge information (medications, instructions, and follow-up) to the PCP
* Automatic reporting to PCPs of test results pending at discharge
* Electronic delivery of final discharge summaries
|
|---|---|---|
|
Overall Study
STARTED
|
443
|
392
|
|
Overall Study
COMPLETED
|
317
|
243
|
|
Overall Study
NOT COMPLETED
|
126
|
149
|
Reasons for withdrawal
| Measure |
(Usual) MedTrak System of PCP Notification
MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital.
|
Automated Communication Tools
An enhanced version of MedTrak (the present system of PCP notification). Electronic medical record links will be developed and used to allow automated communication with the PCP.
Automated communication tools will include:
* PCP notification of patient admission and location
* Data on medications begun on admission
* Automated alerts on changes in patient status and location while the patient is hospitalized
* Links to the EMR and to hospital physician contact information on all email alerts
* Real-time delivery of discharge information (medications, instructions, and follow-up) to the PCP
* Automatic reporting to PCPs of test results pending at discharge
* Electronic delivery of final discharge summaries
|
|---|---|---|
|
Overall Study
Reviewed by only 1 pharmacist
|
126
|
149
|
Baseline Characteristics
Virtual Continuity and Its Impact on Complex Hospitalized Patients' Care
Baseline characteristics by cohort
| Measure |
(Usual) MedTrak System of PCP Notification
n=317 Participants
MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital.
|
Automated Communication Tools
n=243 Participants
An enhanced version of MedTrak (the present system of PCP notification). Electronic medical record links will be developed and used to allow automated communication with the PCP.
Automated communication tools will include:
* PCP notification of patient admission and location
* Data on medications begun on admission
* Automated alerts on changes in patient status and location while the patient is hospitalized
* Links to the EMR and to hospital physician contact information on all email alerts
* Real-time delivery of discharge information (medications, instructions, and follow-up) to the PCP
* Automatic reporting to PCPs of test results pending at discharge
* Electronic delivery of final discharge summaries
|
Total
n=560 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
63 years
n=5 Participants
|
63 years
n=7 Participants
|
63 years
n=5 Participants
|
|
Sex: Female, Male
Female
|
178 Participants
n=5 Participants
|
150 Participants
n=7 Participants
|
328 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
139 Participants
n=5 Participants
|
93 Participants
n=7 Participants
|
232 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
316 Participants
n=5 Participants
|
242 Participants
n=7 Participants
|
558 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
3 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
96 Participants
n=5 Participants
|
86 Participants
n=7 Participants
|
182 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
216 Participants
n=5 Participants
|
151 Participants
n=7 Participants
|
367 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
317 participants
n=5 Participants
|
243 participants
n=7 Participants
|
560 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Approximately 1-30 daysPopulation: Hospitalized medical patients with ≥2 comorbidities and ≥5 chronic medications, at a single center
Medication name, dose, and frequency of administration for patient pre-admission medications will be recorded. Medications received during the hospitalization and discharge medications will be obtained by medical record review following hospital discharge. Pre-admission medications will be compared to discharge medications and differences will be considered discharge medication variances. Two trained pharmacists will independently review medication variances to determine clinical indications or medication errors.
Outcome measures
| Measure |
(Usual) MedTrak System of PCP Notification
n=3490 Number of medications
MedTrak, the information system used by the University of Pittsburgh Medical Center (UPMC), currently notifies PCPs when patients are admitted and discharged from the hospital.
|
Automated Communication Tools
n=2823 Number of medications
An enhanced version of MedTrak (the present system of PCP notification). Electronic medical record links will be developed and used to allow automated communication with the PCP.
Automated communication tools will include:
* PCP notification of patient admission and location
* Data on medications begun on admission
* Automated alerts on changes in patient status and location while the patient is hospitalized
* Links to the EMR and to hospital physician contact information on all email alerts
* Real-time delivery of discharge information (medications, instructions, and follow-up) to the PCP
* Automatic reporting to PCPs of test results pending at discharge
* Electronic delivery of final discharge summaries
|
|---|---|---|
|
Medication Errors at Hospital Discharge
|
645 Errors
|
359 Errors
|
SECONDARY outcome
Timeframe: Within 30 post-discharge from hospitalDetails regarding patient PCP follow-up office appointments, ER visits and rehospitalizations occuring within 30 days post-discharge will be collected from the EMR.
Outcome measures
Outcome data not reported
Adverse Events
(Usual) MedTrak System of PCP Notification
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Automated Communication Tools
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place