PictureRx: Improving Medication Safety in Health Disparity Populations

NCT ID: NCT02289469

Last Updated: 2017-07-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 488 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-04-30
• Study Completion Date: 2016-03-31

Brief Summary

Medication safety is an important concern in hospital Emergency Departments (EDs), which provide approximately 136 million patient visits annually in the US. An accurate list of the patient's medications is often needed to inform medical decision-making. Moreover, health care facilities are required to provide patients with an accurate, reconciled list of their medications upon completion of the visit. However, for 37-87% of patients in the ED, errors are present in the documented medication list, and patients often leave without an updated list of their medications or a good understanding of their self-care instructions. This increases the risk of harmful adverse drug events. Health disparity populations, who are more likely to seek care in EDs and who more often have difficulty providing a complete medication history, are disproportionately affected.

Health information technology has the potential to improve medication safety in this setting. PictureRx is an internet-based platform designed to improve medication management in vulnerable populations. It allows users to generate illustrated medication lists in an easily-understood, patient-centered format, in either English or Spanish. The investigators have developed a process for importing prescription fill data from the Surescripts Medication History service, which covers 96% of US pharmacies, into the PictureRx platform. The investigators are developing a mobile tablet PC-based medication history platform that receives and processes the Surescripts data, as well as prompts verification and additional information about the medication regimen.

This trial will assess the effect of the PictureRx medication history platform on the accuracy and efficiency of the medication reconciliation process, as well as patient understanding and satisfaction, in hospital Emergency Departments.

Conditions

Medication Reconciliation

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

PictureRx

PictureRx medication history platform

Group Type: EXPERIMENTAL

PictureRx medication history platform

Intervention Type: OTHER

Tablet PC-based tool to take more complete and accurate medication history

Usual care

Usual medication history process

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

PictureRx medication history platform

Tablet PC-based tool to take more complete and accurate medication history

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Prescribed one or more prescription medications

Exclusion Criteria

• Too ill to complete informed consent process

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Cincinnati

OTHER

Sponsor Role: collaborator

PictureRx, LLC

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Dane Boyington, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

PictureRx, LLC

Locations

University of Cincinnatti

Cincinnati, Ohio, United States

Countries

United States

Other Identifiers

5R44MD004048-04

Identifier Type: NIH

Identifier Source: org_study_id

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