Medication Incidents in Primary Care Medicine

NCT ID: NCT02295371

Last Updated: 2016-01-12

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

Total Enrollment

213 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-31

Study Completion Date

2016-01-31

Brief Summary

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Prospective reporting of safety incidents concerning drug treatment by approximately 120 primary care physicians or pediatricians during 2015.

Detailed Description

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Objectives: Patient safety is a major concern in healthcare systems worldwide. Although most safety research has been conducted in the inpatient setting, evidence indicates that medical errors and adverse events pose a serious threat for patients in the primary care setting as well, since most patients receive ambulatory care. Information about frequency and outcomes of safety incidents in primary care is required to identify risks or "hot spots," to prioritize them and to take the action as needed.

Methods:

Participants: Patients undergoing drug treatment by approximately 120 primary care physicians or pediatricians reporting to the Sentinel system.

Collection of data: Questionnaires for cases, for clinical denominator data, and for physician practice specification.

Study intervention: none.

Primary outcome:

● To describe the type, frequency, seasonal and regional distribution of medication incidents

Secondary outcomes:

● To elucidate risk factors like age, gender, poly-medication, morbidity, foreign care, hospitalization.

Statistics: Descriptive statistics, logistic regression. Estimated sample size: 500.

Flow chart: January 2015: Baseline physicians questionnaire. May 2015: Denominator data collection during 14 d. December 2015: Final physicians questionnaire. January to December 2015: Collection of case questionnaires / Counting of daily patient-to-physician contacts. After December 2015: Statistical Evaluation of data, publication.

Conditions

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Medication Incidents

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with an incident

Patients undergoing a safety incident while being treated with drugs

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Any erroneous event (as defined by the physician) related to the medication process interfering with normal treatment course

Exclusion Criteria

* Lacking treatment effect, adverse drug reactions or drug-drug or drug-disease interactions, without detectable treatment error.
* Refusal of patients to refer data to the Sentinel system.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Lausanne

OTHER

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Markus P. Gnädinger, MD

Role: PRINCIPAL_INVESTIGATOR

Institute for General Medicine, Zurich University Hospital

Locations

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Praxis Dr. med. Markus Gnaedinger

Steinach, Canton of St. Gallen, Switzerland

Site Status

Countries

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Switzerland

References

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Gnadinger M, Herzig L, Ceschi A, Conen D, Staehelin A, Zoller M, Puhan MA. Chronic conditions and multimorbidity in a primary care population: a study in the Swiss Sentinel Surveillance Network (Sentinella). Int J Public Health. 2018 Dec;63(9):1017-1026. doi: 10.1007/s00038-018-1114-6. Epub 2018 May 21.

Reference Type DERIVED
PMID: 29786762 (View on PubMed)

Gnadinger M, Ceschi A, Conen D, Herzig L, Puhan M, Staehelin A, Zoller M. Medication incidents in primary care medicine: protocol of a study by the Swiss Federal Sentinel Reporting System. BMJ Open. 2015 Apr 23;5(4):e007773. doi: 10.1136/bmjopen-2015-007773.

Reference Type DERIVED
PMID: 25908679 (View on PubMed)

Other Identifiers

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MIPC

Identifier Type: -

Identifier Source: org_study_id

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