Evaluation of an Outpatient Modified Prescription Form
The purpose of this study is to determine if a modified paper prescribing form decreases prescribing errors compared to a traditional or standard paper prescribing form.
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Evaluation of an Outpatient Modified Paper Prescription Form in 4 Rural States to Address the Public Health Problem of Prescribing Error|
- error rates of standard versus modified prescriptions per prescriber [ Time Frame: 200 prescriptions each ] [ Designated as safety issue: No ]
|Study Start Date:||August 2005|
|Study Completion Date:||January 2011|
|Primary Completion Date:||February 2010 (Final data collection date for primary outcome measure)|
Device: prescription form
The broad goal of this proposal is to reduce outpatient prescribing errors in rural primary care practices. Although computerized technology is available for prescribing, it has not yet been implemented in most settings. Additionally, rural prescribers will likely be the last to have the means to adopt this technology. Due to the substantial morbidity and mortality in the United States caused by outpatient medication errors, there is an urgent need for low-cost solutions. This research plan will evaluate a modified paper prescription form that may be implemented in rural primary care settings cheaply and quickly with the goal of outpatient prescription error reduction.
The specific aims of this project are:
- To determine if a modified paper prescription form decreases overall prescribing errors compared to a standard paper prescription form
- To determine if a modified paper prescription form decreases omission errors compared to a standard paper prescription form
- To determine prescriber satisfaction with the modified prescription form
Rural prescribers from four states will be randomly recruited to write prescriptions on standard and modified forms. Prescription duplicates of both types will be analyzed for errors. Prescriber satisfaction with the modified form will be evaluated using surveys and focus groups.
Medication errors are a public health problem. Low-cost technology that is shown to reduce medication errors would benefit all rural patients who receive prescriptions.
|United States, Vermont|
|University of Vermont, Division of General Internal Medicine|
|Burlington, Vermont, United States, 05401|
|Principal Investigator:||Amanda G Kennedy, PharmD||University of Vermont|