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Taconic Health Information Network and Community (THINC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT00225563
Recruitment Status : Completed
First Posted : September 26, 2005
Last Update Posted : November 25, 2019
Sponsor:
Information provided by (Responsible Party):
Weill Medical College of Cornell University

Brief Summary:
The Taconic IPA, a 2,500 physician independent practice association (IPA) located in Fishkill, New York (NY), is involved in an information technology project to improve the quality, safety and efficiency of healthcare in the region. Over the past three years, the organization has worked with area hospitals and laboratories to create a community wide electronic data exchange. Currently, the Taconic IPA is in the midst of implementing a full electronic health record in some practices and e-prescribing in other practices. The purpose is to study the impact of an electronic health record on safety and quality measures.

Condition or disease Intervention/treatment Phase
Medication Errors Device: Electronic Health Record Not Applicable

Detailed Description:

We propose to measure differences in patient safety and quality measures among three groups: the control group consisting of physicians with paper-based office practices, a group of physicians using the clinical messaging system and electronic prescribing, and a group of physicians using the EMR and electronic prescribing.

We plan to introduce a vendor based electronic prescribing system by July 2005. This system will be offered to all physicians using clinical messaging and will be integrated with the EMR system. The system will have clinical decision support, such as checks for drug-drug interactions.

Our evaluation will measure differences in rates of medication errors and quality measures amongst these three groups. We will use a study design of a pre-post evaluation with a comparison control group. We will detect medical errors by prescription and chart review. We will determine compliance with quality measures through a combination of electronic data and chart review.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Intervention Model Description: The study model used pre-post design of 15 providers who adopted e-prescribing with concurrent controls of 15 paper-based providers from September 2005 through June 2007.
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Transforming Healthcare Quality Through I.T.
Actual Study Start Date : July 21, 2007
Actual Primary Completion Date : May 25, 2012
Actual Study Completion Date : May 2014

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: e-prescribing
Providers who used electronic prescriptions. electronic health records were used as opposed to paper based prescriptions
Device: Electronic Health Record
e-prescribing methods

No Intervention: Paper-based prescriptions
providers who used paper based prescriptions



Primary Outcome Measures :
  1. Medication errors [ Time Frame: 2007-2012 ]
  2. Near misses [ Time Frame: 2007-2012 ]
  3. Adverse drug events [ Time Frame: 2007-2012 ]
  4. Quality measures [ Time Frame: 2007-2012 ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Physicians' prescriptions and medical records in office practices enrolled in the study

Exclusion Criteria:

  • Other physicians not enrolled in the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00225563


Locations
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United States, New York
Taconic IPA
Fishkill, New York, United States, 12524
Sponsors and Collaborators
Weill Medical College of Cornell University
Investigators
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Principal Investigator: A. John Blair, MD Taconic IPA
Principal Investigator: Rainu Kaushal, MD Partners Health Care

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT00225563    
Other Study ID Numbers: 7UC1HS015316-02 ( U.S. AHRQ Grant/Contract )
First Posted: September 26, 2005    Key Record Dates
Last Update Posted: November 25, 2019
Last Verified: June 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: not applicable. no plan to share IPD

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Weill Medical College of Cornell University:
Electronic medical records
Electronic prescribing
Quality measures