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Statewide Implementation of Electronic Health Records

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ClinicalTrials.gov Identifier: NCT00225576
Recruitment Status : Completed
First Posted : September 26, 2005
Last Update Posted : January 24, 2014
Sponsor:
Collaborator:
Massachusetts eHealth Collaborative
Information provided by (Responsible Party):
david bates, Agency for Healthcare Research and Quality (AHRQ)

Brief Summary:

To determine the effects of Electronic Health Record use on medication error rates in primary care office practices.

Hypothesis: Adoption of Electronic Health Records through this program will reduce medication errors


Condition or disease Intervention/treatment Phase
Medication Errors Other: Electronic Health Record Implementation Phase 2

Detailed Description:

From the practices committed to implementing EHR in early 2005, we randomly selected 15 adult community-based primary care physicians. We selected 15 similar physicians in practices that were not planning to adopt in that time period.

At each of these physicians' practices we documented rates of medication errors for one week prior to the implementation of an EHR using duplicate prescription pads. Two months after the implementation in the adopting group, allowing some time for familiarization with the tool, we collected two weeks of data using computer-based information (in the adopting arm) and duplicate prescriptions (in the non-adopting arm).

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 2030 participants
Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Statewide Implementation of Electronic Health Records
Study Start Date : September 2005
Actual Primary Completion Date : November 2007
Actual Study Completion Date : December 2012

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
No Intervention: 1
Paper prescribing, 2005 and 2007
Experimental: 2
Paper prescribing 2005 vs. electronic prescribing 2007
Other: Electronic Health Record Implementation
Intervention subjects implemented electronic prescribing as part of an electronic health record implementation
Other Name: eClinical Works




Primary Outcome Measures :
  1. 1. Medication errors [ Time Frame: 2005-2007 ]
  2. 2. Near misses [ Time Frame: 2005-2007 ]
  3. 3. Adverse drug events [ Time Frame: 2005-2007 ]


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:   No
Criteria

Inclusion Criteria:

  • All patients of physicians participating in the study

Exclusion Criteria:

  • Any patients who are not part of a panel of a participating physician
  • Any patients who are younger than 18 years of age
  • Any patients who came in for a second visit within each data collection period

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): NCT00225576


Locations
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United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02116
Sponsors and Collaborators
Agency for Healthcare Research and Quality (AHRQ)
Massachusetts eHealth Collaborative
Investigators
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Principal Investigator: David W. Bates, MD, MPH Brigham and Women's Hospital, Partners Healthcare System Inc.
Principal Investigator: Rainu Kaushal, MD, MPH Cornell Weill Medical College

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: david bates, Chief of General Medicine, BWH, Agency for Healthcare Research and Quality (AHRQ)
ClinicalTrials.gov Identifier: NCT00225576    
Other Study ID Numbers: HS015397
First Posted: September 26, 2005    Key Record Dates
Last Update Posted: January 24, 2014
Last Verified: January 2014
Keywords provided by david bates, Agency for Healthcare Research and Quality (AHRQ):
medication errors
adverse drug events
electronic health records