Working... Menu

Evaluation of an Outpatient Modified Prescription Form

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. Identifier: NCT00256594
Recruitment Status : Completed
First Posted : November 21, 2005
Last Update Posted : December 15, 2011
Health Resources and Services Administration (HRSA)
Information provided by (Responsible Party):
Amanda Kennedy, University of Vermont

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Medication Errors Device: prescription form Not Applicable

Detailed Description:

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:

  1. To determine if a modified paper prescription form decreases overall prescribing errors compared to a standard paper prescription form
  2. To determine if a modified paper prescription form decreases omission errors compared to a standard paper prescription form
  3. 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.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 84 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (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
Study Start Date : August 2005
Actual Primary Completion Date : February 2010
Actual Study Completion Date : January 2011

Resource links provided by the National Library of Medicine

Intervention Details:
  • Device: prescription form
    Two prescription pads contained modified forms and two prescription pads were similar to the prescription pads the prescriber had been using. Providers completed 100 standard and 100 modified prescriptions

Primary Outcome Measures :
  1. error rates of standard versus modified prescriptions per prescriber [ Time Frame: 200 prescriptions each ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   21 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Must be a physician, nurse practitioner, or physician assistant with a current license to write outpatient prescriptions
  • Must practice in Family Practice, Internal Medicine, or Pediatrics
  • Must practice in rural Vermont, West Virginia, South Dakota, or Montana
  • Must write outpatient paper prescriptions
  • Must write prescriptions in English

Exclusion Criteria:

  • Not licensed to write prescriptions
  • Practice in a specialty, inpatient, or long term care setting
  • Do not write paper prescriptions
  • Do not write prescriptions in English

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 identifier (NCT number): NCT00256594

Layout table for location information
United States, Vermont
University of Vermont, Division of General Internal Medicine
Burlington, Vermont, United States, 05401
Sponsors and Collaborators
University of Vermont
Health Resources and Services Administration (HRSA)
Layout table for investigator information
Principal Investigator: Amanda G Kennedy, PharmD University of Vermont

Publications of Results:
Other Publications:
Layout table for additonal information
Responsible Party: Amanda Kennedy, Assistant Professor of Medicine, University of Vermont Identifier: NCT00256594     History of Changes
Other Study ID Numbers: 1 R04RH05814-01-00
First Posted: November 21, 2005    Key Record Dates
Last Update Posted: December 15, 2011
Last Verified: December 2011

Keywords provided by Amanda Kennedy, University of Vermont:
Medical Errors
Medication Errors
Prescriptions, Drug