Reducing Transition Drug Risk
NCT00370916 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 612
Last updated 2015-04-07
Summary
Patient transfer between sites of care is regular practice during an episode of care in our current health care system. Yet inter-site transfer is associated with lapses in care quality that adversely affect patient outcomes. A common iatrogenic harm precipitated at the time of transfer is harm from drug prescribing, or adverse drug events (ADEs). In this study we will evaluate a medication reconciliation tool developed to help providers make effective prescribing decisions at the time of transfer between VA sites of care (Improved Prescribing after Transfer (IPT)). We will evaluate the quantitative effectiveness of the tool in reducing transition drug risk and ADEs. We additionally will conduct focus group discussions and cognitive task analysis among end-users to better understand how providers make drug-prescribing decisions at the time of transfer and to assess factors influencing effective use of the tool.
Conditions
- Hospitalization
Interventions
- BEHAVIORAL
-
Physician-initiated medication reconciliation
Physician house staff performed and documented medication reconciliation after hospital admission with the assistance of a CPRS template
- BEHAVIORAL
-
Pharmacist-initiated medication reconciliation
Pharmacist performed and documented medication reconciliation
Sponsors & Collaborators
-
University of Victoria
collaborator OTHER -
Icahn School of Medicine at Mount Sinai
collaborator OTHER -
US Department of Veterans Affairs
lead FED
Principal Investigators
-
Kenneth S Boockvar, MD MS · James J. Peters Veterans Affairs Medical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-10-31
- Primary Completion
- 2006-03-31
- Completion
- 2010-09-30
Countries
- United States
Study Locations
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