N/A
N=402
Regional Data Exchange to Improve Medication Safety
Drug Toxicity
Bottom Line
View on ClinicalTrials.gov: NCT01239121 ↗Enrolled (actual)
402
Serious AEs
18.9%
Results posted
Apr 2016
Primary outcome: Primary: Transition Drug Risk — 6.4; 5.8 units: risk-weighted discrepancies — p=0.175
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- HIE-Enhanced Medication Reconciliation (Other); Optimal Medication Reconciliation without HIE (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Jun 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Transition Drug Risk |
6.4; 5.8 | 0.175 |
| SECONDARY Adverse Drug Events |
19; 18 | 0.964 |
| SECONDARY Medication-related Symptoms |
24; 21 | — |
Summary
Medication reconciliation, a process by which a provider obtains and documents a thorough medication history with specific attention to comparing current and previous medication use, can prevent medication-related errors and harm. The aims of this study are: 1) To adapt medication reconciliation to include information from a computerized regional health information exchange (RHIO) in the Bronx, 2) To conduct a trial of the adapted medication reconciliation process and examine effects on medication errors, harm, and hospital costs, and 3) To identify factors that are barriers to adoption of the RHIO tool by James J. Peters (Bronx) VA providers. Findings from this project will provide an understanding of the effect of the RHIO tool on reducing harmful VA and non-VA medication use. It will also provide information on the feasibility of incorporating RHIO tool use into every day work flow for pharmacists and physicians.
Eligibility Criteria
Inclusion Criteria
- Veterans admitted to James J. Peters VA hospital units 6B, 7B, 7C, or 8B or seen as outpatients in the Geriatrics Primary care clinic, who have an identity match in the Bronx RHIO, who consent to participate in the Bronx RHIO, and who stay on the unit at least 24 hours
Exclusion Criteria
- Cannot be transferred from another James J. Peters VA hospital unit
Data sourced from ClinicalTrials.gov (NCT01239121). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.