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Reducing Injuries From Medication-Related Falls Using Computerized Alerts for High Risk Patients
This study is currently recruiting participants.
Verified by McGill University, January 2009
Sponsored by: McGill University
Information provided by: McGill University
ClinicalTrials.gov Identifier: NCT00818285
  Purpose

Drug-related illness accounts for 5% to 23% of hospital admissions, and is now claimed to be the sixth leading cause of mortality. Older adults are at higher risk of adverse drug-related events, and medication-related fall injuries are the most common adverse event that could be potentially prevented. There are 1.2 million falls per year among Canadian elderly, at a cost of $2.4 billion in health care services, and substantial risk of loss of independence.

The overall purpose of this research program is to reduce medication-related fall injuries by using computerized electronic prescribing and drug management systems to identify high risk patients and provide physicians with patient-specific recommendations for modifying psychotropic medication use to reduce this risk.


Condition Intervention
Fall Related Injuries
Device: CDS for psychotropic drug management

U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Subject), Placebo Control, Parallel Assignment
Official Title: Reducing Injuries From Medication-Related Falls by Generating Targeted Computerized Alerts for High Risk Patients Within an Electronic Prescribing System

Further study details as provided by McGill University:

Primary Outcome Measures:
  • rate of potentially inappropriate psychotropic medication [ Time Frame: 2008-2008 ] [ Designated as safety issue: No ]

Estimated Enrollment: 4800
Study Start Date: September 2008
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: No Intervention
Physicians in this arm will be using the standard electronic prescription interface.
2: Experimental
In addition to the standard electronic prescription module, physicians in this arm will receive targeted drugs alert and decision support for psychotropic drug management
Device: CDS for psychotropic drug management
Computerized decision support (CDS) for patients with available supplies of psychotropic medications. The decision support will consist of a screen displaying to the physician the patient's current risk of falling as well as what their risk could be lowered to with modifications to medications.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Physicians are eligible for inclusion if they are general practitioners or family physicians in full-time (≥ 4 days/week), fee-for-service practice in Quebec-patients where the study physician has written or dispensed psychotropic medications

Exclusion Criteria:

  • under 65 years old
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00818285

Contacts
Contact: Robyn Tamblyn, PhD 514-934-1934 ext 32999 robyn.tamblyn@mcgill.ca

Locations
Canada, Quebec
McGill University Recruiting
Montreal, Quebec, Canada
Contact: Robyn Tamblyn, PhD     514-934-1934 ext 32999     robyn.tamblyn@mcgill.ca    
Sponsors and Collaborators
McGill University
Investigators
Principal Investigator: Robyn M Tamblyn, PhD McGill University
  More Information

Responsible Party: McGill University ( Dr Robyn Tamblyn )
Study ID Numbers: RFA06-1035-QC
Study First Received: January 5, 2009
Last Updated: January 5, 2009
ClinicalTrials.gov Identifier: NCT00818285  
Health Authority: Canada: Ethics Review Committee

ClinicalTrials.gov processed this record on January 16, 2009