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Sponsored by: |
Indiana University School of Medicine |
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Information provided by: | Indiana University |
ClinicalTrials.gov Identifier: | NCT00297869 |
The subjects in this study are physicians working in the Wishard Emergency Department. The purpose of this study is to measure the extent to which information technology (i.e.-computers) improves emergency department care. The objective of our study is to evaluate the use of informatics in the emergency department and specifically to determine if computer reminder systems: 1) reduce the number of unsafe medications prescribed to older adults, 2) assist in more safely dosing of medications to adults of all ages, and 3) increase influenza immunization of eligible older patients in the emergency department.
Interventions: The interventions in this study are computer reminders. When releasing patients from the emergency department, physicians currently write all release orders, including prescriptions, on a computer order entry system that is linked to the Regenstrief Medical Record System. The computerized order entry system will be programmed so that physicians randomized (randomly placed) into the intervention group, the group that will receive the intervention, they will receive one of three types of reminders:
The physician will then choose to order or disregard the recommendation. The computer system will automatically record what the physician selected to do. The general outcome of interest is the extent to which the electronic reminders successfully improved physician practice in the emergency department setting. This outcome will be compared to physicians who were randomized to the group that did not receive the reminders (the control group).
Condition | Intervention |
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Elderly; Renal Insufficiency |
Procedure: Computer-Assisted Decision Support |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Factorial Assignment, Efficacy Study |
Official Title: | Computer-Assisted Decision Support to Increase the Safety of Prescribing to Older Emergency Department Patients |
Estimated Enrollment: | 954 |
Study Start Date: | January 2005 |
Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: No Intervention | |
2: Experimental
Electronic warnings when providers prescribe a potentially inappropriate medication or an excessively dosed medication (based on estimated creatinine clearance)
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Procedure: Computer-Assisted Decision Support
Electronic warnings when providers prescribe a potentially inappropriate medication or an excessively dosed medication (based on estimated creatinine clearance)
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Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Kevin M. Terrell, DO, MS | 317-423-5600 | kterrell@regenstrief.org |
United States, Indiana | |
Wishard Memorial Hospital | Recruiting |
Indianapolis, Indiana, United States, 46202 | |
Contact: Kevin M. Terrell, DO, MS 317-630-7276 kterrel@iupui.edu |
Principal Investigator: | Kevin M. Terrell, DO, MS | Indiana University School of Medicine |
Responsible Party: | Indiana University ( Dr. Kevin M. Terrell ) |
Study ID Numbers: | 0311-04B, 2004 Jahnigen Career Award |
Study First Received: | February 27, 2006 |
Last Updated: | April 8, 2009 |
ClinicalTrials.gov Identifier: | NCT00297869 History of Changes |
Health Authority: | United States: Institutional Review Board |
Renal Insufficiency Urologic Diseases Emergencies Kidney Diseases |
Disease Attributes Renal Insufficiency Pathologic Processes |
Urologic Diseases Emergencies Kidney Diseases |