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Taconic Health Information Network and Community (THINC)

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ClinicalTrials.gov Identifier: NCT00225563
Recruitment Status : Unknown
Verified September 2005 by Agency for Healthcare Research and Quality (AHRQ).
Recruitment status was:  Recruiting
First Posted : September 26, 2005
Last Update Posted : June 13, 2007
Sponsor:
Information provided by:

Study Description
Brief Summary:
The Taconic IPA, a 2,500 physician independent practice association (IPA) located in Fishkill, New York (NY), is involved in an information technology project to improve the quality, safety and efficiency of healthcare in the region. Over the past three years, the organization has worked with area hospitals and laboratories to create a community wide electronic data exchange. Currently, the Taconic IPA is in the midst of implementing a full electronic health record in some practices and e-prescribing in other practices. The purpose is to study the impact of an electronic health record on safety and quality measures.

Condition or disease Intervention/treatment
Medication Errors Device: Electronic Medical Record

Detailed Description:

We propose to measure differences in patient safety and quality measures among three groups: the control group consisting of physicians with paper-based office practices, a group of physicians using the clinical messaging system and electronic prescribing, and a group of physicians using the EMR and electronic prescribing.

We plan to introduce a vendor based electronic prescribing system by July 2005. This system will be offered to all physicians using clinical messaging and will be integrated with the EMR system. The system will have clinical decision support, such as checks for drug-drug interactions.

Our evaluation will measure differences in rates of medication errors and quality measures amongst these three groups. We will use a study design of a pre-post evaluation with a comparison control group. We will detect medical errors by prescription and chart review. We will determine compliance with quality measures through a combination of electronic data and chart review.


Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 9000 participants
Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Transforming Healthcare Quality Through I.T.
Study Start Date : October 2004
Estimated Study Completion Date : September 2007

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arms and Interventions


Outcome Measures

Primary Outcome Measures :
  1. Medication errors
  2. Near misses
  3. Adverse drug events
  4. Quality measures

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Physicians' prescriptions and medical records in office practices enrolled in the study

Exclusion Criteria:

  • Other physicians not enrolled in the study
Contacts and Locations

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 ClinicalTrials.gov identifier (NCT number): NCT00225563


Contacts
Contact: A. John Blair, MD (845)897-6359 jblair@taconicipa.com
Contact: Laura Cosh (845)298-9137 lcosh@taconicipa.com

Locations
United States, New York
Taconic IPA Recruiting
Fishkill, New York, United States, 12524
Principal Investigator: A. John Blair, MD         
Sponsors and Collaborators
Agency for Healthcare Research and Quality (AHRQ)
Investigators
Principal Investigator: A. John Blair, MD Taconic IPA
Principal Investigator: Rainu Kaushal, MD Partners Health Care
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00225563     History of Changes
Other Study ID Numbers: 7UC1HS015316-02 ( U.S. AHRQ Grant/Contract )
First Posted: September 26, 2005    Key Record Dates
Last Update Posted: June 13, 2007
Last Verified: September 2005

Keywords provided by Agency for Healthcare Research and Quality (AHRQ):
Electronic medical records
Electronic prescribing
Quality measures