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Taconic Health Information Network and Community (THINC)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified September 2005 by Agency for Healthcare Research and Quality (AHRQ).
Recruitment status was:  Recruiting
Information provided by:
Agency for Healthcare Research and Quality (AHRQ) Identifier:
First received: September 22, 2005
Last updated: June 12, 2007
Last verified: September 2005
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 Intervention
Medication Errors Device: Electronic Medical Record

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Transforming Healthcare Quality Through I.T.

Resource links provided by NLM:

Further study details as provided by Agency for Healthcare Research and Quality (AHRQ):

Primary Outcome Measures:
  • Medication errors
  • Near misses
  • Adverse drug events
  • Quality measures

Estimated Enrollment: 9000
Study Start Date: October 2004
Estimated Study Completion Date: September 2007
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.


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

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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00225563

Contact: A. John Blair, MD (845)897-6359
Contact: Laura Cosh (845)298-9137

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)
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 Identifier (NCT Number): Identifier: NCT00225563     History of Changes
Other Study ID Numbers: 7UC1HS015316-02 ( U.S. AHRQ Grant/Contract )
Study First Received: September 22, 2005
Last Updated: June 12, 2007

Keywords provided by Agency for Healthcare Research and Quality (AHRQ):
Electronic medical records
Electronic prescribing
Quality measures processed this record on September 21, 2017