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Outpatient Prescription Errors: Detection, Analysis, and Impact on Safety

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00256568
First Posted: November 21, 2005
Last Update Posted: December 15, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
Agency for Healthcare Research and Quality (AHRQ)
Vermont Program for Quality in Health Care
Information provided by (Responsible Party):
Amanda Kennedy, University of Vermont
  Purpose
The purpose of this study is to better understand outpatient prescribing errors through clinic and pharmacy-based error reporting systems.

Condition Intervention
Medication Errors Behavioral: reporting system

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Outpatient Prescription Errors: Detection, Analysis, and Impact on Safety

Resource links provided by NLM:


Further study details as provided by Amanda Kennedy, University of Vermont:

Enrollment: 103
Study Start Date: September 2003
Study Completion Date: August 2008
Groups/Cohorts Assigned Interventions
Primary Care Practices
One hundred and three prescribers, managers, nurses and office staff at seven primary care practices in Vermont
Behavioral: reporting system
Nurses and office staff were asked to report all communications with community pharmacists regarding prescription problems

Detailed Description:

Medication errors cause substantial morbidity and mortality in the United States. However, relatively little is known about medication errors in the outpatient setting. The broad goal of this proposal is to improve outpatient safety. Specifically, this research plan promotes the understanding of the causes of outpatient prescription errors. The specific aims of this project are:

  1. To develop and evaluate a novel reporting system in physicians' offices for detecting prescription errors
  2. To develop and evaluate a novel improvement system in community pharmacies to increase prescription error reporting by pharmacists
  3. To analyze reports of outpatient prescription errors and understand their root causes

To achieve these specific aims, statewide research will be conducted utilizing qualitative and quantitative methods including root cause analysis, failure mode and effects analysis, and surveys. This research plan will promote patient safety by furthering the understanding of the causes of outpatient prescription errors in all outpatient populations, including rural, women, children, elderly, low income, and the chronically ill.

  Eligibility

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
Sampling Method:   Non-Probability Sample
Study Population
Primary Care Practices
Criteria

Inclusion Criteria:

  • Employed in a physician's office or community pharmacy

Exclusion Criteria:

  • Not employed in a physician's office or community pharmacy
  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): NCT00256568


Locations
United States, Vermont
University of Vermont, Division of General Internal Medicine
Burlington, Vermont, United States, 05401
Sponsors and Collaborators
University of Vermont
Agency for Healthcare Research and Quality (AHRQ)
Vermont Program for Quality in Health Care
Investigators
Principal Investigator: Amanda G Kennedy, PharmD University of Vermont
  More Information

Publications:
Responsible Party: Amanda Kennedy, Assistant Professor of Medicine, University of Vermont
ClinicalTrials.gov Identifier: NCT00256568     History of Changes
Other Study ID Numbers: K08HS013891 ( U.S. AHRQ Grant/Contract )
First Submitted: November 17, 2005
First Posted: November 21, 2005
Last Update Posted: December 15, 2011
Last Verified: December 2011

Keywords provided by Amanda Kennedy, University of Vermont:
Medical Errors
Medication Errors
Prescriptions, Drug
Pharmacies
Ambulatory Care Facilities