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Taconic Health Information Network and Community (THINC)

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.
 
ClinicalTrials.gov Identifier: NCT00225563
Recruitment Status : Completed
First Posted : September 26, 2005
Last Update Posted : November 25, 2019
Sponsor:
Information provided by (Responsible Party):
Weill Medical College of Cornell University

Tracking Information
First Submitted Date  ICMJE September 22, 2005
First Posted Date  ICMJE September 26, 2005
Last Update Posted Date November 25, 2019
Actual Study Start Date  ICMJE July 21, 2007
Actual Primary Completion Date May 25, 2012   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: November 22, 2019)
  • Medication errors [ Time Frame: 2007-2012 ]
  • Near misses [ Time Frame: 2007-2012 ]
  • Adverse drug events [ Time Frame: 2007-2012 ]
  • Quality measures [ Time Frame: 2007-2012 ]
Original Primary Outcome Measures  ICMJE
 (submitted: September 22, 2005)
  • Medication Errors
  • Near Misses
  • Adverse Drug Events
  • Quality measures
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Taconic Health Information Network and Community (THINC)
Official Title  ICMJE Transforming Healthcare Quality Through I.T.
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.
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 Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Intervention Model Description:
The study model used pre-post design of 15 providers who adopted e-prescribing with concurrent controls of 15 paper-based providers from September 2005 through June 2007.
Masking: None (Open Label)
Primary Purpose: Prevention
Condition  ICMJE Medication Errors
Intervention  ICMJE Device: Electronic Health Record
e-prescribing methods
Study Arms  ICMJE
  • Active Comparator: e-prescribing
    Providers who used electronic prescriptions. electronic health records were used as opposed to paper based prescriptions
    Intervention: Device: Electronic Health Record
  • No Intervention: Paper-based prescriptions
    providers who used paper based prescriptions
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: November 22, 2019)
30
Original Enrollment  ICMJE
 (submitted: September 22, 2005)
9000
Actual Study Completion Date  ICMJE May 2014
Actual Primary Completion Date May 25, 2012   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

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

Exclusion Criteria:

  • Other physicians not enrolled in the study
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT00225563
Other Study ID Numbers  ICMJE 7UC1HS015316-02( U.S. AHRQ Grant/Contract )
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Plan Description: not applicable. no plan to share IPD
Current Responsible Party Weill Medical College of Cornell University
Original Responsible Party Not Provided
Current Study Sponsor  ICMJE Weill Medical College of Cornell University
Original Study Sponsor  ICMJE Agency for Healthcare Research and Quality (AHRQ)
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: A. John Blair, MD Taconic IPA
Principal Investigator: Rainu Kaushal, MD Partners Health Care
PRS Account Weill Medical College of Cornell University
Verification Date June 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP