Reducing Injuries From Medication-Related Falls Using Computerized Alerts for High Risk Patients
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|ClinicalTrials.gov Identifier: NCT00818285|
Recruitment Status : Completed
First Posted : January 7, 2009
Last Update Posted : August 20, 2019
Drug-related illness accounts for 5% to 23% of hospital admissions, and is now claimed to be the sixth leading cause of mortality. Older adults are at higher risk of adverse drug-related events, and medication-related fall injuries are the most common adverse event that could be potentially prevented. There are 1.2 million falls per year among Canadian elderly, at a cost of $2.4 billion in health care services, and substantial risk of loss of independence.
The overall purpose of this research program is to reduce medication-related fall injuries by using computerized electronic prescribing and drug management systems to identify high risk patients and provide physicians with patient-specific recommendations for modifying psychotropic medication use to reduce this risk.
|Condition or disease||Intervention/treatment||Phase|
|Fall Related Injury Risk||Device: CDS for psychotropic drug management||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||5628 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Reducing Injuries From Medication-Related Falls by Generating Targeted Computerized Alerts for High Risk Patients Within an Electronic Prescribing System|
|Study Start Date :||September 2008|
|Actual Primary Completion Date :||July 2010|
|Actual Study Completion Date :||August 2012|
No Intervention: 1
Physicians in this arm will be using the standard electronic prescription interface.
In addition to the standard electronic prescription module, physicians in this arm will receive targeted drugs alert and decision support for psychotropic drug management
Device: CDS for psychotropic drug management
Computerized decision support (CDS) for patients with available supplies of psychotropic medications. The decision support will consist of a screen displaying to the physician the patient's current risk of falling as well as what their risk could be lowered to with modifications to medications.
- rate of potentially inappropriate psychotropic medication [ Time Frame: September 2008-July 2010 ]
- Fall-related injury risk, fall related injuries, and hospitalizations. [ Time Frame: September 2008 - December 2011 ]
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): NCT00818285
|Montreal, Quebec, Canada|
|Principal Investigator:||Robyn M Tamblyn, PhD||McGill University|