Taconic Health Information Network and Community (THINC)

NCT00225563 | Completed

• 1 other identifier: 7UC1HS015316-02
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

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.

Conditions

Medication Errors

Keywords

Electronic medical records; Electronic prescribing; Quality measures

Outcome Measures

Primary Outcomes (4)

• Medication errors

  2007-2012

• Near misses

  2007-2012

• Adverse drug events

  2007-2012

• Quality measures

  2007-2012

Study Arms (2)

e-prescribing

ACTIVE COMPARATOR

Providers who used electronic prescriptions. electronic health records were used as opposed to paper based prescriptions

Device: Electronic Health Record

Paper-based prescriptions

NO INTERVENTION

providers who used paper based prescriptions

Interventions

Electronic Health Record DEVICE

e-prescribing methods

e-prescribing

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• Other physicians not enrolled in the study

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead

Study Sites (1)

Taconic IPA

Fishkill, New York, 12524, United States

Location

Related Publications (2)

• Abramson EL, Barron Y, Quaresimo J, Kaushal R. Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Jt Comm J Qual Patient Saf. 2011 Oct;37(10):470-8. doi: 10.1016/s1553-7250(11)37060-2.

  PMID: 22013821 DERIVED

• Kaushal R, Kern LM, Barron Y, Quaresimo J, Abramson EL. Electronic prescribing improves medication safety in community-based office practices. J Gen Intern Med. 2010 Jun;25(6):530-6. doi: 10.1007/s11606-009-1238-8. Epub 2010 Feb 26.

  PMID: 20186499 DERIVED

MeSH Terms

Interventions

Electronic Health Records

Intervention Hierarchy (Ancestors)

Medical Records Systems, Computerized; Medical Records; Records; Data Collection; Epidemiologic Methods; Investigative Techniques; Organization and Administration; Health Services Administration; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• A. John Blair, MD

  Taconic IPA

  PRINCIPAL INVESTIGATOR

• Rainu Kaushal, MD

  Partners Health Care

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 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.

Study Record Dates

• First Submitted: September 22, 2005
• First Posted: September 26, 2005
• Study Start: July 21, 2007
• Primary Completion: May 25, 2012
• Study Completion: May 1, 2014
• Last Updated: November 25, 2019

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)