LabAlert: Enhancing Medication Safety Through Electronic Interventions to Improve Laboratory Monitoring

NCT00256386 | Completed

• 1 other identifier: 101-9520 Garfield Mem Trust
• Study Type: interventional
• Target: 800
• Locations: 1 country
• Sites: 1

Brief Summary

Errors and preventable adverse events associated with medication prescription and dispensing are common, and the difference between guideline recommendations and the actual frequency of laboratory monitoring is substantial. This study evaluates three interventions to improve laboratory monitoring at initiation of medication therapy: an electronic medical record reminder to the prescribing clinician (EMR), an automated voice message to the patient (AVM), and a pharmacy team outreach (Pharmacy) compared to usual care (UC).

Conditions

Safety

Keywords

Baseline; Laboratory; Drug

Outcome Measures

Primary Outcomes (3)

• The number of patients that complete recommended laboratory monitoring within one week and twenty five days after intervention.

• The study will evaluate the time to completion of the recommended labs.

• The study will also evaluate PCP and patient experiences with the interventions in order to refine the interventions in the future.

Interventions

Electronic Medical Record (EMR) to clinician's in-basket DEVICE

Automated Voice Message (AVM) reminder to patient's phone DEVICE

Pharmacy Team phone call-letter followup PROCEDURE

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Dispensed one of 12 drugs or classes of drugs where baseline safety laboratory monitoring is recommended and labs have not been completed 6 months prior or 5 days after the dispense of the medication.
• years of age or older
• month HMO membership
• drug benefit coverage
• has telephone number

You may not qualify if:

• recommended baseline laboratory monitoring completed
• receives care and/or resides in hospice, nursing home, care outside HMO
• enrolled in other care management program
• nonEnglish speaking needing translation services

Sponsors & Collaborators

• Kaiser Permanente: lead
• Garfield Memorial Fund: collaborator

Study Sites (1)

Kaiser Permanente Center for Health Research

Portland, Oregon, 97227, United States

Location

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MeSH Terms

Interventions

Electronic Health Records; Radiotherapy

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; Therapeutics

Study Officials

• Adrianne C. Feldstein, MD, MS

  Northwest Permanente

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: November 17, 2005
• First Posted: November 21, 2005
• Study Start: January 1, 2004
• Study Completion: March 1, 2005
• Last Updated: November 30, 2006

Record last verified: 2005-11

Locations

US (1)