Standard Medication Reconciliation Protocol in the Primary Care Office-based Setting

NCT01577602 | Completed

• 1 other identifier: 11-667
• Study Type: interventional
• Target: 424
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine if two basic medical office visit interventions improve the agreement of medication lists between electronic medical record and patient self, home-based report. The interventions are:

• giving patients a printed list of medications before the visit
• asking the patients about their medications with a scripted, open ended question.

Conditions

Medication Reconciliation Between Patients' Self Report and Electronic Medical Record List

Keywords

Medication reconciliation; Self report; Electronic medical record medication list

Outcome Measures

Primary Outcomes (1)

• Assessment of EMR medication lists and patient report agreement

  To document medications patients report taking, a pharmacist will conduct a detailed phone interview with the patient within a week of the office visit using a prepared script. The pharmacist will note any discrepancies between the EMR and the patient's self report. In order to be considered in full agreement, the medication list and patient report must agree on the five following elements: 1) name, 2) dose, 3) frequency, 4) route, and 5) PRN status.

  Within one week of enrolled patient's visit

Secondary Outcomes (1)

• Assessment of number of medication list discrepancies

  Within one week of patients' visit

Study Arms (4)

Standard practice

NO INTERVENTION

Printed list intervention

EXPERIMENTAL

Providing patients a list of their current medications before they see medical assistant and begin their visit.

Other: Printed medication list

Open ended question intervention

EXPERIMENTAL

Medical assistants begin the medication review with a scripted, open ended question (i.e., "tell me about your medications")

Other: Open ended question

Combined intervention

EXPERIMENTAL

Other: Combined intervention

Interventions

Printed medication list OTHER

Provide a list of patient's current medication list as noted in the EMR

Printed list intervention

Open ended question OTHER

medical assistants begin medication reconciliation with a scripted open ended question.

Open ended question intervention

Combined intervention OTHER

Combines the printed medication list with the open ended question

Combined intervention

Eligibility Criteria

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

You may qualify if:

• Over 18 years of age
• English speaking
• Current medication list has at least 2 medications listed

You may not qualify if:

• less than 18 years of age
• English is not primary language
• Less than 2 medications on medication list
• Enrollment only applies to one visit. Patients cannot be enrolled more than one time on the study.

Sponsors & Collaborators

• The Cleveland Clinic: lead

Study Sites (1)

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

Study Officials

• John Hickner, MD, MSc

  The Cleveland Clinic

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 12, 2012
• First Posted: April 16, 2012
• Study Start: October 1, 2011
• Primary Completion: May 1, 2012
• Study Completion: May 1, 2012
• Last Updated: March 14, 2013

Record last verified: 2013-03

Locations

US (1)