The IMPROVE Study-IMPact of a Regulated ADC System

NCT02228694 | Completed

• 1 other identifier: Pro00004749
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

An automated dispensing cabinet (ADC) is a computerized drug storage device or cabinet designed for hospitals. ADCs allow medications to be stored and dispensed near the point of care while controlling and tracking drug distribution.This study seeks to obtain quantitative measurements of the impact of the regulated ADC System installed in select high volume units throughout the hospital.

Conditions

Medication Administered in Error; Medication Compliance

Keywords

ADC; Pre installation; Post installation; Safety; Time

Outcome Measures

Primary Outcomes (1)

• Medication Administered in Error

  Medication error rates for heparin and insulin pre-install of regulated ADC system compared to post installation. For each drug, heparin and insulin, the number of medication errors will be enumerated based on event type of the voluntary reporting event report data. For each drug, medication error rates will be calculated by dividing the number medication errors by the number of medication orders multiplied by 1,000. Comparison of medication error rates pre-install and post-install will be conducted using simple Poisson regression analysis obtained in, results of which will be expressed as incidence rate ratio (IRR) and 95% confidence intervals (CI).

  six months

Secondary Outcomes (1)

• Timeliness of medication administration

  six months

Eligibility Criteria

• Age: 22 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Number of Participants by Group * Children (Minor Subjects): 0 * Cognitively Impaired Participants:0 * Employees and Students: 120 * Patients: 25238 * Prisoners: 0 * Normal Healthy Volunteers: 0 * Pregnant Women-Human Fetuses: 0 * Wards: 0

You may qualify if:

• Subjects treated at study site in units where regulated ADC System was installed where greater number of medications is administered due to patient volume per nurse assignment or where greater throughput occurs
• Time-sensitive scheduled medications administered on units where administration includes the use of the medication label printer
• Piperacillin and tazobactam for injection, USP (United States Pharmacopeia)
• All IV antibiotics
• Insulin
• Heparin

You may not qualify if:

• Medication administration data prior to January 1, 2013;
• Medication administration data after March 31, 2013 through December 31, 2013;
• Medication administration data after March 31, 2014.

Sponsors & Collaborators

• Hackensack Meridian Health: lead
• Omnicell: collaborator

Study Sites (1)

Hackensack University Medical center

Hackensack, New Jersey, 07601, United States

Location

MeSH Terms

Conditions

Medication Adherence

Condition Hierarchy (Ancestors)

Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Claudia Douglas, DNP

  Hackensack Meridian Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 8, 2014
• First Posted: August 29, 2014
• Study Start: September 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: December 1, 2014
• Last Updated: March 17, 2015

Record last verified: 2015-03

Locations

US (1)