PictureRx: Improving Medication Safety in Health Disparity Populations

NCT02289469 | Completed Results

• 1 other identifier: 5R44MD004048-04
• Study Type: interventional
• Target: 488
• Locations: 1 country
• Sites: 1

Brief Summary

Medication safety is an important concern in hospital Emergency Departments (EDs), which provide approximately 136 million patient visits annually in the US. An accurate list of the patient's medications is often needed to inform medical decision-making. Moreover, health care facilities are required to provide patients with an accurate, reconciled list of their medications upon completion of the visit. However, for 37-87% of patients in the ED, errors are present in the documented medication list, and patients often leave without an updated list of their medications or a good understanding of their self-care instructions. This increases the risk of harmful adverse drug events. Health disparity populations, who are more likely to seek care in EDs and who more often have difficulty providing a complete medication history, are disproportionately affected. Health information technology has the potential to improve medication safety in this setting. PictureRx is an internet-based platform designed to improve medication management in vulnerable populations. It allows users to generate illustrated medication lists in an easily-understood, patient-centered format, in either English or Spanish. The investigators have developed a process for importing prescription fill data from the Surescripts Medication History service, which covers 96% of US pharmacies, into the PictureRx platform. The investigators are developing a mobile tablet PC-based medication history platform that receives and processes the Surescripts data, as well as prompts verification and additional information about the medication regimen. This trial will assess the effect of the PictureRx medication history platform on the accuracy and efficiency of the medication reconciliation process, as well as patient understanding and satisfaction, in hospital Emergency Departments.

Conditions

Medication Reconciliation

Outcome Measures

Primary Outcomes (1)

• Number of Participants With Changes/Updates in Medication List

  Participants for whom nurses made updates or corrections to the medication history in electronic health record

  1 day

Secondary Outcomes (1)

• Patient Understanding

  1 week

Study Arms (2)

PictureRx

EXPERIMENTAL

PictureRx medication history platform

Other: PictureRx medication history platform

Usual care

NO INTERVENTION

Usual medication history process

Interventions

PictureRx medication history platform OTHER

Tablet PC-based tool to take more complete and accurate medication history

PictureRx

Eligibility Criteria

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

You may qualify if:

• Prescribed one or more prescription medications

You may not qualify if:

• Too ill to complete informed consent process

Sponsors & Collaborators

• PictureRx, LLC: lead
• University of Cincinnati: collaborator

Study Sites (1)

University of Cincinnatti

Cincinnati, Ohio, 45267, United States

Location

Results Point of Contact

• Title: Dr. Dane Boyington
• Organization: SAI Interactive

dane@thinkingmedia.com

(423) 521-2309

Study Officials

• Dane Boyington, Ph.D.

  PictureRx, LLC

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 9, 2014
• First Posted: November 13, 2014
• Study Start: April 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: July 7, 2017
• Results First Posted: July 7, 2017

Record last verified: 2017-07

Locations

US (1)