MEDUCATE trial: effectiveness of an intensive EDUCATional intervention for IT-mediated MEDication management in the outpatient clinic – study protocol for a cluster randomized controlled trial
| Autor: | E.W.M.T. ter Braak, M. Krulder, Jos Aarts, Hendrik Koffijberg, Kit C.B. Roes, J.E.F. Zwart-van Rijkom, F. van Stiphout, E. Klarenbeek-deJonge, Antoine C. G. Egberts |
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| Přispěvatelé: | Faculty of Behavioural, Management and Social Sciences, Dep Farmaceutische wetenschappen, Sub Clinical Pharmacy, Pharmacoepi, Pharmacoepidemiology and Clinical Pharmacology, Health Care Governance (HCG) |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Research design
Health Knowledge Attitudes Practice Inservice Training Meaningful Use Decision Support Systems Medicine (miscellaneous) Ambulatory Care Facilities law.invention Study Protocol Continuing medical education Randomized controlled trial law Ambulatory Care Outpatient clinic Medication Errors Drug Interactions Pharmacology (medical) Netherlands Geriatrics Practice Health Knowledge ADVERSE DRUG EVENTS Research Design Education Medical Continuing Clinical Competence medicine.medical_specialty Drug-Related Side Effects and Adverse Reactions Attitude of Health Personnel Medication Therapy Management Information technology Medical Order Entry Systems Education Clinical Patient safety Ambulatory care ORDER ENTRY SYSTEMS Medical Physicians Medication therapy management medicine Humans Medication management RECORDS Meaningful use business.industry Continuing CARE Decision Support Systems Clinical Attitudes Family medicine Sample Size business CPOE |
| Zdroj: | Trials, 16(223). BioMed Central Ltd. Trials Trials [E], 16. BioMed Central Trials, 16(223). BioMed Central Trials, 16:223. BioMed Central Ltd. |
| ISSN: | 1745-6215 |
| Popis: | BACKGROUND: Using information technology for medication management is an opportunity to help physicians to improve the quality of their documentation and communication and ultimately to improve patient care and patient safety. Physician education is necessary to take full advantage of information technology systems. In this trial, we seek to determine the effectiveness of an intensive educational intervention compared with the standard approach in improving information technology-mediated medication management and in reducing potential adverse drug events in the outpatient clinic. METHODS/DESIGN: We are conducting a multicenter, cluster randomized controlled trial. The participants are specialists and residents working in the outpatient clinic of internal medicine, cardiology, pulmonology, geriatrics, gastroenterology and rheumatology. The intensive educational intervention is composed of a small-group session and e-learning. The primary outcome is discrepancies between registered medication (by physicians) and actually used medication (by patients). The key secondary outcomes are potential adverse events caused by missed drug-drug interactions. The primary and key secondary endpoints are being assessed shortly after the educational intervention is completed. Sample size will be calculated to ensure sufficient power. A sample size of 40 physicians per group and 20 patients per physician will ensure a power of >90 %, which means we will need a total of 80 physicians and 1,600 patients. DISCUSSION: We performed an exploratory trial wherein we tested the recruitment process, e-learning, time schedule, and methods for data collection, data management and data analysis. Accordingly, we refined the processes and content: the recruitment strategy was intensified, extra measures were taken to facilitate smooth conductance of the e-learning and parts were made optional. First versions of the procedures for data collection were determined. Data entry and analysis was further standardized by using the G-standard database in the telephone questionnaire. TRIAL REGISTRATION: ISRCTN registry: ISRCTN50890124 . Registered 10 June 2013. |
| Databáze: | OpenAIRE |
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