Will Technology’s Intervention Help to Reduce Clinician Medication Errors?

January 08, 2008 at 12:40 PM General Health News
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Will Technology’s Intervention Help to Reduce Clinician Medication Errors?
Medication errors are one of the most serious problems occurring in doctor's offices and out-patient clinics, and older persons with chronic conditions are the most vulnerable.

An experimental information technology (IT) intervention designed to help reduce such errors, developed by Gurdev Singh, Ph.D., director of the Patient Safety Research Center at the University at Buffalo, will begin this spring in eight ambulatory medical offices throughout Western New York.

The study is funded by a $1.2 million, 3-year grant from the federal Agency for Healthcare Research and Quality. The patient safety center is part of the Family Medicine Research Institute in the Department of Family Medicine in the UB School of Medicine and Biomedical Sciences.

Physicians and office staff in the eight sites will be assigned randomly to conduct "business-as-usual" or to implement an IT-based Team Resource Management (TRM) tool embedded in the ACORN office quality management system developed by Dendress Corp. of Buffalo, in collaboration with the center.

Singh, the study's principal investigator, developed the study in consultation with his research team and Upstate New York Practice Based Research Network (UNYNET) clinicians who already are using electronic medical records and were interested in identifying useful and affordable error-reducing approaches for their offices.

Outcome assessment will be based on medication safety among geriatric patients and on office staff use of the IT-based tool.

The study will focus on patients 65 or older who are being treated for cardiovascular disease. The first aim will be to determine the impact of the intervention on reducing injuries such as falls or internal bleeding resulting from the use of a drug. Data will be gathered by reviewing patients' records obtained at baseline and at 12 months post-baseline.

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