Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial.

Journal of the American Medical Informatics Association : JAMIA
Jeffrey L SchnipperBlackford Middleton

Abstract

To determine the effects of a personal health record (PHR)-linked medications module on medication accuracy and safety. From September 2005 to March 2007, we conducted an on-treatment sub-study within a cluster-randomized trial involving 11 primary care practices that used the same PHR. Intervention practices received access to a medications module prompting patients to review their documented medications and identify discrepancies, generating 'eJournals' that enabled rapid updating of medication lists during subsequent clinical visits. A sample of 267 patients who submitted medications eJournals was contacted by phone 3 weeks after an eligible visit and compared with a matched sample of 274 patients in control practices that received a different PHR-linked intervention. Two blinded physician adjudicators determined unexplained discrepancies between documented and patient-reported medication regimens. The primary outcome was proportion of medications per patient with unexplained discrepancies. Among 121,046 patients in eligible practices, 3979 participated in the main trial and 541 participated in the sub-study. The proportion of medications per patient with unexplained discrepancies was 42% in the intervention arm and 51% in t...Continue Reading

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References

Oct 9, 1995·Archives of Internal Medicine·J A Johnson, J L Bootman
Apr 1, 1997·Journal of Internal Medicine·W Insull
Oct 6, 1997·Archives of Internal Medicine·M M McDermottE Wallner
Oct 27, 2001·Journal of Clinical Pharmacy and Therapeutics·E VermeireJ Denekens
Apr 18, 2003·The New England Journal of Medicine·Tejal K GandhiDavid W Bates
Dec 17, 2005·Journal of the American Medical Informatics Association : JAMIA·Paul C TangDaniel Z Sands
Mar 15, 2006·Archives of Internal Medicine·Jeffrey L SchnipperDavid W Bates
Sep 10, 2008·Archives of Internal Medicine·Richard W GrantBlackford Middleton
Jun 25, 2009·Medical Care Research and Review : MCRR·James D RalstonDavid Grembowski
Jan 13, 2010·Journal of the American Medical Informatics Association : JAMIA·Emily Beth DevineSean D Sullivan
Feb 27, 2010·Journal of General Internal Medicine·Rainu KaushalErika L Abramson
Mar 18, 2010·Circulation. Cardiovascular Quality and Outcomes·Jeffrey L SchnipperUNKNOWN PILL-CVD Study Group
Sep 8, 2010·Journal of the American Medical Informatics Association : JAMIA·Jonathan S WaldBlackford Middleton
Mar 30, 2011·Archives of Internal Medicine·Cyrus K YaminDavid W Bates

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Citations

Sep 26, 2013·Journal of Medical Internet Research·Annie Ys LauEnrico Coiera
Aug 8, 2014·JMIR MHealth and UHealth·Nidhi Bouri, Sanjana Ravi
Jun 19, 2014·Journal of the American Medical Informatics Association : JAMIA·Abhay Nath MishraSusan McLaren
Nov 3, 2015·International Review of Psychiatry·Carolyn L Turvey, Lisa J Roberts
Jan 16, 2015·Applied Clinical Informatics·A WrightD W Bates
Sep 15, 2012·The Mount Sinai Journal of Medicine, New York·Joseph KannryJulie Nissim
Aug 20, 2015·Journal of Medical Internet Research·Dawn M KleinCarolyn L Turvey
Jun 25, 2015·Journal of Medical Internet Research·Taya IrizarryChristine R Curran
May 18, 2010·International Journal of Medical Informatics·Douglas S WakefieldKarl M Kochendorfer
Mar 17, 2015·Journal of the American Medical Informatics Association : JAMIA·Nathan J MortimerAnnie Y S Lau
Dec 12, 2013·Journal of the American Medical Informatics Association : JAMIA·Elizabeth A ChrischillesBarcey Levy
Feb 22, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Marc N Gourevitch
Nov 17, 2017·Journal of Medical Internet Research·Lina BouayadBalaji Padmanabhan
Mar 4, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Freda MoldBeverley Ellis
Nov 9, 2016·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Jeffrey L Schnipper, Stephanie Labonville
Apr 9, 2019·Journal of the American Medical Informatics Association : JAMIA·Lisa V GrossmanJessica S Ancker
Mar 22, 2014·Journal of Patient Safety·Alexis Benavides ReedyJohn Hickner
Oct 13, 2017·JMIR Medical Informatics·Liliana LaranjoArmando Brito de Sá
Sep 7, 2018·Journal of the American Medical Informatics Association : JAMIA·Jennifer E PreyDavid K Vawdrey
Jan 1, 2015·Health Information Management : Journal of the Health Information Management Association of Australia·Megan Megan ForsterJohanna I Westbrook
Aug 24, 2018·Journal of the American Medical Informatics Association : JAMIA·Sophie MarienAnne Spinewine
Oct 6, 2018·Journal of Medical Internet Research·Steve Alfons Van den BulckPatrik Vankrunkelsven
Dec 1, 2020·Health Information Management : Journal of the Health Information Management Association of Australia·Yaser A AlsahafiAdel A Khwaji
Dec 6, 2020·Clinical Transplantation·Kieran MaroneyRachel E Patzer
Feb 27, 2021·The Cochrane Database of Systematic Reviews·Elske AmmenwerthPetra Schnell-Inderst
Mar 20, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Stephanie W OngAlexander G Logan

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