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| Name | Class |
|---|---|
| Massachusetts General Hospital | OTHER |
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This project will study whether reminder prompts increase PAML Builder application feature utilization.
This project will study whether reminder prompts increase Pre-Admission Medication List (PAML) Builder application feature utilization. PAML Builder is an application designed and maintained by Partners Information Systems that assists clinicians in medication reconciliation - a process important for patient safety and quality of care. We have determined that several potentially helpful features of the application are not being utilized as frequently as had been expected. These features include:
Reminder prompts (sometimes referred to as "Tip of the Day") have been employed to increase user awareness of underutilized application features. However, anecdotally some users find them unhelpful and potentially irritating. It is therefore important to determine whether reminder prompts accomplish the stated task of increasing application feature utilization. This project will compare PAML Builder application feature utilization before and after a pilot rollout of reminder prompts to determine whether they should be implemented permanently.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | Receives the intervention (reminders displayed at the startup of the application) for both periods (period 1 and period 2) of the study. |
|
| B | Active Comparator | Receives the intervention (reminders displayed at the application startup) only during the second period (period 2) of the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reminders | Other | Users of the PAML Builder application will receive reminders about three application features (copy/paste, audit trail, sort medications by class) at the startup of the application |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms). | The entire study period |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 (intervention in one arm only) to period 2 (intervention in both arms). | The entire study period | |
| Difference in the change between combined frequency of utilization of all features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminder. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alexander Turchin, MD, MS | Partners HealthCare | Principal Investigator |
| Carol Broverman, PhD | Partners HealthCare | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States | ||
| Brigham and Women's Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17114640 | Background | Poon EG, Blumenfeld B, Hamann C, Turchin A, Graydon-Baker E, McCarthy PC, Poikonen J, Mar P, Schnipper JL, Hallisey RK, Smith S, McCormack C, Paterno M, Coley CM, Karson A, Chueh HC, Van Putten C, Millar SG, Clapp M, Bhan I, Meyer GS, Gandhi TK, Broverman CA. Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. J Am Med Inform Assoc. 2006 Nov-Dec;13(6):581-92. doi: 10.1197/jamia.M2142. | |
| 17911870 |
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| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| The entire study period |
| Difference in the change between frequencies of utilization of the individual features promoted by the reminders per PAML built between the two arms from period 1 to period 2 by the users who were displayed the corresponding reminders. | The entire study period. |
| Boston |
| Massachusetts |
| 02115 |
| United States |
| Background |
| Turchin A, Gandhi TK, Coley CM, Shubina M, Broverman C. The use of electronic medication reconciliation to establish the predictors of validity of computerized medication records. Stud Health Technol Inform. 2007;129(Pt 2):1022-6. |