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| Name | Class |
|---|---|
| Centre Hospitalier Public du Cotentin | UNKNOWN |
| University Hospital, Bordeaux | OTHER |
| University Hospital, Strasbourg, France | OTHER |
| Clinique de l'Estrée |
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Drug-related iatrogenesis is a major public health issue, accounting for a significant proportion of adverse events and hospitalizations in emergency departments. Optimizing prescription management in this context is critical to improve both patient safety and physician efficiency This study aims to evaluate the impact of the POSOS AI-driven device on the medical time required for prescription management in polymedicated patients admitted to emergency departments. The main objective is to establish whether the use of POSOS can reduce transcription time compared to standard electronic management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard prescription | Active Comparator | Standard prescription management |
|
| PoSOS | Experimental | POSOS-assisted prescription management |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| current hospital-standard databases | Other | Prescription management using current hospital-standard databases and tools |
|
| Measure | Description | Time Frame |
|---|---|---|
| Medical time required for the transcription of prescriptions | Medical time required for the transcription of prescriptions for at-risk polymedicated patients at emergency admission. This is measured by the duration needed to transcribe prescriptions into the structured electronic health record by physicians, assessed by direct observation with a stopwatch | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of drug-related problems (DRPs) identified per patient | day 1 | |
| Proportion and type of transcription errors (medication name or dosage) | day 1 | |
| Identification of DRPs by subtype and severity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aurélien Mary, Pr | Contact | 33+322088051 | mary.aurélien@chu-amiens.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Amiens | Amiens | 80480 | France |
|
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| UNKNOWN |
| CHU Aix-en-Provence | UNKNOWN |
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| Posos | Device | Prescription management supported by POSOS device (OCR+AI) for structured data entry and clinical decision support |
|
| day 1 |
| Rate of reconciled medication histories and structured documentation | day 1 |
| Time delays between triage, anamnesis, and diagnosis | day 1 |
| Length of emergency department stay and downstream hospitalizations | day 1 |
| Readmission rates | at 3 months |
| Overall survival | at 6 months |
| Mapping of DRPs by subtype and severity | day 1 |
| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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