2023-09-28 14:46:10 +00:00
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abstract: 'Background: Using information technology for medication management is an
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opportunity to help physicians to improve the quality of their
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documentation and communication and ultimately to improve patient care
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and patient safety. Physician education is necessary to take full
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advantage of information technology systems. In this trial, we seek to
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determine the effectiveness of an intensive educational intervention
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compared with the standard approach in improving information
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technology-mediated medication management and in reducing potential
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adverse drug events in the outpatient clinic.
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Methods/Design: We are conducting a multicenter, cluster randomized
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controlled trial. The participants are specialists and residents working
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in the outpatient clinic of internal medicine, cardiology, pulmonology,
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geriatrics, gastroenterology and rheumatology. The intensive educational
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intervention is composed of a small-group session and e-learning. The
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primary outcome is discrepancies between registered medication (by
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physicians) and actually used medication (by patients). The key
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secondary outcomes are potential adverse events caused by missed
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drug-drug interactions. The primary and key secondary endpoints are
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being assessed shortly after the educational intervention is completed.
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Sample size will be calculated to ensure sufficient power. A sample size
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of 40 physicians per group and 20 patients per physician will ensure a
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power of >90 \%, which means we will need a total of 80 physicians and
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1,600 patients.
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Discussion: We performed an exploratory trial wherein we tested the
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recruitment process, e-learning, time schedule, and methods for data
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collection, data management and data analysis. Accordingly, we refined
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the processes and content: the recruitment strategy was intensified,
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extra measures were taken to facilitate smooth conductance of the
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e-learning and parts were made optional. First versions of the
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procedures for data collection were determined. Data entry and analysis
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was further standardized by using the G-standard database in the
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telephone questionnaire.'
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affiliation: 'van Stiphout, F (Corresponding Author), Univ Med Ctr Utrecht, Dept Internal
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Med, Hijmans van den Berghgebouw Kamer 4-21, NL-3508 GA Utrecht, Netherlands.
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van Stiphout, F.; ter Braak, E. W. M. T., Univ Med Ctr Utrecht, Dept Internal Med,
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NL-3508 GA Utrecht, Netherlands.
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van Stiphout, F.; ter Braak, E. W. M. T., Univ Med Ctr Utrecht, Ctr Res \& Dev Educ,
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NL-3508 GA Utrecht, Netherlands.
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Zwart-van Rijkom, J. E. F.; Egberts, A. C. G., Univ Med Ctr Utrecht, Dept Clin Pharm,
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NL-3584 CX Utrecht, Netherlands.
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Zwart-van Rijkom, J. E. F.; Egberts, A. C. G., Univ Utrecht, Fac Sci, Utrecht Inst
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Pharmaceut Sci, Div Pharmacoepidemiol \& Clin Pharmacol, NL-3508 TB Utrecht, Netherlands.
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Aarts, J. E. C. M., Erasmus Univ, Inst Hlth Policy \& Management, Rotterdam, Netherlands.
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Aarts, J. E. C. M., SUNY Buffalo, Sch Med \& Biomed Sci, Dept Biomed Informat, Buffalo,
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NY 14203 USA.
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Koffijberg, H., Univ Med Ctr Utrecht, Julius Ctr, Dept Hlth Technol Assessment,
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NL-3508 GA Utrecht, Netherlands.
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Klarenbeek-deJonge, E.; Krulder, M., Univ Utrecht, Fac Med, NL-3584 CG Utrecht,
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Netherlands.
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Roes, K. C. B., Univ Med Ctr Utrecht, Dept Qual \& Patient Safety, NL-3508 GA Utrecht,
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Netherlands.'
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article-number: '223'
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author: van Stiphout, F. and Zwart-van Rijkom, J. E. F. and Aarts, J. E. C. M. and
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Koffijberg, H. and Klarenbeek-deJonge, E. and Krulder, M. and Roes, K. C. B. and
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Egberts, A. C. G. and ter Braak, E. W. M. T.
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author-email: f.vanstiphout@umcutrecht.nl
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author_list:
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- family: van Stiphout
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given: F.
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- family: Zwart-van Rijkom
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given: J. E. F.
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- family: Aarts
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given: J. E. C. M.
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- family: Koffijberg
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given: H.
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- family: Klarenbeek-deJonge
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given: E.
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- family: Krulder
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given: M.
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- family: Roes
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given: K. C. B.
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- family: Egberts
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given: A. C. G.
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- family: ter Braak
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given: E. W. M. T.
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da: '2023-09-28'
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doi: 10.1186/s13063-015-0744-8
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eissn: 1745-6215
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files: []
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journal: TRIALS
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keywords: 'Continuing medical education; CPOE; Information technology; Meaningful
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use; Medication management; Physicians'
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keywords-plus: ADVERSE DRUG EVENTS
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language: English
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month: MAY 22
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number-of-cited-references: '19'
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orcid-numbers: 'Egberts, Toine/0000-0003-1758-7779
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Aarts, Jos/0000-0002-9787-688X
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Roes, Kit/0000-0002-6775-1963
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Egberts, Toine/0000-0003-1758-7779
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Koffijberg, Hendrik/0000-0002-1753-0652'
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papis_id: e135fa57e714732ef7b69bb02db876b1
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ref: Vanstiphout2015meducatetrial
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researcherid-numbers: 'Egberts, Toine/A-6625-2012
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Aarts, Jos/B-4456-2008
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Roes, Kit/AAC-4093-2019
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Egberts, Toine/K-4579-2019
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'
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times-cited: '3'
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title: 'MEDUCATE trial: effectiveness of an intensive EDUCATional intervention for
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IT-mediated MEDication management in the outpatient clinic - study protocol for
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a cluster randomized controlled trial'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000355304300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '16'
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web-of-science-categories: Medicine, Research \& Experimental
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year: '2015'
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