Evidence map›Paper›PMID 25997633›Full record

Trial reportTrials2015

MEDUCATE trial: effectiveness of an intensive EDUCATional intervention for IT-mediated MEDication management in the outpatient clinic - study protocol for a cluster randomized controlled trial.

F van Stiphout, J E F Zwart-van Rijkom, J E C M Aarts, H Koffijberg, E Klarenbeek-deJonge, M Krulder, K C B Roes, A C G Egberts, E W M T ter Braak

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. E-learning for health professionals.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

F van StiphoutDepartment of Internal Medicine and Centre for Research and Development of Education, University Medical Centre Utrecht, the Netherlands, Hijmans van den Berghgebouw kamer 4.21, Huispostnummer HB 4.05, Postbus 85500, 3508, GA, Utrecht, The Netherlands. f.vanstiphout@umcutrecht.nl.
J E F Zwart-van RijkomDepartment of Clinical Pharmacy, University Medical Centre Utrecht, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands. j.e.f.zwart-2@umcutrecht.nl.
J E C M AartsInstitute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. jaarts@buffalo.edu.
H KoffijbergDepartment of Health Technology Assessment, Julius Center, University Medical Centre Utrecht, Utrecht, The Netherlands. h.koffijberg@umcutrecht.nl.
E Klarenbeek-deJongeFaculty of Medicine, Utrecht University, Universiteitsweg 98, 3584, CG, Utrecht, The Netherlands. e.n.dejonge@umcutrecht.nl.
M KrulderFaculty of Medicine, Utrecht University, Universiteitsweg 98, 3584, CG, Utrecht, The Netherlands. merelkrulder@hotmail.com.
K C B RoesDepartment of Quality and Patient Safety, University Medical Centre Utrecht, Utrecht, The Netherlands. k.c.b.roes@umcutrecht.nl.
A C G EgbertsDepartment of Clinical Pharmacy, University Medical Centre Utrecht, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands. a.c.g.egberts@umcutrecht.nl.
E W M T ter BraakDepartment of Internal Medicine and Centre for Research and Development of Education, University Medical Centre Utrecht, the Netherlands, Hijmans van den Berghgebouw kamer 4.21, Huispostnummer HB 4.05, Postbus 85500, 3508, GA, Utrecht, The Netherlands. e.terbraak@umcutrecht.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing information technology for medication management is an opportunity to help physicians to improve the quality of their documentation and communication and ultimately to improve patient care and patient safety. Physician education is necessary to take full advantage of information technology systems. In this trial, we seek to determine the effectiveness of an intensive educational intervention compared with the standard approach in improving information technology-mediated medication management and in reducing potential adverse drug events in the outpatient clinic. METHODS/

designWe are conducting a multicenter, cluster randomized controlled trial. The participants are specialists and residents working in the outpatient clinic of internal medicine, cardiology, pulmonology, geriatrics, gastroenterology and rheumatology. The intensive educational intervention is composed of a small-group session and e-learning. The primary outcome is discrepancies between registered medication (by physicians) and actually used medication (by patients). The key secondary outcomes are potential adverse events caused by missed drug-drug interactions. The primary and key secondary endpoints are being assessed shortly after the educational intervention is completed. Sample size will be calculated to ensure sufficient power. A sample size of 40 physicians per group and 20 patients per physician will ensure a power of >90 %, which means we will need a total of 80 physicians and 1,600 patients. DISCUSSION: We performed an exploratory trial wherein we tested the recruitment process, e-learning, time schedule, and methods for data collection, data management and data analysis. Accordingly, we refined the processes and content: the recruitment strategy was intensified, extra measures were taken to facilitate smooth conductance of the e-learning and parts were made optional. First versions of the procedures for data collection were determined. Data entry and analysis was further standardized by using the G-standard database in the telephone questionnaire.

trial registrationISRCTN registry: ISRCTN50890124 . Registered 10 June 2013.

Indexed as

Ambulatory Care FacilitiesAmbulatory CareAttitude of Health PersonnelClinical CompetenceDecision Support Systems, ClinicalDrug InteractionsDrug-Related Side Effects and Adverse ReactionsEducation, Medical, ContinuingHealth Knowledge, Attitudes, PracticeHumansInservice TrainingMeaningful UseMedical Order Entry SystemsMedication ErrorsMedication Therapy ManagementNetherlands

Identifiers

PMID25997633
PMCPMC4447017

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.