Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial

Study type/ Setting Methods Outcomes Recommendations Source
Cluster randomized

controlled trial

 

Setting: Inpatient

 

 

- To determine the effect of health information exchange (HIE) on medication prescribing for hospital inpatients

- Patients admitted to an urban hospital received structured medication reconciliation by an intervention pharmacist with access to a regional HIE vs no access to the HIE

- The HIE contained prescribing info from the largest hospitals and pharmacy insurance plan in the region

- Primary endpoint was discrepancies between pre-admission and inpatient medication regimens

- 186 pts (intervention) vs 195 (control)

- There was no difference between intervention and control in number of discrepancies, discrepancies associated ADEs.

- HIE may improve outcomes of medication reconciliation, however more efforts are needed to understand and increase prescriber’s rectification of medication discrepancies Boockvar KS et al.

(2017)

Boockvar KS, Ho W, Pruskowski J, et al. Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are
introduced: results of a cluster-randomized controlled trial. Journal of the American Medical Informatics Association. 2017;24(6):1095-1101. doi:10.1093/jamia/ocx044