Working With Doctors and Pharmacists to Help Parents Give Children's Liquid Medicines Safely
Completed · Not applicable
Conditions studied: Medication Dosing Error
In brief
The study objective is to assess the impact of an automated electronic health record (EHR)-based intervention that leverages e-prescriptions to support pharmacist adherence to recommended dispensing practices, with the goal of reducing parent dosing errors. Specifically, the study aims are to: 1) Examine the efficacy of the EHR-based intervention in improving pharmacy dispensing practices, including a) adherence to mL-only dosing and b) provision of optimal dosing tools; 2) Examine the efficacy of the EHR-based intervention in reducing parent dosing errors. The study will also explore whether implementation of the EHR-based intervention will reduce disparities in dosing errors by parent health literacy and LEP, and explore the efficacy of the EHR-based intervention in reducing ADEs. A pre-/post-implementation study will be performed with English- and Spanish-speaking parents of children prescribed oral liquid medications in the pediatric emergency room, outpatient general pediatric clinic, and pediatric subspecialty clinics of 2 New York City hospital systems (NYU Langone Health - Brooklyn and NYC Health+Hospitals - Bellevue Hospital). Prior to implementation, e-Rx's will be generated by the EHR in the usual fashion; after implementation, e-Rx's will be generated by the EHR with instructions to the dispensing pharmacy to: 1) keep the dosing instructions in mL-only, and 2) dispense a specific dosing tool based on the amount prescribed. The proposed project is consistent with a growing national focus on promoting the adoption of evidence-based strategies to improve disease management that address the needs of those with low health literacy and LEP from groups like the Joint Commission and the AHRQ.
Key facts
- Study ID
- NCT05146388
- Run by
- NYU Langone Health
- People needed
- 500
- Starts
- 2022-04-21
- Expected to finish
- 2025-02-05
- Last updated by the study team
- 2026-04-06
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Caregiver/Child
- English or Spanish-speaking
- Parent or legal guardian of a child prescribed a liquid medicine in the NYU Langone Health - Brooklyn or Bellevue ED, general outpatient pediatric clinic, or specialty care clinics
- 18 years of age or older
- Child ≤8y discharged home with a Rx for ≥1 daily liquid medication dose ≤10mL, for use as a chronic or short course (≤14 days) medication
- Primary person who will administer child's medications
- Access to a smartphone that can take photos and send/receive text messages
- Willingness and ability to participate
- Pharmacy staff
- Works at a pharmacy that dispensed index medicine to one of our study participants.
You may not qualify if…
- Caregiver/Child
- Does not have a working phone number
- Not able to return for in-person follow-up visit
- Was told to stop medication by provider after doctor/ED visit
- Parent no longer having index medication bottle
- Uncorrected hearing impairment
- Self-reported poor visual acuity
- Pharmacy staff
- Staff with no responsibility in determining unit of measure to include on Rx's or type/capacity of the dosing tool to dispense for pediatric oral liquid medications.
Where it is running
- NYU Langone Health - Brooklyn — Brooklyn, New York, United States
- Sunset Park Family Health Center at NYU Langone — Brooklyn, New York, United States
- NYC Health + Hospitals / Bellevue — New York, New York, United States
Full record on ClinicalTrials.gov
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