Clinical trials: Inappropriate Prescribing
Patient Safety, Inappropriate Prescribing
A Randomised Pilot Study of the REVISiT Intervention
In 2012, the General Medical Council (GMC) funded PRACtICe (PRevalence And Causes of prescrIbing errors in general practiCe) study, reported that 1 in 20 prescriptions in general practice were found to have a prescribing or…
- Conditions
- Patient Safety, Inappropriate Prescribing, Medication Errors
- Trial name
- NCT04586595
- Testing
- REVISiT intervention
- Where
- 4 sites in United Kingdom
- Volunteers
- 9 people, healthy volunteers welcome
- Sponsor
- University of Nottingham
Inappropriate Prescribing, Implementation Science
De-implementation of Low-value Pharmacological Prescriptions
The De-imFAR study is a two phase study that aims to carry out and test a structured, evidence-based and theory informed process involving the main stakeholders (managers, professionals, patients and researches) for the design…
- Conditions
- Inappropriate Prescribing, Implementation Science, Behavioral Sciences
- Trial name
- De-imFAR (NCT04022850)
- Testing
- A non-reflective decision assistance strategy, A both reflective and non-reflective decision information strategy, A reflective decision structure strategy
- Where
- Spain
- Volunteers
- 348 people, healthy volunteers welcome
- Sponsor
- Basque Health Service
Antibiotic Prescribing by GPs for URTI
Developing and Evaluating Interventions to Reduce Inappropriate Prescribing of Antibiotics in Primary Care
1. Do paper-based and web-based intervention modelling experiments (the methodology we are developing) identify the same predictors of GP behaviour regarding prescribing of antibiotics for upper respiratory tract infections? 2.
- Trial name
- WIME (NCT01206738)
- Testing
- Persuasive communication, Action plan, General intervention
- Where
- United Kingdom
- Volunteers
- 270 people
- Sponsor
- University of Dundee
Acute Sinusitis, Streptococcal Pharyngitis
Antimicrobial Stewardship for Primary Care Pediatricians
The purpose of the study is to determine if physician education coupled with audit and feedback of antibiotic prescribing can improve antibiotic prescribing by primary care clinicians.
- Conditions
- Acute Sinusitis, Streptococcal Pharyngitis, Pneumonia, Viral Infection
- Trial name
- PARTI (NCT01806103)
- Testing
- Antimicrobial Stewardship Bundle
- Where
- United States
- Volunteers
- 170 people
- Sponsor
- Children's Hospital of Philadelphia
Respiratory Tract Infections
TRACE E-learning Implementation in Belgium
Antibiotic resistance is a worldwide health care problem. Increasing use of antibiotics is associated with an increase in the prevalence of bacteria resistant to the antibiotic used.
- Trial name
- NCT03265028
- Testing
- TRACE e-learning
- Where
- 11 sites in Belgium
- Volunteers
- 15,802 people
- Sponsor
- Universiteit Antwerpen
Inappropriate Prescribing, Antibiotic Stewardship
Antibiotic Stewardship in Small Hospitals
Core elements of effective antibiotic stewardship programs (ASPs) have been identified and evidence-based guidelines have been developed for implementation.
- Conditions
- Inappropriate Prescribing, Antibiotic Stewardship, Anti-Bacterial Agents
- Trial name
- SCORE (NCT03245879)
- Testing
- Program 1, Program 2, Program 3
- Volunteers
- 30,000 people
- Sponsor
- Intermountain Health Care, Inc.
Medical Overuse, Inappropriate Prescribing
Engaging Patients to Promote Deprescribing
One mechanism to reduce potentially inappropriate medications is through deprescribing, a deimplementation-based approach to thoughtfully discontinue a medication a patient is currently prescribed.
- Conditions
- Medical Overuse, Inappropriate Prescribing, Deprescriptions
- Trial name
- NCT04294901
- Testing
- Direct to patient medication brochure
- Where
- 4 sites in United States
- Volunteers
- 5,946 people
- Sponsor
- VA Office of Research and Development
Lumbosacral Muscle Strain
Evaluating Effectiveness of Educational Intervention to Help Physicians Address Inappropriate Patient Requests for Direct-to-Consumer Advertised Prescription Medications
The purpose of this study is to determine whether physicians can be educated to better handle inappropriate requests from patients for direct-to-consumer advertised prescription medications.
- Trial name
- NCT00915291
- Testing
- Web-based educational modules
- Where
- 4 sites in United States
- Volunteers
- 133 people, healthy volunteers welcome
- Sponsor
- American Medical Association
Complications of Surgical and Medical Care: General Terms
Effective Feedback to Improve Primary Care Prescribing Safety
We hypothesise that feedback and feedback + psychology informed intervention delivered to primary care medical practices will reduce high-risk prescribing to patients compared to a simple educational intervention alone.
- Trial name
- EFIPPS (NCT01602705)
- Testing
- Usual care, Feedback of Performance, Feedback of Performance + Health Psychology Informed Intervention
- Where
- United Kingdom
- Volunteers
- 262 people
- Sponsor
- University of Dundee
Inappropriate Prescribing
A Trial to Reduce Inappropriate Prescribing to Older Adults Visiting the Emergency Department
Cluster-randomized trial assessing the impact of interventions on guideline-concordant prescribing in Emergency Departments (ED).
- Trial name
- NCT07146763
- Testing
- Prescribing Feedback
- Where
- United States
- Volunteers
- 200 people
- Sponsor
- Yale University
Polypharmacy, Inappropriate Prescribing
Opportunities and Limits to Deprescribing in Nursing Homes:Quality Circle Deprescribing Module
Older people residing in nursing homes (NH) are frequently polymedicated and often prescribed potentially inappropriate medications.
- Trial name
- OLD-NH-QC-DeMo (NCT03688542)
- Testing
- Quality Circle Deprescribing Module
- Where
- Switzerland
- Volunteers
- 56 people, healthy volunteers welcome
- Sponsor
- Anne Niquille
Drug-Related Side Effects and Adverse Reactions
Effect of a trAnSitional Pharmacist Intervention in geRiatric Inpatients on Hospitals Visits After dischargE
A randomized controlled trial will be performed in geriatric inpatients to investigate the impact of a multifaceted clinical pharmacy intervention on health related outcomes.
- Trial name
- ASPIRE (NCT04617340)
- Testing
- Multifaceted clinical pharmacy intervention
- Where
- Belgium
- Volunteers
- 827 people
- Sponsor
- Universitaire Ziekenhuizen KU Leuven
Inappropriate Prescribing
Using a Mobile Application as a Support at the Prescription of Appropriate Medications for Elderly
Objective: To develop and evaluate the effectiveness of a mobile application to support decision making for prescription drugs to elderly patients.
- Trial name
- NCT02918643
- Testing
- Use of an application to for mobile devices like decision-making support for prescription drugs to elderly patients
- Volunteers
- 30 people, healthy volunteers welcome
- Sponsor
- Federal University of Bahia
Prescribing, Off-Label
CMO Letter to Reduce Inappropriate Antibiotic Prescribing Winter 2019/2020
This trial aims to reduce inappropriate prescription of antibiotics and broad spectrum antibiotics by general practitioners (GPs) in England.
- Trial name
- NCT04051281
- Testing
- Letter
- Where
- United Kingdom
- Volunteers
- 2,963 people
- Sponsor
- Public Health England
Increased Drug Resistance, Infectious Diseases
Reducing Inappropriate Antibiotic Prescribing by Primary Care Clinicians
Hypotheses and Specific Aims: The continued emergence of antibiotic-resistance in the outpatient setting underlines the need to responsibly manage antimicrobial prescribing.
- Trial name
- NCT01099943
- Testing
- Intervention: Education, Decision Support Tools
- Where
- United States
- Volunteers
- 8 people
- Sponsor
- University of Colorado, Denver
Physician's Practice Patterns
Electronic Prescription Data to Improve Primary Care Prescribing
This is a randomised controlled study to evaluate the effect of providing prescribing feedback that includes individual patient data to General Practitioners (GP) in Scotland on high risk or low quality prescribing.
- Trial name
- EPIPP (NCT02512198)
- Testing
- Prescription Data Feedback to GP Practices
- Where
- United Kingdom
- Volunteers
- 236 people
- Sponsor
- University of Dundee
Inappropriate Prescribing, Primary Health Care
Deprescribing in Primary Health Care
Medications can help older adults but can also harm them. Frail older adults tend to have many health problems that require treatment, but are also at risk of harm from the medications prescribed.
- Conditions
- Inappropriate Prescribing, Primary Health Care, Polypharmacy
- Trial name
- NCT03903484
- Testing
- Deprescribing toolbox and intervention
- Where
- Canada
- Volunteers
- 7 people, healthy volunteers welcome
- Sponsor
- Nova Scotia Health Authority
Acute Respiratory Tract Infection
Evaluation of an Algorithm to Reduce Antibiotic Prescribing for Acute Bronchitis
Inappropriate use of antibiotics to treat patients with acute bronchitis is a significant factor contributing to the selection of antimicrobial drug resistant pathogens, which threaten the effectiveness of available therapies to…
- Trial name
- NCT00981994
- Testing
- Decision Support for ARI Management
- Volunteers
- 3,300 people
- Sponsor
- University of Pennsylvania
Prescribing
Testing CDS in OSCAR EMR Using STOPP Criteria
This mixed methods study seeks to assess and understand the impact of using an advanced CDS tool to present the STOPP criteria to support prescribers at the point of decision-making.
- Trial name
- STOPP-RCT (NCT02130895)
- Testing
- STOPP Criteria Decision Support Content
- Where
- Canada
- Volunteers
- 28 people, healthy volunteers welcome
- Sponsor
- University of British Columbia
Aging
Reducing Potentially Inappropriate Medication Prescribing for Older Patients in the ED
This research is being conducted to learn which implementation strategy of EQUIPPED is most effective to improve prescribing practices of ED providers toward older Veterans and determine the factors influencing implementation of…
- Trial name
- EQUIPPED (NCT04004936)
- Testing
- EQUIPPED with Active Feedback, EQUIPPED with Passive Feedback
- Where
- 4 sites in United States
- Volunteers
- 74 people
- Sponsor
- VA Office of Research and Development