Introducing Electronic Alerts to Reduce Inappropriate Digoxin Prescribing in Older Adults

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorConsorci Sanitari de l'Alt Penedès i Garraf

About this trial

The intervention consists of introducing computerized alerts into the electronic medical record of the CSAPG (MIRA software), which are triggered when a physician prescribes digoxin at a dose higher than the recommended amount (more than 0.125 mg/day).

The main objective of this study is to evaluate the effectiveness of a visible computerized alert aimed at physicians responsible for hospitalized elderly patients who have been prescribed digoxin at a dose higher than 0.125 mg/day (the recommended dose), in reducing the number of patients receiving inappropriate digoxin doses.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Men and women over 64 years of age.

Hospitalized in inpatient wards of the study centers during the study period.

Disqualifiers

Pacients under 64 years old

Patients without complete data available

Trial design

Design model

Sequential

Treatments tested in this trial

  • Digoxin alarm

    Other intervention

    A computerized alert will be integrated into the CSAPG electronic health record system (MIRA software). These alerts will be triggered when a physician prescribes digoxin at a dose higher than the recommended 0.125 mg/day for elderly patients.

Treatment groups

5,954 Participants
are divided into 2 treatment groups
Group A: Before interventionNo intervention 0 interventions
Group B: Post interventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of elderly inpatients receiving inappropriate digoxin doses

Proportion of patients aged 65 and older who are prescribed digoxin at a dose higher than 0.125 mg/day during hospitalization. The outcome compares this proportion between the pre-intervention and post-intervention periods to evaluate the effectiveness of a computerized alert integrated into the electronic medical record system (MIRA).

Time frame
From baseline to hospital discharge, as much 3 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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