Safety, quality & education

Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial

JAMA Netw OpenPublished Randomised controlled trial

Authors' conclusion

This cluster randomized crossover trial found no statistically significant differences in physician-related medication errors between critically ill children assigned to receive telephone consultations vs video telemedicine consultations.

Study context

Population
Acutely ill children younger than 15 years presenting to 15 community emergency departments (EDs) in northern California
Participants
696 patient encounters
Comparison
Telemedicine vs Telephone
  • Telemedicinen = 537
  • Telephonen = 159reference
Primary endpoint
Physician-related medication errors (pharmacist record review, validated instrument; medication order as unit of analysis)
Methodological detailscluster randomized, unbalanced crossover, multicentre, 15 community EDs, September 2014 to March 2018
  • Cluster randomized
  • Unbalanced crossover
  • Multicentre
  • 15 community EDs, September 2014 to March 2018

Primary result

Medication errors per order

Adjusted odds ratio

0.86

95% CI 0.49–1.52

P = 0.61

Events by treatment group

Telemedicine vs Telephone
aOR 0.86 (95% CI 0.49–1.52); P = 0.61

As reported in the abstract

Further findings

≥1 physician-related medication error per patient

Original publication

Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial. JAMA Netw Open. Published 5 February 2024. doi:10.1001/jamanetworkopen.2024.0275

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