Laura M. Curtis|Rebecca Mullen|Allison L. Russell|Aimee Fata|Stacy Cooper Bailey|Gregory Makoul|Michael S. Wolf
An efficacy trial of an electronic health record-based strategy to inform patients on safe medication use: The role of written and spoken communication
Northwestern University|Northwestern University|Northwestern University|Northwestern University|University of North Carolina at Chapel Hill|Connecticut Center for Primary Care|Northwestern University
tested feasibility efficacy electronic health record ehr strategy automated delivery print medication information time prescribing patients n 141 receiving new prescription one internal medicine clinic recruited 2arm physicianrandomized study leveraged ehr platform automatically deliver 1page educational medsheets patients medical encounters also assessed physicians counseled patients via patient selfreport immediately following visits patients understanding objectively measured via phone interview 122 patients completed trial intervention patients 70 reported receiving medsheets patients reported physicians frequently counseled indication directions use less often risks multivariable analysis written information 278 95 ci 110704 physician counseling 295 95 ci 126691 independently associated patient understanding risk information receiving beneficial 87 receiving counseling medsheets correctly recalled medication risks compared 40 receiving neither ehr reliable means deliver tangible print medication education patients cannot replace salience physicianpatient communication offering written spoken modalities produced synergistic effect informing patients