Pragmatic trial evaluating the impact of simulation training on high-risk prescribing to older adults by junior physicians.

ABSTRACT:

Background

High-risk medications like benzodiazepines, sedative hypnotics, and antipsychotics are commonly prescribed for hospitalized older adults, despite guidelines recommending avoidance. Prior interventions have not fully addressed how physicians make such prescribing decisions, particularly when experiencing stress or cognitive overload. Simulation training may help improve prescribing decision-making but has not been evaluated for overprescribing.

Methods

In this two-arm pragmatic trial, we randomized 40 first-year medical resident physicians (i.e., interns) on inpatient general medicine services at an academic medical center to either intervention (a 40-minute immersive simulation training) or control (online educational training) groups. The primary outcome was the

SUBMITTER: Lauffenburger JC 

PROVIDER: S-EPMC11090740 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature