Active Choice Nudge to Increase Screening for Primary Aldosteronism in At-Risk Patients.

ABSTRACT:

Background

Primary aldosteronism (PA) is the most common cause of secondary hypertension, yet screening remains startlingly infrequent. We describe (1) PA screening practices in a large, diverse health system, (2) the development of a computable phenotype for PA screening, and (3) the design and pilot deployment of an electronic health record (EHR)-based active choice nudge to recommend PA screening.

Study design

A multidisciplinary team developed a multipronged intervention to improve PA screening informed by guidelines, expertise, and multivariable analyses of factors associated with screening. The intervention included EHR-based tools to automatically identify screen-eligible patients, an active choice nudge recommending screening for these patients, and screening result

SUBMITTER: Passman JE 

PROVIDER: S-EPMC11649442 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature