Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients.

ABSTRACT:

Background

Unnecessary testing and treatment of common conditions in older adults can lead to significant morbidity and mortality. The primary objective of this study was to develop and pilot test a set of clinical decision support (CDS) alerts informed by social psychology to address overuse in three areas related to ambulatory care of older adults.

Methods

We developed three electronic health record (EHR) CDS alerts to address overuse and pilot tested them from January 17, 2019 to July 17, 2019. We enrolled 14 primary care physicians from three practices within a large health system who cared for adults aged 65 years and older. Three measures of overuse applied to patients meeting the following criteria: ordering of prostate-specific antigen (PSA) for prostate cancer scree

SUBMITTER: Rowe TA 

PROVIDER: S-EPMC9682472 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature