EHR-based "nudge" interventions for Inappropriate Medications

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
NYC Health+Hospitals, New York, NYInappropriate MedicationsEHR-based "nudge" interventions - Behavioral
Eligibility
65+
All Sexes
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Study Summary

This trial will study whether modifying the default dose for high-risk drugs when prescribed electronically to hospitalized patients aged ≥65 years impacts prescribing behavior.

Treatment Effectiveness

Study Objectives

1 Primary · 7 Secondary · Reporting Duration: 30 days post-discharge regarding hospitalization during which a high-risk drug was prescribed

24 weeks
Cost of hospital stay
Drug-specific prescription rate
Length of hospital stay
Mean per-patient dose
Prescription rate of modified default dose for eight high-risk drugs
Rate of inpatient falls
Spillover effects to patients aged <65
Day 30
Rate of 30-day readmissions

Trial Safety

Trial Design

2 Treatment Groups

Control
1 of 2
Intervention
1 of 2

Active Control

Experimental Treatment

8640 Total Participants · 2 Treatment Groups

Primary Treatment: EHR-based "nudge" interventions · No Placebo Group · N/A

Intervention
Behavioral
Experimental Group · 1 Intervention: EHR-based "nudge" interventions · Intervention Types: Behavioral
ControlNoIntervention Group · 1 Intervention: Control · Intervention Types:
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
EHR-based "nudge" interventions
2022
N/A
~8640

Trial Logistics

Trial Timeline

Screening: ~3 weeks
Treatment: Varies
Reporting: 30 days post-discharge regarding hospitalization during which a high-risk drug was prescribed

Who is running the clinical trial?

Icahn School of Medicine at Mount SinaiLead Sponsor
790 Previous Clinical Trials
500,319 Total Patients Enrolled
NYC Health + HospitalsUNKNOWN
2 Previous Clinical Trials
150,052 Total Patients Enrolled
Jashvant Poeran, MD, PhDPrincipal InvestigatorIcahn School of Medicine at Mount Sinai

Eligibility Criteria

Age 65+ · All Participants · 3 Total Inclusion Criteria

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Frequently Asked Questions

What is the cap on participants in this research endeavor?

"Yes, the information shared on clinicaltrials.gov affirms that recruitment for this research is ongoing. The trial first appeared online on February 16th 2022 and was most recently updated in April 6th 2022; it requires 8640 participants from 1 medical centre." - Anonymous Online Contributor

Unverified Answer

Are researchers still signing up participants for this study?

"The clinical trial database confirms that recruitment is ongoing for this medical trial. It was initially posted on February 16th 2022 and the last edit to it occured on April 6th, 2022." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.