2024
Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial.
Persell S, Petito L, Lee J, Meeker D, Doctor J, Goldstein N, Fox C, Rowe T, Linder J, Chmiel R, Peprah Y, Brown T. Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial. Annals Of Internal Medicine 2024, 177: 324-334. PMID: 38315997, DOI: 10.7326/m23-2183.Peer-Reviewed Original ResearchCase-based educationHealth systemOlder primary care patientsCluster randomized controlled trialPrimary care internal medicineClinical decision support toolRates of uncontrolled diabetesClinician decision supportPrimary care patientsPrimary care cliniciansProstate-specific antigenOvertreatment of diabetesNational Institute on AgingMonths of interventionDecision supportRates of PSA testingHemoglobin A<sub>1c</sub>Older adult patientsInstitute on AgingSingle Health SystemUrine testsPSA testingRandomized controlled trialsCare cliniciansEmergency care
2022
Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients
Rowe T, Brown T, Lee J, Linder J, Meeker D, Doctor J, Goldstein N, Fox C, Persell S. Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients. Archives Of Gerontology And Geriatrics 2022, 104: 104794. PMID: 36115068, PMCID: PMC9682472, DOI: 10.1016/j.archger.2022.104794.Peer-Reviewed Original ResearchConceptsProstate-specific antigenUA/UCCDS alertsOlder adultsCommon conditionUnnecessary testingOlder primary care patientsClinical decision support alertsNon-specific reasonsOral hypoglycemic medicationsOvertreatment of diabetesPrimary care patientsPrimary care physiciansLarge health systemDecision support alertsHypoglycemic medicationsOveruse measuresCare patientsCare physiciansSignificant morbidityUrine cultureProstate cancerAmbulatory careClinical actionsAdult men
2021
Design of Behavioral Economic Applications to Geriatrics Leveraging Electronic Health Records (BEAGLE): A pragmatic cluster randomized controlled trial
Brown T, Rowe T, Lee J, Petito L, Chmiel R, Ciolino J, Doctor J, Fox C, Goldstein N, Kaiser D, Linder J, Meeker D, Peprah Y, Persell S. Design of Behavioral Economic Applications to Geriatrics Leveraging Electronic Health Records (BEAGLE): A pragmatic cluster randomized controlled trial. Contemporary Clinical Trials 2021, 112: 106649. PMID: 34896294, PMCID: PMC8724916, DOI: 10.1016/j.cct.2021.106649.Peer-Reviewed Original ResearchConceptsPrimary care clinicsProstate-specific antigenCo-primary outcomesElectronic health recordsCare clinicsOlder adultsClinician educationParallel armsPragmatic cluster-randomized trialNon-specific reasonsOvertreatment of diabetesClinical decision support interventionHealth recordsPrimary care cliniciansChoosing Wisely campaignLarge regional health systemCluster-randomized trialDecision support interventionsPragmatic clusterRegional health systemOlder patientsStudy armsCare cliniciansDiabetes measuresUrine testing