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Nudging towards Sleep-Friendly Health Care: A Multifaceted Approach on Reducing Unnecessary Overnight Interventions.
Appl Clin Inform
October 2024
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, United States.
Background: Choice architecture refers to the design of decision environments, which can influence decision-making in health care. Nudges are subtle adjustments in these environments that guide decisions toward desired outcomes. For example, computerized provider order entry within electronic health records (EHRs) recommends frequencies for interventions such as nursing assessments and medication administrations, but these can link to around-the-clock schedules without clinical necessity.
View Article and Find Full Text PDFBehavioural 'nudging' interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial.
BMJ Open
March 2024
Institute for Musculoskeletal Health, School of Public Health, Faculty of Medicine and Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia
Introduction: Opioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two different behavioural 'nudge' interventions on low-value care for ED patients with low back pain.
View Article and Find Full Text PDFNudging During Pediatric Intensive Care Conferences With Family Members: Retrospective Analysis of Transcripts From a Single-Center, 2015-2019.
Pediatr Crit Care Med
May 2024
Pediatric Critical Care Medicine, Doernbecher Children's Hospital, Oregon Health and Sciences University, Portland, OR.
Objectives: Nudging, a behavioral economics concept, subtly influences decision-making without coercion or limiting choice. Despite its frequent use, the specific application of nudging techniques by clinicians in shared decision-making (SDM) is understudied. Our aim was to analyze clinicians' use of nudging in a curated dataset of family care conferences in the PICU.
View Article and Find Full Text PDFEliminating Health Disparities in Atrial Fibrillation, Heart Failure, and Dyslipidemia: A Path Toward Achieving Pharmacoequity.
Curr Atheroscler Rep
December 2023
Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Article Synopsis
- * It highlights significant disparities in clinical trial participation, specialist care access, and affordability of medications across various demographic groups.
- * Recommendations for improvement include diversifying clinical trial participants and enhancing access to cardiology care, alongside encouraging guideline-based treatments and systemic reforms for better medication accessibility.
"Nudging" clinicians to communicate more effectively with patients in hospital.
BMJ
December 2023
Berbee Walsh Department of Emergency Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
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