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A Trial to Reduce Inappropriate Prescribing to Older Adults Visiting the Emergency Department
Sponsor: Yale University
Summary
Cluster-randomized trial assessing the impact of interventions on guideline-concordant prescribing in Emergency Departments (ED). The study compares the effectiveness of feedback messages about potentially inappropriate medications (PIMs) delivered by peer clinician prescribers or anonymous systems, compared to standard of care. The goal is to reduce PIM prescribing for older adults discharged from emergency departments.
Official title: A Randomized Trial to Reduce Inappropriate Prescribing to Older Adults Visiting the Emergency Department
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
200
Start Date
2026-01-15
Completion Date
2027-11
Last Updated
2026-03-31
Healthy Volunteers
No
Conditions
Interventions
Prescribing Feedback
Automated prescribing feedback messages are delivered to clinician prescribers in participating emergency departments. Messages are based on Geriatric Emergency Medication Safety Recommendations (GEMS-Rx) recommendations and include aspirational norms and benchmark comparisons. Depending on study arm, feedback is sent either from a credible peer messenger or through an anonymous messenger system.
Locations (1)
Yale New Haven Hospital Emergency Departments
New Haven, Connecticut, United States