EHR nudges aim to curb overtreatment in seniors

NCT ID NCT03704389

Completed Knowledge-focused Sponsor: Northwestern University Source: ClinicalTrials.gov ↗

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested whether simple electronic reminders in doctors' computer systems could reduce unnecessary tests and treatments for older adults. Researchers focused on three common issues: testing for bacteria in urine without symptoms, PSA tests for older men without prostate cancer, and overtreating diabetes with insulin or pills. The study involved 664 clinicians from Northwestern Medicine.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance: Clinical decision support nudges within the electronic health record
What this could lead to: If successful, this approach could help doctors make better decisions for older patients, reducing unnecessary tests and treatments.
What could go wrong: This is a small, early-stage study focused on feasibility and behavior change, not direct patient outcomes. The nudges may not work in all settings or for all doctors.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

bacteriuria type 2 diabetes mellitus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

ASYMPTOMATIC BACTERIURIA PROSTATE SPECIFIC ANTIGEN TYPE 2 DIABETES MELLITUS

Contacts and locations

Locations

Northwestern Medicine

Chicago, Illinois, 60611, United States

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