EHR nudges aim to curb sleep pill overuse in primary care

NCT ID NCT06640023

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests whether simple changes to electronic health records can help doctors prescribe fewer Z-drugs (like Ambien) for insomnia. About 444 primary care clinicians will be randomly assigned to receive either a default of only 10 pills for new orders, an alert suggesting alternatives and asking for justification, both, or just education. The goal is to see if these 'nudges' reduce the number of sleep medication pills prescribed.

What this could mean

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

Active substance

behavioral intervention (EHR nudges: default quantity and alert with justification)

What this could lead to

If successful, this could provide a simple, low-cost way to reduce overprescribing of sleep medications in primary care.

What could go wrong

This is a behavioral study, not a drug trial. The nudges may not change prescribing habits, or effects may be small and not last long.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Behavior insomnia

As listed by the trial registrant

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

Contacts and locations

Locations

  • Northwestern Medicine

    Chicago, Illinois, 60611, United States