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.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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444 people
The number who actually took part.
- Started
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Dec 2024
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Outpatient primary care clinician at Northwestern Medicine Exclusion Criteria: * Clinician participated in pilot study * Clinician-investigator for this trial * Visit involves patient with ICD-10 F31.X diagnosis code (bipolar disorder) present in the last year or on active problem list
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Northwestern Medicine
Chicago, Illinois, 60611, United States
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