Behavioral Science-Integrated EHR Prompts Significantly Increase Deprescribing Rates for Older Adults: A Randomized Clinical Trial

Highlights

  • Electronic Health Record (EHR) interventions designed with behavioral science principles increased the likelihood of deprescribing by 26% to 40%.
  • The precommitment strategy, which asks clinicians to commit to a deprescribing discussion early in the patient encounter, showed the most robust effect.
  • Targeted medications included high-risk classes such as benzodiazepines and anticholinergics, known for their association with falls and cognitive decline in the elderly.
  • The study provides a evidence-based framework for health systems to utilize clinical informatics to combat the growing burden of polypharmacy.

Background: The Clinical Imperative for Deprescribing

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