Active — Not RecruitingNot Applicable

A Trial to Reduce Inappropriate Prescribing to Older Adults Visiting the Emergency Department

United States200 participantsStarted 2026-01-15

Plain-language 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.

Who can participate

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. Licensed clinicians with prescribing authority (physician, advanced practice registered nurse, or physician assistant)
✓. Practicing in one of the participating Yale New Haven Health System emergency departments
✓. At least 30 Emergency Department (ED) discharge encounters with patients aged 65 years or older in the 12 months preceding study enrollment
✓. Provides digital affirmative consent to participate

What they're measuring

Change PIM prescribing rate

Timeframe: At ED discharge, calculated monthly, using rolling 90-day prescribing data, over the 12-month intervention period and 6-month follow-up

Trial details

NCT IDNCT07146763

SponsorYale University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2027-05

View on ClinicalTrials.gov More Inappropriate Prescribing trials