RecruitingNot ApplicableNCT06605807

Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions

Optimizing Prescribing Decisions for Hospitalized Older Adults With Chronic Conditions: Aim 3


Sponsor

University of Pittsburgh

Enrollment

150 participants

Start Date

Nov 13, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this pilot clinical trial is to learn if providing a clinical decision framework for managing older adults chronic conditions during hospitalization to inpatient clinicians improves clinicians' ability to individualize chronic condition prescribing decisions for hospitalized older adults (65 and older). The main questions it aims to answer are: * Will the clinical decision framework lead to clinicians having greater confidence to individualize discharge prescribing? * Will clinicians using the framework discharge make fewer changes to hospitalized older adults with home diabetes and hypertension medications than they did prior to receiving the framework? * Will older adult patients of participating clinicians will report fewer gaps in understanding of medication changes after the clinician is exposed to the framework? Researchers will compare participating clinician survey responses and prescribing records from before and after an educational session presenting the clinical decision framework. Participants will be asked to * Attend a one-time educational session on the clinical decision framework * Complete 2 electronic surveys, one before and one following the educational session. * Agree for researchers to contact their patients, in order for patients to complete a one-time phone survey about changes made to home medications during hospitalization and quality of communication from the hospital team.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study aims to improve prescribing decisions for older patients with multiple chronic conditions who are hospitalized. It tests a clinical decision-support tool to help hospital doctors prescribe medications more safely and appropriately for elderly patients. **You may be eligible if...** - You are a hospital clinician (doctor or advanced practice provider) working in general or hospital medicine at a UPMC hospital in Pittsburgh - OR you are a patient aged 65 or older who is hospitalized under a general medicine team at one of these hospitals, with at least two chronic conditions and five or more medications on your list **You may NOT be eligible if...** - You are a clinician planning to leave your position within 3 months, or have fewer than 4 weeks of inpatient service scheduled - You are a patient in hospice or palliative care, admitted to intensive care, or unable to consent Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERClinical Decision Framework for Managing older adults' chronic conditions during hospitalization.

All clinicians will attend an educational session where they will be provided a clinical decision framework for management of chronic conditions in hospitalized older adults, reviewing guiding principles for managing chronic disease in the hospital, and working through case-based hypothetical examples.


Locations(1)

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

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NCT06605807


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