Difference between revisions of "Nudge Frameworks within CDS"

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The Power of Nudges, for Good and Bad [https://www.nytimes.com/2015/11/01/upshot/the-power-of-nudges-for-good-and-bad.html]
 
The Power of Nudges, for Good and Bad [https://www.nytimes.com/2015/11/01/upshot/the-power-of-nudges-for-good-and-bad.html]
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Designing Nudges for Success in Health Care [https://journalofethics.ama-assn.org/article/designing-nudges-success-health-care/2020-09]

Revision as of 23:18, 25 October 2021

Summary

Rooted in behavioral psychology and behavioral economics, nudge strategies implement subtle psychological cues to influence individual behavior towards a desired outcome. Nudge framework is a system of choice architecture implemented within clinical decision support to influence clinical decision making in a similar fashion. Outside of clinical contexts, nudge strategies have included displaying calorie counts next to commercial food products, or facilitating discounts in exchange for contact information, among countless other examples. Systematic review has shown favorable implementation of nudge frameworks and strategies within CDS.

Science

Nudge strategies were initially codified within the realms of psychology and behavioral economics. According to Caraban & Karapanos, nudge strategies generally fall within six general mechanisms:


Implementation and Results


References:

Systematic review of clinician-directed nudges in healthcare contexts [1]

Nudge strategies to improve healthcare providers’ implementation of evidence-based guidelines, policies and practices: a systematic review of trials included within Cochrane systematic reviews [2]

Using Nudges to Enhance Clinicians’ Implementation of Shared Decision Making With Patient Decision Aids [3]

Behavioral Economics Interventions in Clinical Decision Support Systems [4]

The ‘23 ways to nudge’ framework: Designing technologies that influence behavior subtly [5]

The Power of Nudges, for Good and Bad [6]

Designing Nudges for Success in Health Care [7]