Cataracts clinical trials at UC Health
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There is strong consensus - based on robust randomized trial data - that routine pre-operative (pre-op) testing for cataract surgery is inappropriate. Yet despite these widely endorsed evidence-based recommendations, most seniors undergoing cataract surgery still receive unnecessary blood testing, EKGs, and chest X-rays (CXRs); another substantial percentage even undergo non-indicated cardiac stress tests. A quality improvement initiative will integrate three new BPA nudges into the UCLA Health EHR. The nudges are informed by behavioral economic theory and are designed to alter the choice architecture for physicians to decrease the rate of pre-op test ordering while still preserving clinician autonomy. We will evaluate a quality improvement initiative that would reduce low-value pre-operative testing for cataract surgery.