A "nudging" strategy in the emergency department (ED) may be a path for prescribing a medication that can blunt cravings for alcohol—and dull its effects—offering an effective treatment for people with alcohol use disorder (AUD) who might not otherwise receive it. The jumps in ordering at the nudge hospitals translated to a 12-fold increase in the likelihood of receiving a naltrexone prescription in the Phase 1 period, and a 15-fold increase during Phase 2. "Before our intervention, only a handful of experts prescribed naltrexone, and only one patient every couple months left with a prescription," Ebert explained. "It just wasn't something routinely done in the emergency department. After our intervention, 46 different clinicians prescribed it, with two patients each week, on average, getting a prescription." Read more...
