02/10/26

Changing clinician behavior in geriatrics: point-of-care alerts for prostate-specific antigen screening.

Duong, Ngoc; Lee, Ji Young; Peprah, Yaw; Brown, Tiffany; Linder, Jeffrey A; Doctor, Jason N; Meeker, Daniella; Fox, Craig; Goldstein, Noah; Persell, Stephen D; Petito, Lucia C. Am J Prevent Med

Summary

PSA screening in older men can result in overdiagnosis and overtreatment. This study evaluates how a behavioral science-based clinical decision support (CDS) system reduced unnecessary PSA testing by clinicians over 18 months. Lower alert rates indicated clinician learning, but persistent alerts with increased orders highlighted the need for additional strategies to engage less responsive clinicians.

Duong N, Lee JY, Peprah Y, et al. Changing clinician behavior in geriatrics: point-of-care alerts for prostate-specific antigen screening. Am J Prev Med. 2026;71(1):108305.