Newly Published
Editorial  |   March 2020
An Effective Behavioral Nudge in the Operating Room
Author Notes
  • From the Department of Anesthesiology and Pain Medicine, School of Medicine (N.K.), and Schools of Pharmacy and Public Health (S.D.S.), University of Washington, Seattle, Washington.
  • Accepted for publication January 27, 2020.
    Accepted for publication January 27, 2020.×
  • This editorial accompanies the article on p. XXX.
    This editorial accompanies the article on p. XXX.×
  • Correspondence: Address correspondence to Dr. Khandelwal: khandel@uw.edu
Article Information
Editorial / Pain Medicine / Pharmacology / Practice Management / Technology / Equipment / Monitoring / Quality Improvement / Opioid
Editorial   |   March 2020
An Effective Behavioral Nudge in the Operating Room
Anesthesiology Newly Published on March 5, 2020. doi:https://doi.org/10.1097/ALN.0000000000003225
Anesthesiology Newly Published on March 5, 2020. doi:https://doi.org/10.1097/ALN.0000000000003225
Default order-entry lists in electronic health records are a form of a behavioral nudge. The framing and order of choices often is purposeful, intended to nudge the user to a specific choice. A nudge is a behavioral economics concept defined as any aspect of the choice architecture that influences behavior in a predictable way, without restricting options or significantly changing economic incentives. Nudges are not mandates, but rather a way to influence behavior without coercion.1  In fact, recognizing the potential power of nudges to influence clinician and patient behavior, the University of Pennsylvania Health System has a dedicated nudge team (the Penn Medicine Nudge Unit) which systematically develops and tests nudges to improve health care delivery.2