ArticleEuropean heart journal2022
Nudging within learning health systems: next generation decision support to improve cardiovascular care.
Article in European heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Trial
- Generating evidence using electronic alerts during routine care: a fully automated randomized controlled trial of oral fluid restriction in acute heart failure (THIRST alert trial).European heart journal. Digital health · 2026Article
- Impact of a Prototype Combining Recommender Functionality With Structured Documentation on Operator Performance in Calls to Medical Communication Centers: Quasi-Experimental Feasibility Study.JMIR formative research · 2026Article
- Article
- Nudges in A Learning Health System: Applications to Cardiovascular-Kidney-Metabolic Care.JACC. Advances · 2025Review
- Application of Nudges to Design Clinical Decision Support Tools: Systematic Approach Guided by Implementation Science.Journal of medical Internet research · 2025Article
- Article
- Improvement of Oral Anticoagulant Prescription and Long-Term Clinical Outcomes of Patients With Atrial Fibrillation After Implementation of a Clinical Decision Support System in Outpatient Practice.Journal of the American Heart Association · 2025Observational
- Electronic health record nudges to optimize guideline-directed medical therapy for heart failure.Heart failure reviews · 2025Review
- Can we convince the unvaccinated to vaccinate: lessons from COVID-19 vaccination.BMC public health · 2025Article
- Learnings from Implementation Strategies to Improve Lipid Management.Current cardiology reports · 2025Review
- Greening vision: balancing clinical excellence and ecological sustainability in eye health.Frontiers in public health · 2025Review
- Nudging Health Behavior Change Among Home-Based Cardiac Rehabilitation Patients: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Eye tracking insights into physician behaviour with safe and unsafe explainable AI recommendations.NPJ digital medicine · 2024Article
- Article
- Protocol for a pragmatic stepped wedge cluster randomized clinical trial testing behavioral economic implementation strategies to increase supplemental breast MRI screening among patients with extremely dense breasts.Implementation science : IS · 2023Article
- Electronic Health Record Embedded Strategies for Improving Care of Patients With Heart Failure.Current heart failure reports · 2023Review
- Adherence to guideline-directed medical therapy and 3-year clinical outcome following acute myocardial infarction.European heart journal open · 2023Article
- The Curious Case of Baby Formula in the United States in 2022: Cries for Urgent Action Months after Silence in the Midst of Alarm Bells.Food ethics · 2023Article
- Challenging management dogma where evidence is non-existent, weak or outdated.Intensive care medicine · 2022Review
Corrections and comments
- Erratum issued
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The increasing volume and richness of healthcare data collected during routine clinical practice have not yet translated into significant numbers of actionable insights that have systematically improved patient outcomes. An evidence-practice gap continues to exist in healthcare. We contest that this gap can be reduced by assessing the use of nudge theory as part of clinical decision support systems (CDSS). Deploying nudges to modify clinician behaviour and improve adherence to guideline-directed therapy represents an underused tool in bridging the evidence-practice gap. In conjunction with electronic health records (EHRs) and newer devices including artificial intelligence algorithms that are increasingly integrated within learning health systems, nudges such as CDSS alerts should be iteratively tested for all stakeholders involved in health decision-making: clinicians, researchers, and patients alike. Not only could they improve the implementation of known evidence, but the true value of nudging could lie in areas where traditional randomized controlled trials are lacking, and where clinical equipoise and variation dominate. The opportunity to test CDSS nudge alerts and their ability to standardize behaviour in the face of uncertainty may generate novel insights and improve patient outcomes in areas of clinical practice currently without a robust evidence base.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.