ArticleJournal of the American Medical Informatics Association : JAMIA2022
Clinician collaboration to improve clinical decision support: the Clickbusters initiative.
Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Conceptualizing clinical decision support as complex interventions: a meta-analysis of comparative effectiveness trials.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- Artificial Intelligence Applications in MRI for the Diagnosis and Management of Osteonecrosis of the Femoral Head: A Comprehensive Review.Bioengineering (Basel, Switzerland) · 2026Review
- User-Centered Redesign of a Clinical Decision Support System for Pneumonia in the Emergency Department.Applied clinical informatics · 2026Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 2025Article
- A Measurement Science Framework to Optimize CDS for Opioid Use Disorder Treatment in the ED.Applied clinical informatics · 2025Article
- Right Idea, Wrong Time: Focusing on Alert Timing for Effective Decision Support.Applied clinical informatics · 2025Article
- Resident clinical dashboards to support precision education in emergency medicine.AEM education and training · 2025Review
- Academic Detailing to Enhance Adoption of Clinical Decision Support for Patients at Risk of Opioid Overdose.Applied clinical informatics · 2025Article
- Article
- Clinical trials informed framework for real world clinical implementation and deployment of artificial intelligence applications.NPJ digital medicine · 2025Review
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- Vanderbilt Clinical Informatics Center Education Strategy: To Infinity and Beyond!Applied clinical informatics · 2025Article
- Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A Scoping Review.Applied clinical informatics · 2024Article
- A Discount Approach to Reducing Nursing Alert Burden.Applied clinical informatics · 2024Article
- Electronic Health Record Usability, Satisfaction, and Burnout for Family Physicians.JAMA network open · 2024Article
- Effect of Departmental and Physician-Selected Interventions on Point-of-Care Ultrasound Documentation Completion.Cureus · 2024Article
- Why do users override alerts? Utilizing large language model to summarize comments and optimize clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Social Media's Lessons for Clinical Decision Support: Strategies to Improve Engagement and Acceptance.Applied clinical informatics · 2024Article
- Leveraging explainable artificial intelligence to optimize clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Resident-Driven Clinical Decision Support Governance to Improve the Utility of Clinical Decision Support.Applied clinical informatics · 2024Article
Corrections and comments
- Commented on by
Authors and funding
34 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe describe the Clickbusters initiative implemented at Vanderbilt University Medical Center (VUMC), which was designed to improve safety and quality and reduce burnout through the optimization of clinical decision support (CDS) alerts. MATERIALS AND
methodsWe developed a 10-step Clickbusting process and implemented a program that included a curriculum, CDS alert inventory, oversight process, and gamification. We carried out two 3-month rounds of the Clickbusters program at VUMC. We completed descriptive analyses of the changes made to alerts during the process, and of alert firing rates before and after the program.
resultsPrior to Clickbusters, VUMC had 419 CDS alerts in production, with 488 425 firings (42 982 interruptive) each week. After 2 rounds, the Clickbusters program resulted in detailed, comprehensive reviews of 84 CDS alerts and reduced the number of weekly alert firings by more than 70 000 (15.43%). In addition to the direct improvements in CDS, the initiative also increased user engagement and involvement in CDS.
conclusionsAt VUMC, the Clickbusters program was successful in optimizing CDS alerts by reducing alert firings and resulting clicks. The program also involved more users in the process of evaluating and improving CDS and helped build a culture of continuous evaluation and improvement of clinical content in the electronic health record.
Indexed as
Identifiers
What OpenQuestion holds
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.