Evidence map›Paper›PMID 40106122›Full record

ReviewHeart failure reviews2025

Electronic health record nudges to optimize guideline-directed medical therapy for heart failure.

Michael A Fuery, Katherine A Clark, Nikhil V Sikand, Sara R Tabtabai, Sounok Sen, F Perry Wilson, Nihar R Desai, Tariq Ahmad, Marc D Samsky

Abstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Michael A FuerySection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
Katherine A ClarkSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
Nikhil V SikandSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
Sara R TabtabaiSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
Sounok SenSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
F Perry WilsonDepartment of Internal Medicine, Clinical and Translational Research Accelerator, Yale University, New Haven, CT, USA.
Nihar R DesaiSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
Tariq AhmadSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA.
Marc D SamskySection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, 06517, USA. marc.samsky@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic health record (EHR) alert nudges are emerging as a valuable tool for improving heart failure (HF) management, particularly by enhancing the use of guideline-directed medical therapy (GDMT). These nudges, integrated as clinical decision support (CDS) tools within EHR systems, provide real-time, evidence-based prompts that assist clinicians in making informed treatment decisions at critical moments in patient care. Studies have shown that targeted alerts can improve GDMT adherence and outcomes. Designing effective nudges requires aligning alert content, timing, and format with clinician workflows to reduce alert fatigue and enhance usability. Furthermore, involving clinicians in the design process helps ensure alerts are relevant, context-sensitive, and integrated smoothly into practice. EHR nudges present an innovative approach to bridging quality gaps in HF care by encouraging timely interventions and adherence to best practices, but their efficacy depends on thoughtful implementation. Future research is needed to refine alert strategies, optimize their impact on clinical outcomes, and explore their role across diverse healthcare settings, ultimately advancing the potential of EHR nudges to improve HF care quality.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsHeart FailurePractice Guidelines as TopicGuideline AdherenceHumansElectronic health record (EHR)Guideline-directed medical therapy (GDMT)Heart failureNudge

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.