Journal article
Clinician collaboration to improve clinical decision support: the Clickbusters initiative
Journal of the American Medical Informatics Association : JAMIA, Vol.29(6), pp.1050-1059
03/04/2022
DOI: 10.1093/jamia/ocac027
PMCID: PMC9093034
PMID: 35244165
Abstract
Objective We 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 Methods We 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. Results Prior 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. Conclusions At 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.
Details
- Title: Subtitle
- Clinician collaboration to improve clinical decision support: the Clickbusters initiative
- Creators
- Allison B. McCoy - Vanderbilt University Medical CenterElise M. Russo - Vanderbilt University Medical CenterKevin B. Johnson - Vanderbilt University Medical CenterBobby Addison - Vanderbilt University Medical CenterNeal Patel - Vanderbilt University Medical CenterJonathan P. Wanderer - Vanderbilt University Medical CenterDara E. Mize - Vanderbilt University Medical CenterJon G. Jackson - Vanderbilt University Medical CenterThomas J. Reese - Vanderbilt UniversitySyLinda Littlejohn - Vanderbilt University Medical CenterLorraine Patterson - Vanderbilt University Medical CenterTina French - Vanderbilt University Medical CenterDebbie Preston - Vanderbilt University Medical CenterAudra Rosenbury - Vanderbilt University Medical CenterCharlie Valdez - Vanderbilt University Medical CenterScott D. Nelson - Vanderbilt University Medical CenterChetan Aher - Vanderbilt University Medical CenterMhd Wael Alrifai - Vanderbilt University Medical CenterJennifer Andrews - Vanderbilt University Medical CenterCheryl Cobb - Vanderbilt University Medical CenterSara N. Horst - Vanderbilt University Medical CenterDavid P. Johnson - Vanderbilt University Medical CenterLindsey A. Knake - Vanderbilt University Medical CenterAdam A. Lewis - Vanderbilt University Medical CenterLaura Parks - Vanderbilt University Medical CenterSharidan K. Parr - Vanderbilt University Medical CenterPratik Patel - Union UniversityBarron L. Patterson - Vanderbilt University Medical CenterChristine M. Smith - Vanderbilt University Medical CenterKrystle D. Suszter - Vanderbilt University Medical CenterRobert W. Turer - Vanderbilt University Medical CenterLyndy J. Wilcox - Vanderbilt University Medical CenterAileen P. Wright - Vanderbilt University Medical CenterAdam Wright - Vanderbilt University Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of the American Medical Informatics Association : JAMIA, Vol.29(6), pp.1050-1059
- DOI
- 10.1093/jamia/ocac027
- PMID
- 35244165
- PMCID
- PMC9093034
- NLM abbreviation
- J Am Med Inform Assoc
- ISSN
- 1067-5027
- eISSN
- 1527-974X
- Publisher
- Oxford Univ Press
- Number of pages
- 10
- Language
- English
- Date published
- 03/04/2022
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984353841502771
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