Clinician collaboration to improve clinical decision support: the Clickbusters initiative.
Clinician collaboration to improve clinical decision support: the Clickbusters initiative.
复制标题
临床医生合作，以改善临床决策支持：点击克星倡议。
DOI：
10.1093/jamia/ocac027
复制
发表时间：
2022-05-11
影响因子：
6.4
通讯作者：
Wright, Adam
中科院分区：
文献类型：
--
作者：
McCoy, Allison B.;Russo, Elise M.;Johnson, Kevin B.;Addison, Bobby;Patel, Neal;Wanderer, Jonathan P.;Mize, Dara E.;Jackson, Jon G.;Reese, Thomas J.;Littlejohn, SyLinda;Patterson, Lorraine;French, Tina;Preston, Debbie;Rosenbury, Audra;Valdez, Charlie;Nelson, Scott D.;Aher, Chetan, V;Alrifai, Mhd Wael;Andrews, Jennifer;Cobb, Cheryl;Horst, Sara N.;Johnson, David P.;Knake, Lindsey A.;Lewis, Adam A.;Parks, Laura;Parr, Sharidan K.;Patel, Pratik;Patterson, Barron L.;Smith, Christine M.;Suszter, Krystle D.;Turer, Robert W.;Wilcox, Lyndy J.;Wright, Aileen P.;Wright, Adam
关键词：
我们描述了在范德比尔特大学医学中心(VUMC)实施的Clickbuster计划，该计划旨在通过优化临床决策支持(CDS)警报来提高安全性和质量，并减少职业倦怠。我们开发了一个10步的点击破坏流程，并实施了一个计划，其中包括课程、CDS警报清单、监督流程和游戏化。我们在VUMC进行了两轮为期3个月的Clickbuster计划。我们完成了对过程中警报更改的描述性分析，以及程序执行前后警报触发频率的分析。在Clickbuster之前，VUMC有419个CDS警报在生产中，每周有488-425次解雇(42-982次中断)。两轮后，Clickbuster计划对84个CDS警报进行了详细、全面的审查，每周警报触发次数减少了7万多次(15.43%)。除了CDS的直接改进外，该倡议还增加了用户对CDS的参与和参与。在VUMC，Clickbuster计划通过减少警报触发和导致的点击，成功地优化了CDS警报。该计划还让更多的用户参与评估和改进CDS的过程，并帮助建立了对电子健康记录中的临床内容进行持续评估和改进的文化。
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. 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. 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. 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.
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DOI：
10.1136/amiajnl-2012-001089
发表时间：
2013-05-01
影响因子：
6.4
作者：
Phansalkar, Shobha;van der Sijs, Heleen;Bates-, David W.
通讯作者：
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DOI：
10.1197/jamia.m1556
发表时间：
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影响因子：
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DOI：
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发表时间：
2019-01-01
影响因子：
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作者：
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影响因子：
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通讯作者：
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DOI：
10.1197/jamia.m1984
发表时间：
2006-05-01
影响因子：
6.4
作者：
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