{"id":"https://openalex.org/W4385515945","doi":"https://doi.org/10.1093/jamia/ocad150","title":"Clickbusters letter response","display_name":"Clickbusters letter response","publication_year":2023,"publication_date":"2023-08-03","ids":{"openalex":"https://openalex.org/W4385515945","doi":"https://doi.org/10.1093/jamia/ocad150","pmid":"https://pubmed.ncbi.nlm.nih.gov/37535834"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocad150","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocad150","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10531101/pdf/ocad150.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086954690","display_name":"Allison B. McCoy","orcid":"https://orcid.org/0000-0003-2292-9147"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Allison B McCoy","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA"],"raw_orcid":"https://orcid.org/0000-0003-2292-9147","affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048344081","display_name":"Elise Russo","orcid":"https://orcid.org/0009-0007-8595-547X"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elise M Russo","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004738173","display_name":"Adam Wright","orcid":"https://orcid.org/0000-0001-6844-145X"},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adam Wright","raw_affiliation_strings":["Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5086954690"],"corresponding_institution_ids":["https://openalex.org/I901861585"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.18152018,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"30","issue":"10","first_page":"1755","last_page":"1755"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9975000023841858,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9975000023841858,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12027","display_name":"Social Media in Health Education","score":0.9926000237464905,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9904999732971191,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/wright","display_name":"Wright","score":0.6547213792800903},{"id":"https://openalex.org/keywords/library-science","display_name":"Library science","score":0.6114286184310913},{"id":"https://openalex.org/keywords/suite","display_name":"Suite","score":0.5623199343681335},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.5266504287719727},{"id":"https://openalex.org/keywords/informatics","display_name":"Informatics","score":0.4581547975540161},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.44347143173217773},{"id":"https://openalex.org/keywords/center","display_name":"Center (category theory)","score":0.437791109085083},{"id":"https://openalex.org/keywords/history","display_name":"History","score":0.230312317609787},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.1704103648662567},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.1632649302482605},{"id":"https://openalex.org/keywords/art-history","display_name":"Art history","score":0.11138617992401123},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.09095072746276855},{"id":"https://openalex.org/keywords/archaeology","display_name":"Archaeology","score":0.08423593640327454},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.06779041886329651}],"concepts":[{"id":"https://openalex.org/C2777667586","wikidata":"https://www.wikidata.org/wiki/Q8038170","display_name":"Wright","level":2,"score":0.6547213792800903},{"id":"https://openalex.org/C161191863","wikidata":"https://www.wikidata.org/wiki/Q199655","display_name":"Library science","level":1,"score":0.6114286184310913},{"id":"https://openalex.org/C79581498","wikidata":"https://www.wikidata.org/wiki/Q1367530","display_name":"Suite","level":2,"score":0.5623199343681335},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.5266504287719727},{"id":"https://openalex.org/C191630685","wikidata":"https://www.wikidata.org/wiki/Q4027615","display_name":"Informatics","level":2,"score":0.4581547975540161},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.44347143173217773},{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.437791109085083},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.230312317609787},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1704103648662567},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1632649302482605},{"id":"https://openalex.org/C52119013","wikidata":"https://www.wikidata.org/wiki/Q50637","display_name":"Art history","level":1,"score":0.11138617992401123},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.09095072746276855},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.08423593640327454},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.06779041886329651},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocad150","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocad150","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:37535834","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37535834","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10531101","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10531101","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10531101/pdf/ocad150.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:10531101","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10531101","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10531101/pdf/ocad150.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4385515945.pdf","grobid_xml":"https://content.openalex.org/works/W4385515945.grobid-xml"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W4213054155"],"related_works":["https://openalex.org/W2397677514","https://openalex.org/W1495820741","https://openalex.org/W2914293784","https://openalex.org/W2990177913","https://openalex.org/W1451471413","https://openalex.org/W2138729887","https://openalex.org/W2401910071","https://openalex.org/W4323056170","https://openalex.org/W2126732312","https://openalex.org/W4302329558"],"abstract_inverted_index":{"We":[0,52,137,154],"appreciate":[1],"the":[2,27,46,54,57,67,70,106,128,131,145,164],"thoughtful":[3],"letter":[4],"by":[5,207],"Dr.":[6,24,141],"Kannry":[7,25],"regarding":[8],"our":[9,158],"paper,":[10],"\u201cClinician":[11],"Collaboration":[12],"to":[13,173],"Improve":[14],"Clinical":[15],"Decision":[16],"Support:":[17],"The":[18],"Clickbusters":[19],"Initiative.\u201d1":[20],"In":[21,186],"his":[22],"letter,":[23],"highlights":[26],"distinction":[28],"between":[29,45,56],"medication":[30,92,110,237],"decision":[31,36],"support":[32,37],"(MDS)":[33],"and":[34,39,78,96,112,123,126,135,152,183,200,215,234],"clinical":[35],"(CDS)":[38],"asserts":[40],"that":[41,166,202],"analyses":[42],"of":[43,60,69,121,147],"overrides":[44,231,235],"2":[47,58,198],"may":[48],"not":[49,240],"be":[50],"comparable.":[51],"acknowledge":[53],"difference":[55],"types":[59],"CDS,":[61],"but":[62],"we":[63,189],"respectfully":[64],"disagree":[65],"with":[66,140],"size":[68],"gap":[71],"in":[72,105,127,157,163,176],"override":[73,117,219,226],"rates.":[74],"Epic":[75],"provides":[76],"median":[77,116],"quartile":[79],"rates":[80,132,205,220],"for":[81,89,149],"its":[82],"organizations":[83],"across":[84,197],"more":[85,208],"than":[86,209],"800":[87],"metrics":[88],"benchmarking,":[90],"including":[91],"warnings":[93,111],"(ie,":[94],"MDS)":[95],"BestPractice":[97],"Advisories":[98],"(BPAs,":[99],"ie,":[100],"CDS).":[101],"During":[102],"May":[103],"2023,":[104],"inpatient":[107],"setting,":[108],"interruptive":[109],"BPAs":[113],"had":[114],"a":[115,194],"or":[118],"nonacceptance":[119],"rate":[120],"87.05%":[122],"89.05%,":[124],"respectively,":[125],"outpatient":[129],"settings,":[130],"were":[133,239],"88.64%":[134],"87.56%.2":[136],"wholeheartedly":[138],"agree":[139],"Kannry\u2019s":[142],"concern":[143],"about":[144],"lack":[146],"standardization":[148],"CDS":[150,167],"measurement":[151],"benchmarking.":[153],"have":[155],"seen,":[156],"own":[159],"work,":[160],"how":[161],"differences":[162,175],"way":[165],"measures":[168,179],"are":[169],"operationalized":[170],"can":[171],"lead":[172],"large":[174],"even":[177],"simple":[178],"like":[180],"alert":[181,203],"firing":[182,204],"acceptance":[184],"rate.":[185],"1":[187],"analysis,":[188],"reviewed":[190],"MDS":[191],"alerts":[192,214],"during":[193],"1-month":[195],"period":[196],"institutions":[199],"found":[201],"differed":[206,222],"60%":[210],"when":[211,223],"comparing":[212],"unique":[213],"total":[216,225],"alerts.":[217],"Similarly,":[218],"also":[221],"considering":[224],"responses":[227],"(66.5%,":[228],"78.7%),":[229],"initial":[230],"(62.3%,":[232],"77.9%),":[233],"where":[236],"orders":[238],"discontinued":[241],"within":[242],"24":[243],"h":[244],"(50.7%,":[245],"62.8%).3":[246]},"counts_by_year":[],"updated_date":"2026-07-29T09:40:50.615796","created_date":"2025-10-10T00:00:00"}