title: Delphi consensus on the feasibility of translating the ACEP clinical policies into computerized clinical decision support.
abstract: Clinical practice guidelines are developed to reduce variations in clinical practice, with the goal of improving health care quality and cost. However, evidence-based practice guidelines face barriers to dissemination, implementation, usability, integration into practice, and use. The American College of Emergency Physicians (ACEP) clinical policies have been shown to be safe and effective and are even cited by other specialties. In spite of the benefits of the ACEP clinical policies, implementation of these clinical practice guidelines into physician practice continues to be a challenge. Translation of the ACEP clinical policies into real-time computerized clinical decision support systems could help address these barriers and improve clinician decision making at the point of care. The investigators convened an emergency medicine informatics expert panel and used a Delphi consensus process to assess the feasibility of translating the current ACEP clinical policies into clinical decision support content. This resulting consensus document will serve to identify limitations to implementation of the existing ACEP Clinical Policies so that future clinical practice guideline development will consider implementation into clinical decision support at all stages of guideline development.
authors.affiliation: Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY, USA. melnick.ted@gmail.com
authors.forename: Edward R
authors.initials: ER
authors.lastname: Melnick
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Nielson
authors.forename: John T
authors.initials: JT
authors.lastname: Finnell
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Bullard
authors.forename: Stephen V
authors.initials: SV
authors.lastname: Cantrill
authors.forename: Dennis G
authors.initials: DG
authors.lastname: Cochrane
authors.forename: John D
authors.initials: JD
authors.lastname: Halamka
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Handler
authors.forename: Brian R
authors.initials: BR
authors.lastname: Holroyd
authors.forename: Donald
authors.initials: D
authors.lastname: Kamens
authors.forename: Abel
authors.initials: A
authors.lastname: Kho
authors.forename: James
authors.initials: J
authors.lastname: McClay
authors.forename: Jason S
authors.initials: JS
authors.lastname: Shapiro
authors.forename: Jonathan
authors.initials: J
authors.lastname: Teich
authors.forename: Robert L
authors.initials: RL
authors.lastname: Wears
authors.forename: Saumil J
authors.initials: SJ
authors.lastname: Patel
authors.forename: Mary F
authors.initials: MF
authors.lastname: Ward
authors.forename: Lynne D
authors.initials: LD
authors.lastname: Richardson
mesh_terms: D032921:Consensus; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D003697:Delphi Technique; D004635:Emergency Medicine / Q000379:methods / Q000592:standards*; D019983:Guideline Adherence / Q000458:organization & administration; D006801:Humans; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000458:organization & administration / Q000592:standards; D012955:Societies, Medical; D014481:United States