Delphi consensus on the feasibility of translating the ACEP clinical policies into computerized clinical decision support.
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.
Melnick
Edward R
ER
Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY, USA. melnick.ted@gmail.com
Nielson
Jeffrey A
JA
Finnell
John T
JT
Bullard
Michael J
MJ
Cantrill
Stephen V
SV
Cochrane
Dennis G
DG
Halamka
John D
JD
Handler
Jonathan A
JA
Holroyd
Brian R
BR
Kamens
Donald
D
Kho
Abel
A
McClay
James
J
Shapiro
Jason S
JS
Teich
Jonathan
J
Wears
Robert L
RL
Patel
Saumil J
SJ
Ward
Mary F
MF
Richardson
Lynne D
LD
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