| Delphi consensus on the feasibility of translating the ACEP clinical policies into computerized clinical decision support. | |
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MedLine Citation:
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PMID: 20363531 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Edward R Melnick; Jeffrey A Nielson; John T Finnell; Michael J Bullard; Stephen V Cantrill; Dennis G Cochrane; John D Halamka; Jonathan A Handler; Brian R Holroyd; Donald Kamens; Abel Kho; James McClay; Jason S Shapiro; Jonathan Teich; Robert L Wears; Saumil J Patel; Mary F Ward; Lynne D Richardson |
Publication Detail:
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Type: Journal Article Date: 2010-04-03 |
Journal Detail:
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Title: Annals of emergency medicine Volume: 56 ISSN: 1097-6760 ISO Abbreviation: Ann Emerg Med Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-27 Completed Date: 2010-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 317-20 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2010 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY, USA. melnick.ted@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Consensus Decision Support Systems, Clinical* / organization & administration Delphi Technique Emergency Medicine / methods, standards* Guideline Adherence / organization & administration Humans Practice Guidelines as Topic* Quality of Health Care / organization & administration, standards Societies, Medical United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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