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Case 13 - Clinical Decision Support Tools

Published online by Cambridge University Press:  04 July 2017

Jennifer L. Wiler
University of Colorado School of Medicine
Jesse M. Pines
George Washington University, Washington DC
Michael J. Ward
Vanderbilt University Medical Center, Tennessee
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Publisher: Cambridge University Press
Print publication year: 2017

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Collen, MF, Rubin, L, Neyman, J, et al. Automated multiphasic screening and diagnosis. American Journal of Public Health and the Nation’s Health. 1964;54:741750.CrossRefGoogle ScholarPubMed
Harvard Library of Evidence. Available at Accessed February 15, 2016.
Schuur, JD, Carney, DP, Lyn, ET, et al. A top-five list for emergency medicine: a pilot project to improve the value of emergency care. JAMA Internal Medicine. 2014;174(4):509515.CrossRefGoogle ScholarPubMed
Wells, PS, Anderson, DR, Rodger, M, et al. Derivation of a simple clinical model to categorize patient’s probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Journal of Thrombosis and Haemostasis. 2000;83(3):416420.Google Scholar
Hoffman, JR, Mower, WR, Wolfson, AB, et al., for the National Emergency X-Radiography Utilization Study Group. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. New England Journal of Medicine. 2000;343(2):9499.CrossRefGoogle ScholarPubMed
Stiell, IG, Wells, GA, Vandemheen, KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001;286(15):18411848.CrossRefGoogle ScholarPubMed
Stiell, IG, Wells, GA, Vandemheen, K, et al. The Canadian CT head rule for patients with minor head injury. The Lancet. 2001;357(9266):13911396.CrossRefGoogle ScholarPubMed
Raja, AS, Greenberg, JO, Qaseem, A, et al. Evaluation of patients with suspected acute pulmonary embolism: best practice advice from the Clinical Guidelines Committee of the American College of Physicians. Annals of Internal Medicine. 2015;162(9):701711.CrossRefGoogle Scholar
Pitts, JR. H.R.4302 - 113th Congress (2013–2014): Protecting access to Medicare Act of 2014. Available at Accessed May 28, 2015.
Andruchow, JE, Raja, AS, Prevedello, LM, et al. Variation in head computed tomography use for emergency department trauma patients and physician risk tolerance. Archives of Internal Medicine. 2012;172(8):660661.Google ScholarPubMed
Prevedello, LM, Raja, AS, Zane, RD, et al. Variation in use of head computed tomography by emergency physicians. American Journal of Medicine. 2012;125(4):356364.CrossRefGoogle ScholarPubMed
Raja, AS, Ip, IK, Prevedello, LM, et al. Effect of computerized clinical decision support on the use and yield of CT pulmonary angiography in the emergency department. Radiology. 2012;262(2):468474.CrossRefGoogle ScholarPubMed
Ip, IK, Raja, AS, Gupta, A, et al. Impact of clinical decision support on head computed tomography use in patients with mild traumatic brain injury in the ED. American Journal of Emergency Medicine. 2015;33(3):320325.CrossRefGoogle ScholarPubMed
Hussey, PS, Timbie, JW, Burgette, LF, et al. Appropriateness of advanced diagnostic imaging ordering before and after implementation of clinical decision support systems. JAMA. 2015;313(21):21812182.CrossRefGoogle ScholarPubMed
Drescher, FS, Chandrika, S, Weir, ID, et al. Effectiveness and acceptability of a computerized decision support system using modified Wells criteria for evaluation of suspected pulmonary embolism. Annals of Emergency Medicine. 2011;57(6):613621.CrossRefGoogle ScholarPubMed
Gupta, A, Raja, AS, Khorasani, R. Examining clinical decision support integrity: is clinician self-reported data entry accurate? JAMIA. 2014;21:2326.Google ScholarPubMed
Roy, P-M, Durieux, P, Gillaizeau, F, et al. A computerized handheld decision-support system to improve pulmonary embolism diagnosis. Annals of Internal Medicine. 2009;151(10):677686.CrossRefGoogle ScholarPubMed
Raja, AS, Ip, IK, Dunne, RM, et al. Effects of performance feedback reports on adherence to evidence-based guidelines in use of CT for evaluation of pulmonary embolism in the emergency department: a randomized trial. American Journal of Roentgenology. 2015 Nov;205(5):936–40.CrossRefGoogle ScholarPubMed
Gupta, A, Ip, IK, Raja, AS, et al. Effect of clinical decision support on documented guideline adherence for head CT in emergency department patients with mild traumatic brain injury. JAMIA. 2014;21:347351.Google Scholar
Raja, AS, Gupta, A, Ip, IK, et al. The use of decision support to measure documented adherence to a national imaging quality measure. Academic Radiology. 2014;21(3):378383.CrossRefGoogle Scholar
Raja, AS, Lanning, J, Gower, A, et al. Prevalence of chest injury with the presence of NEXUS chest criteria: data to inform shared decision making about imaging use. Annals of Emergency Medicine. 2016 Aug;68(2):222226.CrossRefGoogle Scholar
Hess, EP, Grudzen, CR, Thomson, R, et al. Shared decision-making in the emergency department: respecting patient autonomy when seconds count. Academic Emergency Medicine. 2015;22(7):856864.CrossRefGoogle ScholarPubMed

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