Delphi consensus on the feasibility of translating the ACEP clinical policies into computerized clinical decision support

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

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


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 decisionmaking 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.

Original languageEnglish
Pages (from-to)317-320
Number of pages4
JournalAnnals of Emergency Medicine
Issue number4
StatePublished - Oct 2010


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