Hot off the Press: Embedded Clinical Decision Support in Electronic Health Record Decreases Use of High-cost Imaging in the Emergency Department: EmbED Study

Acad Emerg Med. 2018 Jan;25(1):41-43. doi: 10.1111/acem.13310. Epub 2017 Nov 3.

Abstract

This longitudinal before/after study of embedded clinical decision rules assessed the effects of clinical decision support on use of common imaging studies. Among high users, rates of computed tomograhy (CT) scan of the brain and CT of the cervical spine were reduced after implementation of embedded clinical decision instruments, while in low users, rates increased. This article summarizes the manuscript and the Skeptics Guide to Emergency Medicine podcast, as well as the ensuing social media/online discussion.

Publication types

  • Observational Study

MeSH terms

  • Attitude of Health Personnel
  • Brain Injuries, Traumatic / diagnostic imaging*
  • Cost Savings / statistics & numerical data*
  • Decision Support Systems, Clinical / economics*
  • Electronic Health Records*
  • Emergency Service, Hospital* / economics
  • Humans
  • Longitudinal Studies
  • Spinal Injuries / diagnostic imaging*
  • Tomography, X-Ray Computed / economics*