Premium
Clinical Decision Rules for Diagnostic Imaging in the Emergency Department: A Research Agenda
Author(s) -
Finnerty Nathan M.,
Rodriguez Robert M.,
Carpenter Christopher R.,
Sun Benjamin C.,
Theyyunni Nik,
Ohle Robert,
Dodd Kenneth W.,
Schoenfeld Elizabeth M.,
Elm Kendra D.,
Kline Jeffrey A.,
Holmes James F.,
Kuppermann Nathan
Publication year - 2015
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.12828
Subject(s) - medicine , emergency department , medical physics , health care , clinical practice , consensus conference , medical emergency , family medicine , nursing , economics , economic growth
Background Major gaps persist in the development, validation, and implementation of clinical decision rules (CDRs) for diagnostic imaging. Objectives The objective of this working group and article was to generate a consensus‐based research agenda for the development and implementation of CDRs for diagnostic imaging in the emergency department (ED). Methods The authors followed consensus methodology, as outlined by the journal Academic Emergency Medicine ( AEM ), combining literature review, electronic surveys, telephonic communications, and a modified nominal group technique. Final discussions occurred in person at the 2015 AEM consensus conference. Results A research agenda was developed, prioritizing the following questions: 1) what are the optimal methods to justify the derivation and validation of diagnostic imaging CDRs, 2) what level of evidence is required before disseminating CDRs for widespread implementation, 3) what defines a successful CDR, 4) how should investigators best compare CDRs to clinical judgment, and 5) what disease states are amenable (and highest priority) to development of CDRs for diagnostic imaging in the ED? Conclusions The concepts discussed herein demonstrate the need for further research on CDR development and implementation regarding diagnostic imaging in the ED. Addressing this research agenda should have direct applicability to patients, clinicians, and health care systems.