• C F Feied, M S Smith, J A Handler, and M Kanhouwa.
• Department of Emergency Medicine, Washington Hospital Center, Washington, DC 20010, USA. cfeied@ncemi.org
• Ann Emerg Med. 2000 Feb 1;35(2):162-7.

AbstractAt many institutions, the department of emergency medicine is uniquely suited to a leadership role in the deployment of new clinical decision support systems (computer systems that support clinical practice). Many factors favor such a leadership role, including institutional politics, organizational structure, extent of local control, clinician solidarity, openness to change, departmental size and scale, and willingness to take risks. Such a role should be undertaken in partnership with the institution's information services (IS) department, and a clear understanding of goals and responsibilities will facilitate such a partnership. A leadership position with respect to new information systems entails a certain risk, but the potential benefit to an emergency department in today's competitive environment is substantial. The authors' experience with one such collaborative development project is presented.

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