Annals of emergency medicine
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[National Highway Traffic Safety Administration. Alcohol-related fatal crash rates for youth reach historic low: strategies for combating juvenile DUI. Ann Emerg Med. February 2000;35:192-193.].
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[American College of Emergency Physicians. Hospital, medical staff, and payer responsibility for emergency department patients. Ann Emerg Med. February 2000;35:210-211.].
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Comparative Study
Emergency medicine can play a leadership role in enterprise-wide clinical information systems.
At 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. ⋯ 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.