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Operations & systems

Decision support for ED imaging referrals

Implementation of Electronic Clinical Decision Support for Radiology Referrals: The Role of Governance, Clinician Engagement and Education
Emergency Medicine Australasia · Added 27 July 2026

Successful implementation of eCDS requires more than technological deployment.

Study type
Cohort
Design
Descriptive before-and-after implementation study
Participants
ED presentations at a Melbourne quaternary centre (number not reported)
Main finding
CT use rose from 32 to 44 per 100 ED presentations before go-live, then declined 9.1% during clinician engagement phase; trends stabilised after eCDS deployment
Caveat
Single-centre descriptive design without control group; cannot attribute causation
Bottom line
Hypothesis-generating

Learning goal

Understand how governance and clinician engagement shape safe, evidence-based use of clinical decision support in referral practice.

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