Published Online: March 18, 2013. doi:10.1001/jamainternmed.2013.3299
Author Contributions:Study concept and design: Dean, Jones, and Haug. Acquisition of data: Dean, Jones, Ferraro, and Vines. Analysis and interpretation of data: Dean, Jones, and Ferraro. Drafting of the manuscript: Dean and Jones. Critical revision of the manuscript for important intellectual content: Dean, Ferraro, Vines, and Haug. Statistical analysis: Jones. Administrative, technical, and/or material support: Ferraro. Study supervision: Haug. Tool implementation: Dean.
Conflict of Interest Disclosures: None reported.
Funding/Support: This study was funded in part by Intermountain Healthcare and the Intermountain Research and Medical Foundation Salt Lake City, Utah, and by Pfizer US from an unrestricted, investigator-initiated competitive grant.
Role of the Sponsors: The sponsors had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. None of the authors have relevant financial interests, activities, relationships, or affiliations.
Previous Presentation: This work was presented in abstract form at the European Respiratory Society International Conference; September 3, 2012; Vienna, Austria.
Additional Contributions: The authors thank Al Jephson, BS, for data extraction; Gregory J. Stoddard, MS, for statistical analysis; Dominik Aronsky, MD, for his original work on the electronic tool and many suggestions since; Todd L. Allen, MD, for helping design and implement the tool in the ED; Herman B. Post, BS, Kumar Mynam, MS, and Darin Wilcox, BS, for their design and programming of the tool; and the ED physicians providing care at the Salt Lake County Intermountain Hospitals for their interest in quality improvement and helpful suggestions during development of the electronic decision support tool.