Table 6.

Types of CCDSS in use in EDs and their functionality

Author and clinical condition	Commercial system		Locally developed	Incorporated in CPOE	Mandatory	Decision support via:
						E-mail	Popup alert	Pager	Embedded order set	Other
Bond et al. (2013)39	✗		✓	✗	✗	✗	✗	✗	✗	Prompts within CCDSS
Sepsis
Dexheimer et al. (2013)40	✗		✓	✗	✓	✗	✗	✗	✗	Printed paper guideline
Asthma in children
Kwoket al. (2009)41	✗		✓	✗	✗	✗	✓	✗	✗
Asthma in children
Nelson et al. (2011)42	✗	✓		✗	✗	✗	✓	✓	✗	Automatic text suggesting treatments
Sepsis
Gibbs et al. (2012)43	✗		✓	✗	?	?	?	?	?	No other details available
Community-acquired pneumonia
Roukema et al. (2008)44	✗		✓	✗	✗	✗	✓	✗	✗
Fever in children
Schriger et al. (1997)45	✗		✓	✗	✓	✗	✓	✗	✗
Blood-borne virus exposure
Schriger et al. (2000)46	✗		✓	✗	✗	✗	✓	✗	✗
Fever in children <3 years
Drescher et al. (2011)47	✓		✓	✓	✗	✗	✓	✗	✓
Pulmonary embolism
Raja et al. (2012)48	✗		✓	✓	✓	✗	✓	✗	✓
Pulmonary embolism
Roy et al. (2009)49	✗		✓	✗	✗	✗	✓	✗	✗
Pulmonary embolism
Jones et al. (2013)50	✗		✓	✗	?	?	?	?	?	No other details available
Community-acquired pneumonia
Niemi et al. (2009)51	✗		✓	✗	✗	✓	✓	✗	✗	E-mails and printed alerts sent to various places
Community-acquired pneumonia and heart failure
Buising et al. (2008)52	✗		✓	✗	✗	✗	✓	✗	✗	Prompts within CCDSS
Community-acquired pneumonia
Dong et al. (2005)64	✗		✓	✗	✓	✗	✗	✗	✗	CCDSS presents triage guideline
Triage
Lim et al. (2012)65	✓		✓	✗	✗	✗	✓	✗	✗
Febrile neutropenia
Asaro et al. (2006)54	✓		✗	✓	✗	✗	✗	✗	✓
Acute coronary syndrome
Britton et al. (2013)55	✓		✗	✓	✗	✗	✗	✗	✓	Prompts within CPOE
Sexual assault
Carman et al. (2011)57	✓		✗	✗	✗	✗	✓	✗	✗	Linked to CPOE for ordering swabs
Skin/soft-tissue infections
Goergen et al. (2006)58	✗		✓	✗	✗	✗	✗	✗	✗	CCDSS advised if X-ray required
Neck trauma
Jadav et al. (2009)59	✓		✗	✗	✓	?	?	?	?	No other details available
Pain in children
Melnick et al. (2010)60	✓		✓	✗	✗	✗	✗	✗	✗
Syncope
Day et al. (1995)53	✗		✓	✗	✗	✗	✗	✗	✗	Prompts within CCDSS suggesting treatment
Acute low-back pain