Methodologic standards for the development of clinical decision rules in emergency medicine

Ann Emerg Med. 1999 Apr;33(4):437-47. doi: 10.1016/s0196-0644(99)70309-4.


The purpose of this review is to present a guide to help readers critically appraise the methodologic quality of an article or articles describing a clinical decision rule. This guide will also be useful to clinical researchers who wish to answer 1 or more questions detailed in this article. We consider the 6 major stages in the development and testing of a new clinical decision rule and discuss a number of standards within each stage. We use examples from emergency medicine and, in particular, examples from our own research on clinical decisions rules for radiography in trauma.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Decision Support Techniques*
  • Emergency Medicine*
  • Humans
  • Research