Clinical decision rules or clinical judgement?

The Clinical practice guidelines page has been updated with additional information about how often clinical decision rules in Emergency Medicine are compared with non-standardised practice, and how they fare when they are compared – and the news is not encouraging for guideline writers.

Schriger, DL, Elder, JW, Cooper, RJ. Structured Clinical Decision Aids Are Seldom Compared With Subjective Physician Judgment, and Are Seldom Superior. Ann Emerg Med 2017;70(3):338-44 e3.