LAUSR

Key Points Question Were the outcomes associated with a physician champion-led, electronic health record–embedded clinical decision support intervention for risk-stratifying adults presenting at the emergency department (ED) with acute pulmonary embolism sustained 4 years after initial promotion? Findings In this cohort study of 1039 patients across 21 EDs, outpatient management increased significantly compared with prior practices in former control EDs. Former intervention sites continued to outperform former controls in managing acute pulmonary embolism among patients with low risk. Meaning These findings suggest that this champion-led, clinical decision support intervention was associated with sustained practice change in identifying and safely discharging patients with low-risk pulmonary embolism.