-
effectivehealthcare.ahrq.gov/sites/default/files/mccullough.pdf
January 01, 2011 - Slide
1: An Ethical Framework for Supporting
Shared Decision Making
When Clinical … management of the patient’s condition, diagnosis, or injury, and the
clinical benefits and risks of … judgment
• Such clinical management carries disease-‐related risks
(from ineffectively managed … of clinical management
• Refusal by the patient of clinical management with very low or low levels … of evidence is not
automatically
ruled out in beneficence-‐based clinical judgment as medically
-
psnet.ahrq.gov/node/44593/psn-pdf
November 04, 2015 - Integrating computerized clinical decision support
systems into clinical work: a meta-synthesis of qualitative … Integrating computerized clinical decision support systems into clinical
work: A meta-synthesis of qualitative … https://psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta … https://psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis … https://psnet.ahrq.gov/issue/integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
-
psnet.ahrq.gov/node/47278/psn-pdf
August 15, 2018 - Drawing boundaries: the difficulty in defining clinical
reasoning. … Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. … https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning
Enhancing clinical … This review
spotlights the need for a uniform definition of clinical reasoning and a robust literature … ://psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
https://psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
-
psnet.ahrq.gov/node/35639/psn-pdf
May 27, 2011 - Clinical application of a computerized system for
physician order entry with clinical decision support … Clinical application of a computerized system for physician order entry
with clinical decision support … https://psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical- … https://psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical-decision-support … https://psnet.ahrq.gov/issue/clinical-application-computerized-system-physician-order-entry-clinical-decision-support
-
psnet.ahrq.gov/node/41436/psn-pdf
October 19, 2012 - Which clinical errors lead to the referral of UK
paediatricians to the National Clinical Assessment … Which clinical errors lead to the referral of UK paediatricians to the National Clinical
Assessment … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical- … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service … https://psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
-
psnet.ahrq.gov/node/44015/psn-pdf
September 09, 2015 - Safety of clinical and non-clinical decision makers in
telephone triage: a narrative review. … Safety of clinical and non-clinical decision makers in
telephone triage: a narrative review. … https://psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative … https://psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review … https://psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
-
psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? … Does clinical supervision of health professionals improve patient
safety? … https://psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety- … were concerns
that excessive trainee supervision impedes clinical learning. … This systematic review examined how
increased clinical supervision affects patient safety.
-
psnet.ahrq.gov/node/46476/psn-pdf
October 04, 2017 - The effectiveness of nurse education and training for
clinical alarm response and management: a systematic … The effectiveness of nurse education and training for clinical alarm response
and management: a systematic … https://psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and- … management-systematic
Managing alarms in clinical settings is a patient safety challenge for nurses … practice settings can help nurses manage clinical alarms safely.
-
psnet.ahrq.gov/node/47126/psn-pdf
May 16, 2018 - Unintended adverse consequences of a clinical decision
support system: two cases. … Unintended adverse consequences of a clinical decision support system: two cases. … https://psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases … Clinical decision support systems may have unintended negative effects on care. … ://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
https://psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
-
psnet.ahrq.gov/node/47701/psn-pdf
January 16, 2019 - Cranky comments: detecting clinical decision support
malfunctions through free-text override reasons … Cranky comments: detecting clinical decision support malfunctions
through free-text override reasons … https://psnet.ahrq.gov/issue/cranky-comments-detecting-clinical-decision-support-malfunctions-through … This observational study investigated whether override
comments for clinical decision rules could be … Investigators
discovered that malfunctions were prevalent in clinical decision support.
-
psnet.ahrq.gov/node/47601/psn-pdf
December 21, 2018 - Clinical decision support in the era of artificial
intelligence. … Clinical Decision Support in the Era of Artificial Intelligence. … https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
Clinical decision … https://psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
https://psnet.ahrq.gov … /issue/health-it-and-clinical-decision-support-systems
https://psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015258-aders-final-report-2007.pdf
January 01, 2007 - Timeliness of clinical information results was estimated by a chart audit. … A total of 222 records with clinical results were reviewed. … The mean
time to receive clinical information was 73 hours (S.D. = 113). … • Overall satisfaction with handling clinical information. … efficiency since implementation of the EMR and clinical messaging services.
-
psnet.ahrq.gov/node/35120/psn-pdf
November 03, 2015 - Clinical impact associated with corrected results in
clinical microbiology testing. … Clinical impact associated with corrected results in clinical
microbiology testing. … https://psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing … https://psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
-
psnet.ahrq.gov/node/45897/psn-pdf
August 20, 2018 - Clinical reasoning education at US medical schools:
results from a national survey of internal medicine … Clinical Reasoning Education at US Medical Schools: Results
from a National Survey of Internal Medicine … https://psnet.ahrq.gov/issue/clinical-reasoning-education-us-medical-schools-results-national-survey- … Researchers
sought to characterize clinical reasoning educational programs at United States medical … The authors
suggest that additional resources should be dedicated to teaching clinical reasoning in
-
psnet.ahrq.gov/node/45678/psn-pdf
October 11, 2017 - Is there a role for patients and their relatives in escalating
clinical deterioration in hospital? … Is there a role for patients and their relatives in escalating clinical
deterioration in hospital? … https://psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital … examined whether patient and family member activation of rapid response teams
improved recognition of clinical … capacity with frequent activations, but they did activate rapid response to
convey concerns beyond clinical
-
psnet.ahrq.gov/node/34736/psn-pdf
October 24, 2017 - Medical Problem Solving: An Analysis of Clinical
Reasoning.
October 24, 2017
Elstein AS, ed. … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
Clinical reasoning … Considering the
fundamental importance of clinical reasoning, the topic has received surprisingly little … The authors also provide an excellent overview of theoretic models relevant to the study of clinical … https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
-
effectivehealthcare.ahrq.gov/sites/default/files/han.pdf
December 26, 2012 - Slide 1: Conceptual, methodological, and ethical problems
in communicating
uncertainty
in clinical … Outcomes Research and Evaluation
Maine Medical
Center
Slide 2: Communicating
uncertainty in clinical … o Meaning and nature of uncertainty in clinical evidence
• Methodological: How should we communicate … o Benefits and harms of communicating uncertainty in clinical practice
Slide 5: Uncertainty
• Main … evidence: exemplars
• Clinical prediction models (CPMs)
o “…provide the evidence-‐based input
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - data
The bottom line
Data for Monitoring Clinical Performance
Claims Data – from HCFA Mortality … Reports and
HealthGrades.com to HCUP Quality and Patient
Safety Indicators
Clinical Data – from APACHE … Data
Manual
Automated
D
at
a
C
ol
le
ct
io
n
Claims Data
Clinical Data
Efficient Use of … Clinical Data
Hemoglobin FEV1
Albumin Mental
Status
Cost to Collect
HighLow
Analytic
Power
Low … Slide Number 1
Overview
Data for Monitoring Clinical Performance
Claims Data Versus Clinical Data
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/migraine_protocol-appendix_20111103.pdf
November 03, 2011 - Trial, Randomized Controlled Trial, English
Search Lisuride AND migraine Limits: Humans, Clinical … Trial, Randomized Controlled Trial, English
Search Zotepine AND migraine Limits: Humans, Clinical … Trial, Randomized Controlled Trial, English
Search Sulpiride AND migraine Limits: Humans, Clinical … Trial, Randomized Controlled Trial, English
Search Spiperone AND migraine Limits: Humans, Clinical … Trial, Randomized Controlled Trial, English
Search Loxapine AND migraine Limits: Humans, Clinical
-
psnet.ahrq.gov/node/37210/psn-pdf
December 19, 2011 - Effects of an integrated clinical information system on
medication safety in a multi-hospital setting … Effects of an integrated clinical information system on
medication safety in a multi-hospital setting … https://psnet.ahrq.gov/issue/effects-integrated-clinical-information-system-medication-safety-multi-hospital … -
setting
This study found that integration of clinical information system technology decreased selected … medication
errors and improved drug monitoring through the use of clinical decision support alerts.