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Showing results for "clinical judgment".

  1. effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_executive.pdf
    November 01, 2014 - Clinical response or mechanical ventilation? b. Morbidity or mortality? c. … Clinical response or mechanical ventilation? b. Morbidity or mortality? c. … PK/PD measures, different targets of PK/PD measures, or usual care (e.g., physician discretion or judgment … the broad adoption of PK/PD dosing optimization in the clinical arena. … explained, clearly identifying how the investigators defined those outcomes (e.g., clinician judgment
  2. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-275-people-with-disabilities-disposition-comments.pdf
    September 16, 2024 - Disposition of Comments_Comparative Effectiveness Review No. 275: Healthcare Delivery of Clinical Preventive … Healthcare Delivery of Clinical Preventive Services for People With Disabilities. … Scoring disability is more or less severe is a judgment made based on antiquated constructs of disability … section outlined the possibility that “summarizing and synthesizing in this way requires subjective judgments … considered to fall within different categories, and it is possible that others might make different judgments
  3. effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_research-protocol.pdf
    September 20, 2013 - We will use these comparisons to inform our judgments on the applicability of study findings to clinicalJudgment on the potential for selective outcome reporting bias will be based on reporting patterns for … inherently subjective, we will explicitly present all operational decisions and the rationale for our judgment … Ten-­‐year  risk  of  false  positive  screening  mammograms   and  clinical  breast … Because of their unique clinical or content expertise, individuals are invited to serve as Technical
  4. Untitled (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/infertility_research-protocol.pdf
    October 12, 2015 - Clinical!trial[pt]!OR!“clinical!trial”[tiab]!OR!“clinical!trials”[tiab]!OR!"evaluation! … As recommended by the Guide, judgments about the benefit of performing a new quantitative estimate will … using the domains of study limitations, consistency, precision, directness and reporting bias) and a judgment … For a decision analysis or simulation model, feasibility will be based on a judgment about the degree … observational studies would generally not contribute to estimates of the magnitude of effect, and judgment
  5. effectivehealthcare.ahrq.gov/sites/default/files/related_files/insomnia_protocol-140716.pdf
    April 03, 2014 - When the two investigators disagree, a third party will be consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. G. … Clinical Gerontologist. 2013 Jan;36(1):70-93. PMID WOS:000312700500005. 10. … Clinical diagnosis and misdiagnosis of sleep disorders. … In: Higgins JPT, randomized clinical trials of insomnia Green S, eds.
  6. effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_research-protocol.pdf
    April 03, 2014 - When the two investigators disagree, a third party will be consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. G. … Clinical Gerontologist. 2013 Jan;36(1):70-93. PMID WOS:000312700500005. 10. … Clinical diagnosis and misdiagnosis of sleep disorders. … Measuring outcomes in randomized clinical trials of insomnia treatments.
  7. effectivehealthcare.ahrq.gov/sites/default/files/related_files/outcomes-dental-services-rapid-research.pdf
    May 01, 2025 - This report is not intended to be a substitute for the application of clinical judgment. … We also consulted our clinical subject matter experts (SMEs) for relevant clinical practice guidelines … clinical practice guidelines. … Domain Signaling Question Response Options Y/PY/N/PN/NI/ NA Domain And Overall Scores Overall ROB Judgment … Domain Signaling Question Response Options Y/PY/N/PN/NI/ NA Domain And Overall Scores Overall ROB Judgment
  8. effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-diagnosis_research-protocol.pdf
    June 06, 2011 - when compared with the benefits of the procedure, and coronary angiography is now the standard for clinical … Define which NIT is appropriate for individual patients given relevant clinical circumstances. … Discerning such a definition would be appropriate for a clinical guideline document but does not fit … design, (2) apply predefined criteria for quality and critical appraisal, and (3) make a summary judgment … To indicate the summary judgment of the quality of the individual studies, we will use the summary ratings
  9. effectivehealthcare.ahrq.gov/sites/default/files/pdf/telehealth-commentary-white-paper.pdf
    May 01, 2020 - hospital spaces and non-healthcare facilities into intensive care units (ICUs) to rolling out new clinical … There is a large volume of research reporting that clinical outcomes with telehealth are as good as or … Across clinical topics, outpatient telehealth consultations consistently improved access and reduced … This report is not intended to be a substitute for the application of clinical judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in
  10. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research-2012.pdf
    January 01, 2012 - This report is not intended to be a substitute for the application of clinical judgment. … compare benefits and harms (or justification for not using a quantitative approach); Step III: Judgments … However, systematic reviewers should not make premature judgments about the need for a quantitative … the incorporation of uncertainty; and the option to explore the extent to which every criterion, judgment … Vignette studies of medical choice and judgment to study caregivers' medical decision behaviour:
  11. effectivehealthcare.ahrq.gov/products/n-1-trials/research-2014-4
  12. effectivehealthcare.ahrq.gov/sites/default/files/pdf/procalcitonin_research-protocol.pdf
    September 08, 2011 - The following Key Clinical Questions and Analytic Framework outline the approach and key issues to … No changes were made to the key clinical questions based on the public comments. … Procalcitonin for the clinical laboratory: a review. Pathology 2007;39(4):383-90. 10. … These outcomes were determined by judgments made by treating clinicians who had knowledge of whether … www.effectivehealthcare.ahrq.gov Published Online: September 8, 2011 hospital/ICU length of stay are determined by judgments
  13. effectivehealthcare.ahrq.gov/sites/default/files/pdf/infantile-epilepsy-amended-protocol.pdf
    March 07, 2021 - children from birth to under three years of age and will inform AES considerations of appropriate clinical … This categorization will not be based on a numerical score, but rather will be a subjective judgment … To assist the domain judgments, where available, we will use the minimal important difference (MID) … Seizures and epilepsy in children: classification, etiology, and clinical features. … (NICE Clinical Guidelines; no.137).
  14. M (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/systematicreviewsreplacedenovo.pdf
    September 01, 2009 - For issues of this type, the input of clinical experts can be particularly useful to determine changes … If EPCs plan to include randomized and controlled clinical trials and high-quality comparative cohort … rating instruments, delineating objective definitions is difficult; EPCs then must apply subjective judgments … 6 Assessing and rating quality using discrete categorical choices can make quality judgments appear … Poor-quality SRs contain a serious flaw or flaws that, in the judgment of the EPC conducting the CER
  15. M (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-de-novo-processes_methods.pdf
    September 01, 2009 - For issues of this type, the input of clinical experts can be particularly useful to determine changes … If EPCs plan to include randomized and controlled clinical trials and high-quality comparative cohort … rating instruments, delineating objective definitions is difficult; EPCs then must apply subjective judgments … 6 Assessing and rating quality using discrete categorical choices can make quality judgments appear … Poor-quality SRs contain a serious flaw or flaws that, in the judgment of the EPC conducting the CER
  16. effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-tympanostomy_research.pdf
    June 01, 2017 - This report is not intended to be a substitute for the application of clinical judgment. … Clinical Trials; ISRCTN: International Standard Registered Clinical/soCial sTudy Number; EUCTR: European … Union Clinical Trails Registry; PMID: PubMed Identifier. … In general, the records did not provide sufficient information to make judgments on risk of bias, but … Data identified via registry searches generally provided insufficient evidence to make judgments on
  17. effectivehealthcare.ahrq.gov/sites/default/files/related_files/autism-adolescents_disposition-comments.pdf
    August 27, 2012 - judgments to know if a treatment is effective for helping different people in different situations. … contexts where judgments and decisions are made by individual clinicians informed by evidence, expert … judgments, and patient considerations. … Drawn from research or clinical studies experience? … TEP #5 Methods i would say up front that you checked the clinical trials registry.
  18. effectivehealthcare.ahrq.gov/sites/default/files/pdf/multiple-sclerosis_research-protocol.pdf
    December 17, 2013 - The pertinent clinical question for switching medications is what should the threshold level of disease … agreement cannot be reached through consultation, a third party will be consulted to reconcile the summary judgment … No evidence is available or the body of evidence precludes judgment. G. … Journal of Clinical Epidemiology. 2011. 13. Norris S, Holmer H, Ogden L, et al. … Technical Experts Technical Experts comprise a multidisciplinary group of clinical, content, and
  19. effectivehealthcare.ahrq.gov/sites/default/files/pdf/clinical-pathway-methods-report.pdf
    December 01, 2018 - and non-clinical members. … This report is not intended to be a substitute for the application of clinical judgment. … Clinical pathways are one method of promoting the uptake of evidence into clinical practice. … The CDI treatment clinical pathway was approved by the clinical stakeholders and disseminated through … First, guidelines are an evidence synthesis product and incorporate clinical judgment and provide recommendations
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/antiplatelet-treatment_disposition-comments.pdf
    September 25, 2013 - Table B (Executive Summary) of the Draft Report provided a summary of the rationale for our judgment … ROB assessment and SOE grading indeed incorporate subjective judgments. … We opted to leave this judgment to readers. … statistical methods for meta-analysis, there seems to have been a considerable amount of subjective judgment … Directness refers to a judgment of how the evidence fits the analytic framework.

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