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Showing results for "clinical judgment".

421. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
     May 01, 2025 - team training; unit-based safety improvement projects and monitoring; and annual clinical team … The toolkit incorporates clinical best practices, creating a culture of safety, using checklists and … This report is not intended to be a substitute for the application of clinical judgment. … Most AHRQ documents are publicly available to use for noncommercial purposes (research, clinical or … Adopting high reliability organization principles to lead a large scale clinical transformation.

422. Dementia-Agitation-Aggression Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_executive.pdf
     March 01, 2016 - This was more common in the past but still occurs today despite current clinical guidance recommending … In certain situations, a third party was consulted to reconcile the summary judgment. … No evidence available or the body of evidence precludes judgment. … The more that interventions require clinical judgment, the more difficult they are to implement, especially … Treatment of agitation in AD: a randomized, placebo-controlled clinical trial.

423. Diabetes-Behavior-Programs Research-Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-behavior-programs_research-protocol.pdf
     June 05, 2014 - The final data extraction form will be reviewed by the TEP to ensure that all items of clinical or … For all domains we will describe the logic and rationale for our judgments. … Clinical practice guidelines: self-management education. Can J Diab. 2013;37(Suppl. 1):S26-S30. … National Institute for Health and Clinical Excellence. The management of type 2 diabetes. … Clinical Diabetes. 2006;24(4):154-5. 34. Public Health Agency of Canada. Glossary of terms.

424. Evidence-based Practice Center Systematic Review Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/phenylketonuria_research-protocol.pdf
     March 29, 2011 - Not all patients with PKU respond to sapropterin dihydrochloride; in clinical trials, approximately … We will make these judgments as appropriate for each of the main KQs and any subquestions related to … Clinical teratology. In DL Rimoin, JM Connor, RE Pyreritz, BR Korf (eds.) … Clinical teratology. In DL Rimoin, JM Connor, RE Pyreritz, BR Korf (eds.) … Because of their unique clinical or content expertise, individuals are invited to serve as... XI.

425. Mental-Illness-Heart Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-heart_executive.pdf
     April 01, 2013 - We next convened a TEP comprising clinical, content, and methodological experts to provide input in … Where possible, we used existing validated search filters (such as the Clinical Queries Filters in … Based on clinical and methodological expertise, a pair of investigators was assigned to abstract data … To indicate the summary judgment of the quality of the individual studies, we used the summary ratings … Implications for Clinical and Policy Decisionmaking The U.S.

426. Disposition of Comments for Treatments for Fibromyalgia in Adult Subgroups (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/fibromyalgia_disposition-comments.pdf
     January 26, 2015 - Interpreting the clinical importance of treatment outcomes…. (2008) The Journal of Pain 9(2). … of bias assessments and, when needed, a third investigator was consulted to reconcile the summary judgment … Few men were included in clinical trials. … The etiology will remain unknown until the clinical studies involve mental Health Specialists. … Journal of Clinical Epidemiology. 2014; 67(5): 547-53. Thank you for your suggestion.

427. PCA3 Testing in the Diagnosis and Management of Prostate Cancer: Future Research Needs (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-antigen-3-gene_research.pdf
     April 01, 2013 - This report is not intended to be a substitute for the application of scientific judgment. … Less resource-intense and shorter than a randomized clinical trial. … Clinical characteristics can be carefully balanced. … At any set clinical sensitivity, the clinical specificity of PCA3 testing is higher than that of tPSA … In addition, at any set clinical specificity, the clinical sensitivity of PCA3 was higher than that

428. Dental Care for People With Sickle Cell Disease: A Rapid Response Literature Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/sickle-cell-dental-rapid-response.pdf
     July 01, 2024 - • Three clinical practice guidelines and two reviews with consensus-based recommendations for dental … The clinical subject matter expert reviewed the final report to ensure accurate clinical contextualization … Systematic reviews: synthesis of best evidence for clinical decisions. … Standard for Clinical Care of Adults with Sickle Cell Disease in the UK. 2023. 15. … This report is not intended to be a substitute for the application of clinical judgment.

429. Future Research Needs for Angiotensin-Converting Enzyme Inhibitors (ACEIs), Angiotensin II Receptor Antagonists (ARBs), or Direct Renin Inhibitors (DRIs) for Treating Hypertension (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-future_research.pdf
     March 01, 2012 - This report is not intended to be a substitute for the application of scientific judgment. … If not, then large long-term clinical trial or observational study would be preferable. 2. … benefits and potential clinical harms • Represents important variation in clinical care, or controversy … Hypertension Research - Clinical & Experimental 33 (Nov) 1150-4 ClinicalTrials.gov: The Clinical … Comparative assessment of angiotensin receptor blockers in different clinical settings.

430. Disposition of Comments for Strategies To Prevent Weight Gain Among Adults (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/weight-gain-prevention_disposition-comments.pdf
     March 25, 2013 - Peer Reviewer 1 Results In some places only clinical significance is reported, in other places only … , that would be of tremendous clinical relevance. … should this be a clinical outcome? … Agreed that mortality could be an adverse event or a clinical outcome. … We then tie that finding with the strength of evidence which allows us to make a judgment if the current

431. Layout 1 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_executive.pdf
     January 01, 2006 - comparative benefits and harms of oral treatments for osteoarthritis vary for certain demographic and clinical … differences in risks of serious GI events in several meta-analyses of up to 28 primarily short-term clinical … 4 5 • Nabumetone or etodolac: There was insufficient evidence to make reliable judgments … • Compared with NSAIDs, acetaminophen had fewer GI side effects (clinical trials data) and serious … Differences in demographic and clinical subgroups • GI and CV complication rates are higher among older

432. Improving the Management of Menopausal Symptoms in Perimenopausal and Early Postmenopausal Women: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/menopausal-symptoms-protocol.pdf
     October 15, 2024 - We will include unpublished evidence only if enough details are available to make a judgment about … trials, controlled clinical trials, nonrandomized interventions (cohorts and case-control studies … Journal of Clinical Endocrinology & Metabolism. 2021 01 01;106(1):1-15. doi: 10.1210/clinem/dgaa764. … The clinical utility of compounded bioidentical hormone therapy: a review of safety, effectiveness, … Compounded bioidentical menopausal hormone therapy: ACOG clinical consensus No. 6.

433. Improving the Management of Menopausal Symptoms in Perimenopausal and Early Postmenopausal Women: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/menopausal-symptoms-protocol-final.pdf
     October 15, 2024 - We will include unpublished evidence only if enough details are available to make a judgment about … trials, controlled clinical trials, nonrandomized interventions (cohorts and case-control studies … Journal of Clinical Endocrinology & Metabolism. 2021 01 01;106(1):1-15. doi: 10.1210/clinem/dgaa764. … The clinical utility of compounded bioidentical hormone therapy: a review of safety, effectiveness, … Compounded bioidentical menopausal hormone therapy: ACOG clinical consensus No. 6.

434. FRN 41 - Noninvasive Technologies for the Diagnosis of Coronary Artery Disease in Women: Future Research Needs (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-diagnosis-future_research_1.pdf
     February 01, 2013 - This report is not intended to be a substitute for the application of scientific judgment. … How does the pretest probability of CAD impact the findings on clinical decisionmaking? 2. … How does the pretest probability of CAD impact the findings on clinical decisionmaking? … How does the pretest probability of CAD impact the findings on clinical decisionmaking? … The impact of NIT on clinical outcomes in women is an understudied area.

435. Ptsd-Adults-Trauma-Interventions Research-Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adults-trauma-interventions_research-protocol.pdf
     November 08, 2012 - judgment by the provider given the complexity of presentations, variability of context, need, and logistical … In: Shiromani PJ, editor Post- traumatic stress disorder: Basic science and clinical practice: Humana … Comparative effectiveness review methods: Clinical heterogeneity. … Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID PTSD Module). … PTSD Interview (PTSD- I)24, 57 • Structured clinical interview.

436. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Final Report (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/outcome-research-white-paper.pdf
     June 01, 2022 - 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 … Further work is needed to explore the utility of the FIBSER in routine clinical care. … All clinical data accessed by the app are documented and stored elsewhere in the EHR. … Harmonized outcome measures for use in asthma patient registries and clinical practice.

437. Kidney-Stone-Prevention Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stone-prevention_executive.pdf
     March 01, 2013 - • Other than stone recurrence, there was minimal trial reporting of clinical outcomes. … Journal of Clinical Epidemiology. 2010 May;63(5):513-23. PMID: 19595577. 37. … Urolithiasis and Related Clinical Research. New York, Plenum Press; 1985:521-4. 41. … Journal of Clinical Epidemiology. 1992 Aug;45(8):911-6. PMID: 1624973. 56. … 12-EHC049-1 July 2012 Revised March 2013 We also clarified how we assessed the four domains for judgment

438. Technical-Brief-31-Mobile-Health-Applications-For-Self-Management-Of-Diabetes (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/tech-brief-31-mobile-applications-self-mgmt.pdf
     May 01, 2018 - 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 … Watts, DNP, FNP-BC, CDE Clinical Nurse Advisor, Metabolic Syndrome & Diabetes FAC for VHA Office of … masking of participants and providers in our risk of bias tool, we considered the bias in our overall judgments … The rationale for each judgment is described in the “Results” section.

439. Linking Dental Services to Treatment Outcomes for Diabetes: A Rapid Response Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/treatment-outcomes-diabetes-rapid-research.pdf
     November 01, 2024 - This report is not intended to be a substitute for the application of clinical judgment. … Journal of clinical periodontology 2024, 51 (6), 733–741. … Clinical oral investigations 2023, 27 (4), 1329–1342. … Contemporary clinical dentistry 2023, 14 (1), 45–51. … Journal of clinical periodontology 2024, 51 (4), 380–389.

440. Biomarkers for Assessing and Managing Iron Deficiency Anemia in Late-Stage Chronic Kidney Disease: Future Research Needs (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-kidney-disease-anemia_research.pdf
     January 01, 2013 - This report is not intended to be a substitute for the application of scientific judgment. … National Clinical Guideline Centre; 2011. … KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Anemia in Chronic Kidney … • Incorporates issues around both clinical benefits and potential clinical harms. … clinical care