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Total Results: 598 records

Showing results for "clinical judgment".

81. Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-evidence-communication_executive.pdf
    November 01, 2013 - Findings from clinical, health services, and comparative effectiveness studies— especially as assembled … about scientifc evidence, patients’ and clinicians’ preferences and circumstances, and ways to apply judgment … • Overall strength of recommendation—The overall judgment of policymakers that evidence should be … outcomes, and knowledge, resulting in a low or insuffcient SOE judgment for most categories we compared … Articulating and responding to uncertainties in clinical research.

82. Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
    August 01, 2023 - Malpractice claims associated with serious misdiagnosis-related harms involved failures of clinical … These issues are not unique to the ED—they are seen across clinical settings, regardless of study method … We conducted a systematic review to determine the following: (1) What clinical conditions are associated … decision making or judgment, regardless of the underlying disease present. … Most often these were attributed to inadequate clinical knowledge, skills, or reasoning, particularly

83. Standardized Library of Asthma Outcome Measures (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-asthma.pdf
    April 01, 2019 - 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 … For each clinical area, the relevant registries and observational studies are identified, and registry … As a final step in the harmonization process, clinical informaticists map the narrative definitions … Clinical Response Exacerbation Exacerbations of asthma are episodes characterized by an increase in

84. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
    May 01, 2024 - 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 … We asked the panel to independently indicate a global judgment about whether health care facilities … By “global judgment,” we mean a summary judgment that takes into consideration the following factors … o Sepsis prediction and recognition PSPs may improve clinical process outcomes in neonatal ICUs.

85. Depression-Postpartum-Screening Executive (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-postpartum-screening_executive.pdf
    May 01, 2013 - Based on clinical and methodological expertise, a pair of investigators was assigned to abstract data … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … To indicate the summary judgment of the quality of individual studies, we used the overall ratings … regarding applicability, with associated signaling questions to help with these bias and applicability judgments … Summary judgments for these studies were assigned as high risk of bias, low risk of bias, or unclear

86. Slide 1
    effectivehealthcare.ahrq.gov/sites/default/files/community-based-participatory-research-slides.pptx
    January 01, 2013 - J Allergy and Clinical Immunology, 2008 Health system is here Be Well Lake County NorthShore University … screenings Health System Improvement in a CBPR Value System: Be Well Lake County Program Development: Clinical … Actively engages patients and key stakeholders throughout the research process. • Compares important clinical … outcomes that are most important to patients. • Addresses implementation of the research findings in clinical … Stakeholder engagement: An iterative process of actively soliciting knowledge, experience, judgment and

87. Traumatic-Brain-Injury-Rehabilitation Research-Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/traumatic-brain-injury-rehabilitation_research-protocol.pdf
    October 25, 2010 - hearing, smell, taste, and speech. 8 Sustained cognitive deficits may affect memory, attention, judgment … The tool requires documentation of specific study methodology or conduct and judgment of risk of bias … VA/DoD Clinical Practice Guideline for Management of Concussion/Mild Traumatic Brain Injury. … trial/ (462110) 37 clinical trial, phase i.pt. (11158) 38 clinical trial, phase ii.pt. (17717) … 39 clinical trial, phase iii.pt. (6112) 40 clinical trial, phase iv.pt. (608) 41 controlled clinical

88. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-ovarian-contraceptives_research-protocol.pdf
    March 13, 2012 - judgments. … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … To indicate the summary judgment of the quality of the individual studies, we will use the summary … We will use these data to evaluate the applicability to clinical practice, paying special attention … Because of their unique clinical or content expertise, individuals are invited to serve as Technical

89. Medical-Evidence-Communication Research-Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/medical-evidence-communication_research-protocol.pdf
    July 31, 2012 - The overall strength of evidence grade is made up of judgments about four required domains. … Force (USPSTF) makes specific determinations of net benefit and also includes applicability in their judgments … Strength of evidence requires a value judgment based on the risk of bias, consistency, precision, and … Net benefit is based on a judgment call by policymakers. … Why don't physicians follow clinical practice guidelines? A framework for improvement.

90. Comparative Effectiveness Review No. 272_Genitourinary Syndrome of Menopause: A Systematic Review (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-272-genitourinary-syndrome-executive-summary.pdf
    July 01, 2024 - judgment. … Where evidence was sufficient without an unacceptable amount of clinical heterogeneity, we conducted … We derived COE from statistical rather than clinical significance or effect magnitude, in part because … Few validated scales or thresholds for clinical importance exist which makes it difficult to translate … statistical effects into net clinical benefits.

91. AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
    April 01, 2023 - This report is not intended to be a substitute for the application of scientific judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … • Across a variety of conditions, telehealth produced similar clinical outcomes as compared with … in- person care; differences in clinical outcomes, when seen, were generally small and not clinically … o Remote consultations for outpatient care likely improve access and clinical outcomes.

92. Palliative radiation therapy for bone metastases: Update of an ASTRO Evidence-Based Guideline (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-nomination-bone-metastases.pdf
    February 01, 2017 - Although adherence to evidence-based medicine is critical, thorough expert radiation oncology physician judgment … In general, expert radiation oncology physician judgment and discretion regarding number of fractions … The physician must make the ultimate judgment regarding any specific therapy in light of all circumstances … Clinical Practice Guidelines We Can Trust. Washington, DC: The National Academies Press; 2011. 5. … American Society of Clinical Oncology Clinical Practice Guidelines: Formal systematic review-based consensus

93. Standardized Library of Lung Cancer Outcome Measures (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-lung-cancer.pdf
    August 01, 2021 - 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 … As a final step in the harmonization process, clinical informaticists map the narrative definitions … The HL7 Clinical Quality Improvement committee is actively harmonizing QDM and FHIR resources, and a … First, the workgroup did not find evidence of wide use of these instruments in clinical practice or

94. Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/stakeholder-report_0824.pdf
    August 01, 2024 - Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities … Research to Improve the Delivery of Clinical Preventive Services to People with Disabilities … Clinical preventive services, which are essential to ensure health promotion and disease prevention, … Disability and receipt of clinical preventive services among women. … recommends selectively offering or providing this service to individual patients based on professional judgment

95. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/pressure-ulcer-prevention_research-protocol.pdf
    January 10, 2012 - A recent update of a Cochrane Collaboration review 13 found only one randomized clinical trial 14 … judgment alone, and/or usual care? … judgment and/or usual care  KQs 1 and 2: Different risk assessment tools and reference standard … Technical Experts Technical Experts comprise a multidisciplinary group of clinical, content, and … Because of their unique clinical or content expertise, individuals are invited to serve as Technical

96. Hypertension-Pulmonary-Arterial Executive (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_executive.pdf
    April 01, 2013 - patients with PAH was related to diagnostic thinking efficacy and therapeutic efficacy (clinician judgment … strategy to: (a) apply predefined criteria for quality and critical appraisal and (b) arrive at a summary judgment … To indicate the summary judgment of the quality of the individual studies, we used the summary ratings … To indicate the summary judgment of the quality of the individual studies, we used the summary ratings … Updated clinical classification of pulmonary hypertension.

97. PowerPoint Presentation
    effectivehealthcare.ahrq.gov/sites/default/files/facilitation-webcast-slides.pptx
    June 13, 2013 - between personal choice and societal protection If there are acceptable strategies for maintaining clinical … Addressing the problem requires trade-offs that speak to social value judgments, e.g.: Concerns about … personal choice and concerns about societal protection If there are acceptable strategies for maintaining clinical … Prepare participants for this – it can come across as rude Onion theory – but gets to values and core judgments

98. Evidence Report on the (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/labor-nitrous-oxide_research-protocol.pdf
    August 24, 2011 - The majority of comments received during the public comment phase were judgments regarding the effectiveness … In the opinion of the team of clinical experts participating in the review, the majority of research … Critical outcomes related to nitrous oxide use are based on clinical expertise and our initial scan … We will make these judgments for each of the main key questions and any subquestions related to specific … Because of their unique clinical or content expertise, individuals are invited to serve as Technical

99. Disposition of Comments for Use of Natriuretic Peptide Measurement in the Management of Heart Failure (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-natriuretic-peptide_disposition-comments.pdf
    November 20, 2013 - Journal of Clinical Epidemiology 57:925-932. … In our judgment we had to establish the most important confounders but could not be all inclusive all … Unfortunately the literature leans heavily on clinical judgment with all its failings. … The clinical context has been described as recommended in current clinical practice guidelines. … In our judgment the clinical heterogeneity precluded summary estimate computations.

100. Evidence Report on the (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-centered-medical-home_research-protocol.pdf
     February 23, 2012 - Clinical outcomes: a. … Components of such programs could include clinical decision support tools (clinical guidelines, point-of-care … Clinical outcomes: i. … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … To indicate the summary judgment of the quality of the individual studies, we will use the summary