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Total Results: 562 records

Showing results for "clinical judgment".

301. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
     psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
     February 01, 2017 - Then we're left with work that has more thinking, more judgment, more coordinating with other people … Instead, many people—working alone and together—need to use judgment to respond to new situations that … ideas that people will bring to the project, or to the work, instead of inadvertently discouraging judgment … They need to be explicit in communicating that judgment is needed by all. … Further, there was little research on the link between TeamSTEPPS and improvements in clinical process

302. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
     psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
     February 01, 2017 - Further, there was little research on the link between TeamSTEPPS and improvements in clinical process … Then we're left with work that has more thinking, more judgment, more coordinating with other people … Instead, many people—working alone and together—need to use judgment to respond to new situations that … ideas that people will bring to the project, or to the work, instead of inadvertently discouraging judgment … They need to be explicit in communicating that judgment is needed by all.

303. In Conversation with…Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
     March 24, 2025 - first are things we do to ourselves; these are self-inflicted wounds that result from internalized judgments … RW : Some of these models blend peer support and counseling with clinical feedback, and you can envision … The clinical feedback is, in fact, you did make a terrible error. … The case tried repeatedly before an incredulous jury of peers who returned a summary judgment of incompetence … I feel this myself in talking about my clinical errors over my career.

304. Medication Mix-Up Leads to Patient Death | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
     July 08, 2022 - Cognitive Bias    Cognitive bias can contribute to errors in judgment or thinking leading to an incorrect … staffing is unknown in this case, understaffing may increase the likelihood of the cognitive errors in clinical … Cognitive and implicit biases in nurses’ judgment and decision-making: a scoping review.  … WebM&M Cases A framework for assessing reasoning about controversial end-of-life clinical … April 17, 2013 Repurposing clinical decision support system data to measure dosing errors

305. In Conversation With… Richard Hoppmann, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
     June 01, 2018 - RW : For areas where somebody is making a judgment about a kidney stone or about appendicitis, how accurate … Prioritizing patient safety in building and implementing a POCUS program involves careful attention and judgment … regarding valvular pathology.( 9 , 11 ) Defining and implementing scope of practice for POCUS requires judgment … Building a POCUS program that optimizes patient safety and patient-centered outcomes requires judgment … Ultrasound guidelines: emergency, point-of-care, and clinical ultrasound guidelines in medicine.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49445/psn-pdf
     May 01, 2004 - The judgment ruled in her favor, saying that the hospital and ED staff violated her civil rights and … efforts, and highlights the need to pay close attention to patients' wishes, regardless of the potential clinical

307. The ECG Is Not Normal | PSNet
     psnet.ahrq.gov/web-mm/ecg-not-normal
     November 10, 2015 - some point, provided a close relative with medical care, be it an off-the-cuff opinion or a long-term clinical … doctors should depend on their colleagues to care for sick relatives, for "solicitude obscures the judgment … or any one who by the ties of consanguinity is rendered peculiarly dear to him, tend to obscure his judgment … A parent-turned-doctor cast a professional eye over a test result that made little clinical sense. … Abigail Zuger, MD Associate Professor of Clinical Medicine Columbia University Medical Center

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49755/psn-pdf
     February 01, 2016 - Clinical judgment is needed to weigh the potential risks and benefits of utilizing such agents and to … Other comorbid conditions, such as dementia, may also cloud a patient's clinical picture and make it … a decrease in sleep aid use among hospitalized patients.(10) Other steps involve education of the clinical … Clinical decision-making can be improved through the use of insomnia order sets to prevent inappropriate … Degrado, PharmD Critical Care Clinical Pharmacy Specialist Department of Pharmacy Services Brigham and

309. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
     December 01, 2009 - Epub ahead of print]. http://www.ncbi.nlm.nih.gov/pubmed/19762659 Defining “Standard of Care” Clinical … adoption of evidence-based guidelines American Medical Association advocates “competent care”—to avoid judgment … Poor therapeutic relationships Lack of provider cultural competence Side effects from medications Clinical … Providers Physicians, nurses, and other health care providers may be confused and deeply troubled when clinical

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49627/psn-pdf
     June 01, 2011 - some point, provided a close relative with medical care, be it an off-the-cuff opinion or a long-term clinical … ecg-not-normal depend on their colleagues to care for sick relatives, for "solicitude obscures the judgment … or any one who by the ties of consanguinity is rendered peculiarly dear to him, tend to obscure his judgment … A parent-turned-doctor cast a professional eye over a test result that made little clinical sense. … Abigail Zuger, MD Associate Professor of Clinical Medicine Columbia University Medical Center St.

311. Patient perceptions of mistakes in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
     July 29, 2015 - April 9, 2013 Information distortion in physicians' diagnostic judgments.

312. Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. | PSNet
     psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
     May 26, 2021 - May 19, 2021 Cognitive and implicit biases in nurses' judgment and decision-making: a

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838972/psn-pdf
     October 27, 2022 - This process also exposes potential staff biases and judgments regarding the patient and their family … resolution techniques have been created to help care providers manage difficult and emotionally charged clinical … Amy A Nichols, RN EdD CNS CHSE ANEF Associate Editor, PSNet Associate Dean of Academics, Clinical Professor

314. Balancing Supervision and Autonomy: An Ongoing Tension | PSNet
     psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
     February 01, 2012 - Myers, MD Associate Professor of Clinical Medicine, Division of General Internal MedicineDirector of … How residents view their clinical supervision: a reanalysis of classic national survey data. … LS : I think supervision and completely substituted judgment are not the same thing. … If on the other hand, we expect people to collect their own dataset, make their own judgment, order their … between using the hospital only for procedures and critically ill patients, while all the real thinking, judgment

315. In Conversation With… Lawrence Smith, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
     February 01, 2012 - The very good residents thrived in that situation, and the weak residents developed poor clinical behaviors … LS : I think supervision and completely substituted judgment are not the same thing. … If on the other hand, we expect people to collect their own dataset, make their own judgment, order their … between using the hospital only for procedures and critically ill patients, while all the real thinking, judgment … How residents view their clinical supervision: a reanalysis of classic national survey data.

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49579/psn-pdf
     March 21, 2009 - care, this should be done in accordance with the 2008 Patient Safety Goal 2E guidelines.(6) Based on clinical … initiate or intensify therapy when indicated) or cognitive biases (the tendency to make errors in judgment … This cultural chasm can contribute to admitting teams' mistrust of ED ability, judgment, or professionalism … This should be done initially and intermittently as the clinical case evolves. … Christopher Fee, MD Assistant Clinical Professor of Emergency Medicine University of California, San

317. Missed Nursing Care | PSNet
     psnet.ahrq.gov/primer/missed-nursing-care
     September 15, 2024 - In Kalisch's model, a nurse faced with restricted resources uses the nursing process to determine clinical … influenced by four individual-level factors: the nurse's perceptions of team or group norms; the nurse's judgment … The outcome of the clinical prioritization process in the face of resource or time scarcity is missed … analysis may be required to develop mechanisms to nimbly deploy appropriately skilled nursing staff to clinical … A well-organized, reliable supply chain for medications, clinical supplies , and equipment may contribute

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33741/psn-pdf
     November 01, 2012 - "(17) Subjectivity and interobserver disagreement are simply part of clinical medicine, and physical … Restoring physical diagnosis to its proper place in clinical medicine requires two types of changes. … The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. … Clinical prediction rule for pulmonary infiltrates. Ann Intern Med. 1990;113:664-670. … Comparison of physician judgment and decision aids for ordering chest radiographs for pneumonia in outpatients

319. The Unhappy Patient Leaves Against Medical Advice. | PSNet
     psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
     January 31, 2024 - This process also exposes potential staff biases and judgments regarding the patient and their family … resolution techniques have been created to help care providers manage difficult and emotionally charged clinical … Amy A Nichols, RN EdD CNS CHSE ANEF Associate Editor, PSNet Associate Dean of Academics, Clinical Professor … March 1, 2023 Patient Safety Primers Debriefing for Clinical

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49541/psn-pdf
     August 21, 2007 - failures.(1) Elements of an educational program include case-based materials, information feedback, and clinical … Any judgment or settlement that requires a dental licensee or their insurer to pay damages in excess … Take-Home Points Incorporate the preoperative verification process into clinical practice (correct patient … Smith, DDS Clinical Professor Emeritus University of California, San Francisco References 1. … Office-based ambulatory anesthesia: outcomes of clinical practice of oral and maxillofacial surgeons