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Showing results for "clinical judgment".

321. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
     February 01, 2017 - Appreciate that order sets may encourage a mechanistic focus that may prevent a deeper consideration of clinical … Health Inform. 2015;7:e211. https://www.ncbi.nlm.nih.gov/pubmed/26392842 * Utility of Order Sets in Clinical … the orders should not necessarily be followed without exception * * Utility of Order Sets in Clinical … with order sets in the EHR However, the order set did not reduce errors completely Users may cede judgment … move from one task to the next Easy to imagine health care providers consequently only considering clinical

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867985/psn-pdf
     January 01, 2025 - suicide prevention efforts after discharge.20 Additional obstacles include time constraints during clinical

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857259/psn-pdf
     November 30, 2023 - Cognitive Bias   Cognitive bias can contribute to errors in judgment or thinking leading to an incorrect … nurse-to-patient ratio, California implemented a 1:2 (or fewer) https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine … 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. 

324. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
     January 01, 2024 - cognitive bias should be balanced by an acknowledgement of the role of intuition and professional judgment … identifying patients with sepsis, they tend to have high sensitivity and may be paired with a clinician’s judgment … Clinical Decision Support Tools for the Identification of Bacterial Pneumonia (2) • Other clinical … From mindless to mindful practice--cognitive bias and clinical decision making. … An overview of clinical decision support systems: benefits, risks, and strategies for success.

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60977/psn-pdf
     January 08, 2020 - When a prescription contains errors, the pharmacist is obligated to use their professional judgment … and known medication allergies, that would enable pharmacists to thoroughly assess and verify the clinical … (d) Whenever a pharmacist deems it warranted in the exercise of his or her professional judgment, oral … Pharmacists must exercise their professional judgment by contacting the prescriber when they identify … mailto:kchin@ucdavis.edu vchau@ucdavis.edu  Hannah Spero, MSN, APRN, NP-C  Health Sciences Assistant Clinical

326. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
     December 23, 2020 - When a prescription contains errors, the pharmacist is obligated to use their professional judgment and … clearance and known medication allergies, that would enable pharmacists to thoroughly assess and verify the clinical … (d) Whenever a pharmacist deems it warranted in the exercise of his or her professional judgment, oral … Pharmacists must exercise their professional judgment by contacting the prescriber when they identify … Services  UC Davis Health  vchau@ucdavis.edu   Hannah Spero, MSN, APRN, NP-C  Health Sciences Assistant Clinical

327. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
     November 01, 2003 - lasting 7 hours Concern over possible delay in obtaining portable x-ray Time waiting for x-ray may have clinical … tip was in the body cavity Surgeon not listening Preoccupied, fatigued Surgeon perturbed that his judgment

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865419/psn-pdf
     March 27, 2024 - cognitive bias should be balanced by an acknowledgement of the role of intuition and professional judgment … identifying patients with sepsis, they tend to have high sensitivity and may be paired with a clinician’s judgment … From mindless to mindful practice--cognitive bias and clinical decision making. … An overview of clinical decision support systems: benefits, risks, and strategies for success. … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41(1):110-120.

329. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet
     psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
     June 01, 2018 - 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. … RW : For areas where somebody is making a judgment about a kidney stone or about appendicitis, how accurate

330. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet
     psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
     March 27, 2024 - of cognitive bias should be balanced by an acknowledgement of the role of intuition and professional judgment … identifying patients with sepsis, they tend to have high sensitivity and may be paired with a clinician’s judgment … From mindless to mindful practice--cognitive bias and clinical decision making. … An overview of clinical decision support systems: benefits, risks, and strategies for success. … Cognitive forcing strategies in clinical decisionmaking.

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33850/psn-pdf
     January 01, 2018 - may contribute to the introduction of inaccurate information within patients' records and cloud the judgment … notes for decision making, suggesting that progress notes are still considered the primary source of clinical … paste, just two studies were identified that demonstrated a relationship between copy and paste and clinical … Ultimately, physicians need to reestablish ownership of the accuracy of clinical documentation. … Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation

332. Mark My Tooth | PSNet
     psnet.ahrq.gov/web-mm/mark-my-tooth
     June 01, 2014 - Any judgment or settlement that requires a dental licensee or their insurer to pay damages in excess … 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. … September 29, 2017 Prevention of wrong-site tooth extraction: clinical guidelines. … May 21, 2013 Prevention of wrong-site tooth extraction: clinical guidelines.

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49670/psn-pdf
     November 01, 2012 - of more than $10 billion.(1) Guidelines dictate that the diagnosis of CAP requires the presence of clinical … A thorough history and physical exam must be combined with sound clinical judgment to differentiate … For example, several well-validated clinical prediction rules have been combined with measurement of … This particular patient's Wells clinical prediction tool for PE results in a score of 1.5 (points are … reported, even with parapneumonic effusions and empyema.(14) At this point, the role of PCT in the clinical

334. Good Night's Sleep Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
     September 01, 2015 - 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 … 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

335. All in the History | PSNet
     psnet.ahrq.gov/web-mm/all-history
     February 28, 2011 - to 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. … handoff between the ED and inpatient teams should be brief but standardized to include the pertinent clinical … Christopher Fee, MD Assistant Clinical Professor of Emergency Medicine University of California, San

336. Are We Pushing Graduate Nurses Too Fast? | PSNet
     psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
     November 16, 2022 - Although this education includes exposure to new technologies and administering complex clinical treatments … Part of the problem is simply a matter of volume: on top of the traditional clinical nursing skills, … Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical … judgment in nursing practice and education. … Examining the impending gap in clinical nursing expertise.

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49623/psn-pdf
     March 01, 2011 - Although this education includes exposure to new technologies and administering complex clinical treatments … Part of the problem is simply a matter of volume: on top of the traditional clinical nursing skills, … Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical … judgment in nursing practice and education. … Examining the impending gap in clinical nursing expertise.

338. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
     January 01, 2020 - that may indicate serious non- cardiac illness • Categorize systemic anticoagulation as a high-risk clinical … Framing Effects on Physicians' Judgment and Decision-Making. … Journal of Clinical Neuroscience. 2015;22:1959-1962. 10. Levis J. … Cognitive forcing strategies in clinical decisionmaking. … Validation of test performance and clinical time zero for an electronic health record embedded severe

339. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - I was trained in anesthesiology and critical care and did a PhD in clinical research. … those two cultures—quality improvement and clinical research. … Indeed, I test interventions first in my own ICU and my clinical practice. … intervention do double duty as the main data source.( 7 ,10 ) Do the outcomes involve subjective judgments … preventability of such events.( 11 ) It is crucial, therefore, that studies focused on outcomes involving such judgments

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33848/psn-pdf
     December 01, 2017 - In my judgment, we should consider assessing hand–eye coordination when students apply to surgical residencies … Entrustment decision making in clinical training. Acad Med. 2016;91:191-198. [go to PubMed] 4. … Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting … Bainbridge D, Martin J, Arango M, Cheng D; Evidence-based Peri-operative Clinical Outcomes Research