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Total Results: 562 records

Showing results for "clinical judgment".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33621/psn-pdf
     November 01, 2005 - intervention aimed at saving lives by identifying and intervening in patient care at the first sign of clinical … Failing to recognize or, perhaps more often, failing to assign specific meanings to, a given set of clinical … changes, such as an increased heart rate, is a well-documented cause of unchecked clinical deterioration … Although some of the value of the RRT is the recognition that certain clinical changes may be harbingers … Many nurses find it empowering to have the capacity to activate the RRT simply because, in their judgment

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49594/psn-pdf
     December 01, 2009 - Defining the clinical standard of care for a homeless IV drug user is complex. … The first 2 weeks of treatment apparently went reasonably smoothly, but at that point a new clinical … Research and clinical experience suggest that when homeless people reject services they do so "on the … judgment. … Physicians and nurses may be confused and deeply troubled when clinical, ethical, and legal standards

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33880/psn-pdf
     May 01, 2019 - Delays, interruptions, or distractions are common and may contribute to error in judgment, medication … simulation-based training has been linked to improved performance with the low-frequency, high-risk clinical … Yealy, MD Professor (tenured) and Chair of Emergency Medicine Professor of Medicine and Clinical and … Emergency Medical Services: Clinical Practice and Systems Oversight. Vol 2. … Emergency Medical Services: Clinical Practice and Systems Oversight. Vol 2.

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850362/psn-pdf
     June 14, 2023 - Patient A was discharged after he received appropriate clinical care and his acute symptoms resolved … Technology is binary and unable to utilize clinical judgement to guide priorities and maintain an effective … qualitative study in a large academic medical center, nurses exerted agency by trusting their own judgment … and evaluate their professional work. 9,10 Accordingly, technology should be used as an adjuvant to clinical … Disappearing expertise in clinical automation: barcode medication administration and nurse autonomy.

345. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
     June 01, 2015 - Judgment under uncertainty: heuristics and biases. … reasoning 18 Clinical Reasoning Toolkit. … Performance of a Web-based clinical diagnosis support system for internists. … Performance of a Web-based clinical diagnosis support system for internists. … Performance of a Web-based clinical diagnosis support system for internists.

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33630/psn-pdf
     March 01, 2006 - In our judgment, classroom-based team training with low-level simulation is the most effective way to … The second goal of team training is to successfully transfer the KSAs to the clinical arena and to improve … This reinforces the KSAs learned during the teaching phase and helps to translate them into clinical … constant reinforcement of the KSAs learned in the classroom and ongoing coaching and mentoring by clinical … at Vanderbilt has found that class-based team training has lead to dramatic improvements in several clinical

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33692/psn-pdf
     February 01, 2010 - safety in the learning environment, as well as educational supervisory systems that permit independent judgment … are capable of proficiency in practice in a US system with limited or no supervision in individual clinical … Similarly, if they are excessively fatigued and not able to render high-quality patient care or clinical … judgment, they should assure their patients that they're being cared for by a physician who can. … We would have the ability to link that to clinical outcomes of our patients, which is our ultimate mission

348. Missed Pneumonia | PSNet
     psnet.ahrq.gov/web-mm/missed-pneumonia
     June 01, 2005 - 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 these … 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 … of biomarkers, may facilitate the diagnosis, there is no "holy-grail" diagnostic test, no foolproof clinical

349. Interpreting the Patient Safety Literature | PSNet
     psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
     June 01, 2005 - 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 … 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.

350. DNR in the OR and Afterwards | PSNet
     psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
     July 01, 2003 - in both approach to and outcomes of life-sustaining interventions in the operating room versus other clinical … After the patient has recovered from anesthesia, the clinical conditions that justify “suspending” the … reinstitute the DNR order when the patient leaves the postoperative recovery room, when the patient’s clinical … condition is stable.( 2 ) However, in some clinical situations, continuing to provide life-sustaining … June 22, 2022 HIPAA and patient care: the role for professional judgment.

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33646/psn-pdf
     February 01, 2007 - Isabel, a clinical decision support system, was founded in 1999 by Britto and Jason and Charlotte Maude … tutored" this taxonomy using documents, and therefore this node on toxic shock syndrome is aware of the clinical … To get back to your question, we take your inputted clinical features and search in a split second across … Wyatt, again, showed how three questions arise in almost every clinical encounter? … It doesn't strip away clinical judgment. Physician autonomy is preserved.

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33747/psn-pdf
     March 01, 2013 - requires "an educational tool or device with which the learner physically interacts to mimic an aspect of clinical … theory-based predictions that feedback, repetition, range of difficulty, cognitive interactivity, clinical … Although effectiveness is now well established, value judgments require consideration of costs—not only … often used for procedural training (6), while virtual patients are frequently employed to develop clinical

353. Falling Through the Crack (in the Bedrails) | PSNet
     psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
     February 19, 2020 - or frequency, need for assisted toileting, previous fall history, agitation, confusion, or impaired judgment … Clinical staff members also require education related to the three-step fall prevention process, the … Clinical guidance for the assessment and implementation of bed rails in hospitals, long term care facilities … Assist with out of bed: one or two person(s) Consider PT consult Agitation/Confusion/Impaired judgment … September 1, 2016 Medication-related clinical decision support alert overrides in inpatients

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49806/psn-pdf
     September 01, 2017 - The case illustrates several important lessons, including the clinical presentation of infections and … Organizations implementing clinical decision support tools such as sepsis screening alerts should present … Employing these tools requires an understanding of their specific role and clinical judgment should always … However, overreliance on decision tools at the expense of clinical expertise is dangerous. … Assessment of clinical criteria for sepsis: for the Third International Consensus Definitions for Sepsis

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866265/psn-pdf
     July 31, 2024 - Other clinical care activities occurring concurrently included administration of fluid and vasopressors … an emergency kit; however, the intended physical arrangement of the items largely relies on human judgment … is to regularly re-evaluate the contents of the kit, as usage of an item may change over time with clinical

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49759/psn-pdf
     May 01, 2016 - or frequency, need for assisted toileting, previous fall history, agitation, confusion, or impaired judgment … Clinical staff members also require education related to the three-step fall prevention process, the … Internal Medicine and Primary Care Brigham & Women's Hospital Boston, MA Vincent Vacca, RN, MSN Clinical … Clinical guidance for the assessment and implementation of bed rails in hospitals, long term care facilities … weakness Assist with out of bed: one or two person(s) Consider PT consult Agitation/Confusion/Impaired judgment

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49823/psn-pdf
     March 01, 2018 - Stephen Bacak, DO, MPH, and Loralei Thornburg, MD Cognitive errors or biases are flaws or distortions in judgment … and clinical decision-making that account for up to 28% of diagnostic errors and are major contributors … The fast-paced nature of the clinical environment undeniably contributed to these cognitive errors. … Cognitive errors in clinical decision-making are a major contributor to patient safety events. … Lab Manual for UCSF Clinical Laboratories: Acetaminophen.

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33659/psn-pdf
     October 01, 2007 - The "just culture" concept teaches us to shift our attention from retrospective judgment of others, … First, a small group of 10 key clinical and operational leaders attended a day-long session with David … We then conducted a "big bang" educational session for all operational and clinical leaders across the … Lastly, the organization and clinical leadership should identify which behaviors will be considered … physician apologized for her behavior and was warned that future behavior of this type would impact her clinical

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50393/psn-pdf
     September 01, 2019 - The UCSF editorial team has used its expertise and judgment—aided by our invaluable editors and cybrarian—to … to be mindful of changes in the practice of health care that impact patient safety; topics such as clinical … , MD Chief, Division of Hospital Medicine Zuckerberg San Francisco General Hospital Professor of Clinical

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49804/psn-pdf
     September 01, 2017 - Clinical factors that point to the upper track being the source of a GIB include melena, nasogastric … Flags could be created to alert physicians to clinical situations to which these templates may not apply … , including cases in which clinical judgment may prompt us to deviate from guidelines and protocols. … ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. … Validation of a clinical prediction rule for severe acute lower intestinal bleeding.