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Total Results: 562 records

Showing results for "clinical judgment".

401. In Conversation with…William B. Weeks, MD, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
     May 01, 2009 - Physicians can make very persuasive clinical arguments but not very persuasive financial ones, because … ) This might suggest a set of cognitive errors (i.e., doctors have simply made incorrect diagnostic judgments … In the judgment of the reporting physicians, only 13% of errors were knowledge errors.( 6 ) What is perhaps … the proper context, as the root cause of many potential unhappy outcomes—far more so than our lack of clinical … argued that physicians' learned helplessness training begins early in residency, where we divide up "clinical

402. Patient Safety: A Perspective from Office Practice | PSNet
     psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
     May 01, 2009 - ) This might suggest a set of cognitive errors (i.e., doctors have simply made incorrect diagnostic judgments … In the judgment of the reporting physicians, only 13% of errors were knowledge errors.( 6 ) What is perhaps … the proper context, as the root cause of many potential unhappy outcomes—far more so than our lack of clinical … argued that physicians' learned helplessness training begins early in residency, where we divide up "clinical … Physicians can make very persuasive clinical arguments but not very persuasive financial ones, because

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49471/psn-pdf
     December 01, 2004 - This is done with a careful history and physical, followed by appropriate clinical or diagnostic tests … determination of seizure control was based largely on an adequate seizure-free interval and was a factual judgment

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49643/psn-pdf
     December 01, 2011 - Physicians often make clinical judgments that their particular patient has special characteristics that … Clinical decision support (which will increasingly be delivered through computerized medical records … Impact of National Clinical Guideline recommendations for revascularization of persistently occluded … infarct-related arteries on clinical practice in the United States. … Involving patients in clinical decisions: impact of an interactive video program on use of back surgery

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60269/psn-pdf
     April 29, 2020 - capable of debriding an NSTI, but the key skills for successful management of NSTIs involve surgical judgment … have reflected inappropriate deference and poor team function if the intern or other members of the clinical … Our understanding of how burnout influences clinical care is still growing, but it has been associated … these concerns nicely in their survey of subspecialty surgeons: “while EGS surgeons appear to meet [a clinical … Systems should clearly designate which physicians should be contacted for particular clinical problems

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854897/psn-pdf
     October 31, 2023 - False alerts occur without any actual event, whereas nonactionable alerts result from events that lack clinical … prescription looks inappropriate, it is the pharmacist’s responsibility to apply their professional and clinical … judgment to conduct thorough checks to safeguard the patient’s well-being. … , and dosage calculations.8 In many organizations, pharmacist responsibilities are split between a clinical … However, the operational pharmacist should still apply their clinical knowledge of safe dosing ranges

407. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
     psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
     March 15, 2023 - False alerts occur without any actual event, whereas nonactionable alerts result from events that lack clinical … prescription looks inappropriate, it is the pharmacist’s responsibility to apply their professional and clinical … judgment to conduct thorough checks to safeguard the patient’s well-being. … and dosage calculations. 8 In many organizations, pharmacist responsibilities are split between a clinical … However, the operational pharmacist should still apply their clinical knowledge of safe dosing ranges

408. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
     January 01, 2023 - The order and timing of interventions depends on the severity of presentation and surgeon judgment. … comorbidities, appropriate and sufficient preoperative education, a team approach to education and clinical … can be difficult to distinguish from benign postoperative swelling, appropriate education of all clinical … • To successfully manage this life-threatening complication, appropriate patient, caregiver and clinical … • All clinical staff caring for patients undergoing neck surgery should be trained to recognize and

409. Anchoring Bias With Critical Implications | PSNet
     psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
     June 15, 2022 - Does the clinical examination predict lower extremity peripheral arterial disease? … Judgment under uncertainty: heuristics and biases. Science. 1974;185:1124-1131. … Teaching clinical reasoning: case-based and coached. Acad Med. 2010;85:1118-1124. … A multicenter, controlled clinical trial. Ann Intern Med. 1998;129:845-855. … Performance of a Web-based clinical diagnosis support system for internists.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837215/psn-pdf
     July 08, 2022 - The DAWN trial used clinical-core mismatch (a combination of age-adjusted National Institutes of Health … poor sensitivity and specificity for treatment-eligible LVO stroke.8 However, there remains room for judgment … , and either CT angiography or perfusion imaging can be canceled if a thoughtful clinical assessment … In pooled patient-level data from five clinical trials, the odds of better disability outcomes at 90 … Clinical Tools and Resources. Accessed August 6, 2021. [Available at] 12. Southwick FS, Spear SJ.

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49431/psn-pdf
     January 01, 2004 - judgment … Clinical prediction of acute aortic dissection. … Clinical reasoning in medicine. In: Higgs JM, Jones M, eds. … Clinical reasoning in the health professions. … Cognitive forcing strategies in clinical decision making.

412. Crushing Chest Pain: A Missed Opportunity | PSNet
     psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
     February 01, 2007 - judgment … Clinical prediction of acute aortic dissection. … Clinical reasoning in medicine. In: Higgs JM, Jones M, eds. … Clinical reasoning in the health professions. … Cognitive forcing strategies in clinical decision making.

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49430/psn-pdf
     January 01, 2004 - As in this scenario, nurses often conduct ED triage by using their clinical judgment and experience

414. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - Tracheostomy Management (5) Management of the first tracheostomy tube change is often based on the judgment … Finally, clinicians need to know when not to rely solely on alarm numbers and how to assess the patient’s clinical … Clinical Consensus Statement: Tracheostomy Care. Otolaryngol Neck Surg. 2013;148(1):6-20. … AARC Clinical Practice Guideline: Management of Adult Patients with Tracheostomy in the Acute Care Setting … Tracheotomy: clinical review and guidelines. Eur J Cardiothorac Surg. 2007;32(3):412-421.

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49550/psn-pdf
     December 01, 2007 - Using this framework, "death in low-mortality DRG" would score highly on clinical importance and (in … In my judgment, based on the information presented, I would characterize the case presented here as … Reviewing deaths in low-mortality DRGs falls within the norm of clinical practice insofar as it is a … Clinical importance The cases identified involve safety problems that carry a high risk for substantial … Credibility and buy-in with clinicians The detection strategy has credibility (e.g., hard clinical

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49798/psn-pdf
     July 01, 2017 - radiographs should generally be obtained at least daily, and more frequently if there is a change in clinical … Ultimately, the physician must use their experience and judgment to determine when the risks of proceeding … competence in a wide variety of clinical scenarios. … colonoscopy was performed, which ideally would have been identified before the procedure worsened his clinical … Bleeding and perforation after outpatient colonoscopy and their risk factors in usual clinical practice

417. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records | PSNet
     psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
     May 26, 2021 - At minimum, acknowledging the radiologist’s finding and documenting the judgment that it did not require … Good clinical documentation should provide narratives that clearly illustrate the arc of a patient’s … Finally, structured information can be reformatted into coherent clinical documentation. … “Note Bloat” impacts deep learning-based NLP models for clinical prediction tasks. … Use of electronic clinical documentation: time spent and team interactions.

418. Carpe Diem (Seize the Day) | PSNet
     psnet.ahrq.gov/web-mm/carpe-diem-seize-day
     September 01, 2012 - This is done with a careful history and physical, followed by appropriate clinical or diagnostic tests … determination of seizure control was based largely on an adequate seizure-free interval and was a factual judgment

419. CYP450 Drugs: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
     October 19, 2022 - Virologic and immunologic response, clinical progression, and highly active antiretroviral therapy adherence … Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157:29-43. … Interactions http://hiv-druginteractions.org/ Hepatitis Drug Interactions http://hep-druginteractions.org/ HIV Clinical

420. The Missing Suction Tip | PSNet
     psnet.ahrq.gov/web-mm/missing-suction-tip
     January 01, 2006 - line of reasoning may be correct—in many institutions, the wait can be long enough to have negative clinical … listening to the advice of other team members, or, although he heard the advice, he was perturbed that his judgment … Assessment of clinical performance during simulated crises using both technical and behavioral ratings … 2006 Perspective The University of Texas System Clinical