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Total Results: 562 records

Showing results for "clinical judgment".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - Understand that clinical experience and seniority may reduce the risk of errors associated with emergency … The committee's judgment was that this represented a diagnostic error and that this was a preventable … Several studies have demonstrated very poor adherence to basic clinical and organizational processes … Nicholas Symons, MBChB, MSc Honorary Clinical Research Fellow Centre for Patient Safety and Service

422. Complications of Vascular Access Procedures in Patients with Kidney Disease | PSNet
     psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
     November 15, 2023 - respiratory compromise due to laryngeal edema and impingement of the airway. 10  In this case, the clinical … Clinical decision support features in the EHR can also help to alert medical staff to high-risk patients … Clinical Pharmacist, Adult Critical Care UC Davis Medical Center Iris Chen, Pharm.D., BCPS … Clinical therapeutics. 1997 May 1;19(3):405-19. [ go to PubMed ] 6. … August 31, 2022 Boosting medical diagnostics by pooling independent judgments.

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - But beyond the technical analysis is the more challenging judgment regarding what is an acceptable level … Analysis of clinical incidents: a window on the system not a search for root causes.

424. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
     June 01, 2013 - is a particularly high-risk procedure with high likelihood of error and patient harm Understand that clinical … The committee's judgment was that this represented a diagnostic error and that this was a preventable

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49870/psn-pdf
     August 10, 2019 - If a proximal small bowel lesion is suspected based on clinical presentation, then push enteroscopy … We believe this anchoring was associated with two subsequent errors in judgment. … First, it led to a lapse in clinical reasoning regarding the value of the test. … Based on the clinical presentation, even with a colonoscopy 2 years prior that did not identify any lesions … Clinical practice guidelines: quality of colonoscopy in colorectal cancer screening.

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74691/psn-pdf
     January 01, 2021 - The ultimate determination on the presence or absence of error depends on reviewers’ overall judgment … The guidance also provides recommendations on how to use the tool, as well as clinical case examples … The tool could be used by a single clinician or by a multidisciplinary team with clinical input, depending … have had an error in their diagnosis.9 A few organizations have used the tool on an ongoing basis in clinical … Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction.

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862983/psn-pdf
     February 28, 2024 - Background Airway obstruction in a patient who is already intubated is an uncommon but very dangerous clinical … malfunction, severe bronchospasm, and tension pneumothorax are other potential causes of for this clinical … Therapeutic intervention often must be initiated based on clinical probabilities, before a definitive … Clinical judgment is necessary to determine how far the ETT should be inserted in every patient individually … Crises in clinical care: an approach to management. Qual Saf Health Care . 2005;14(3):156-163.

428. Emergency Error | PSNet
     psnet.ahrq.gov/web-mm/emergency-error
     January 18, 2013 - Understand that clinical experience and seniority may reduce the risk of errors associated with emergency … The committee's judgment was that this represented a diagnostic error and that this was a preventable … Several studies have demonstrated very poor adherence to basic clinical and organizational processes … Nicholas Symons, MBChB, MSc Honorary Clinical Research Fellow Centre for Patient Safety and Service … August 9, 2017 Implementation of the I-PASS handoff program in diverse clinical environments

429. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. | PSNet
     psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
     August 31, 2022 - 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 … Clear communication and standardization of clinical, imaging, consultation, and handoff protocols are … Clinical Tools and Resources. Accessed August 6, 2021. [ Available at ] Southwick FS, Spear SJ.

430. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
     January 01, 2022 - – The DAWN trial used clinical-core mismatch (a combination of age-adjusted National Institutes of … • However, there remains room for judgment, and either CT angiography or perfusion imaging can be … – AHA/ASA guidelines recommend implementation of acute clinical assessment teams, imaging protocols … Clear communication and standardization of clinical, imaging, consultation, and handoff protocols are … Clinical Tools and Resources. Accessed August 6, 2021. [Available at] 12. Southwick FS, Spear SJ.

431. Looking for Meds in All the Wrong Places | PSNet
     psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
     June 16, 2021 - EDs are time-pressured environments in which decisions are often made quickly based on limited clinical … occurring through sleep deprivation, night shifts, and shift rotation can affect staff performance, judgment

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72517/psn-pdf
     November 25, 2020 - Her clinical picture evolved from the first postpartum morning as she manifested perineal pain, then … Analysis of these cases identified clinical judgment problems as a contributing factor (85% of cases … Communication and clinical systems factors were also identified in 35% and 22% of these malpractice … It seems that her clinical situation is deteriorating.” … Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality.

433. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
     psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
     March 01, 2004 - 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 … Ultimately, as a matter of local quality improvement and assessment, I come down on the side of the clinical … Credibility and buy-in with clinicians The detection strategy has credibility (e.g., hard clinical

434. Pseudo-obstruction But a Real Perforation | PSNet
     psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
     April 01, 2015 - 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

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49506/psn-pdf
     March 01, 2006 - off-hours experience is an important part of their professional development, building their confidence and judgment … Clinical consequences of misinterpretations of neuroradiologic CT scans by on-call radiology residents … Accuracy of helical CT for acute pulmonary embolism: ROC analysis of observer performance related to clinical … Integrating multiple clinical information systems using the Java message service framework to enable … Gotway, MD Scottsdale Medical Imaging Clinical Associate Professor, Diagnostic Radiology and Pulmonary

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865373/psn-pdf
     March 27, 2024 - AI can help put findings all together in terms of the clinical picture. … In that case, there is not a lot of clinical value from that estimate. … Yet the clinical impact was not great, because the patient still went on to develop sepsis, because … That’s another example where the AI performance is separate from the clinical impact. … really consider that, so we’re back to augmenting intelligence rather than replacing a clinician’s judgment

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73336/psn-pdf
     May 26, 2021 - may be infected with congenital syphilis, since the fifteenth century or earlier.1 Given that the clinical … In that first clinical visit, a thorough history may have revealed that the patient did not recall a … The clinical manifestations of syphilis are myriad but occur in a stepwise fashion. … for patients allergic to penicillin, but these therapies should be used in conjunction with close clinical

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853902/psn-pdf
     September 27, 2023 - cognitive-errors-diagnosis-instantiation-classification-and-consequences https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases … When an unanticipated change in clinical exam or status occurs, one should broaden the differential … @ucdavis.edu Mithu Molla MD, MBA Clinical Professor Chief, Division of Hospital Medicine UC Davis … Diagnostic errors and the bedside clinical examination. Med Clin North Am. 2018;102(3):453-464. … Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009-2014.

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865309/psn-pdf
     May 29, 2024 - Management of the first tracheostomy tube change is often based on the judgment of the physician who … , 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.

440. Right? Left? Neither! | PSNet
     psnet.ahrq.gov/web-mm/right-left-neither
     November 16, 2022 - A prompt examination of both of the patient's ankles under anesthesia did not demonstrate any clinical … By any reasonable standard of judgment, the orthopedic surgeon committed by far the most serious errors … Resources From the Same Author(s) Implementation of the I-PASS handoff program in diverse clinical