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Total Results: 562 records

Showing results for "clinical judgment".

441. Delirium or Dementia? | PSNet
     psnet.ahrq.gov/web-mm/delirium-or-dementia
     September 27, 2023 - Despite the patient's deteriorating clinical condition, the patient's worsening level of consciousness … Delirium in the intensive care unit: occurrence and clinical course in older patients. … A clinical prediction rule for delirium after elective noncardiac surgery. JAMA. 1994;271:134-139. … Clinical yield of computed tomography brain scans in older general medical patients. … There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867428/psn-pdf
     December 18, 2024 - factors for inpatient falls: gait instability, lower limb weakness, agitation/confusion or impaired judgment … How is this new program going to fit in the context of the clinical workflow? … , training, and problem solving in the context of the clinical workflow. … Patricia Dykes: Many hospitals have clinical ladder programs. … This clinical trial yielded a reduction in falls of 25%.

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49507/psn-pdf
     April 01, 2006 - , I might have conflated this surgeon’s boorish behavior with those qualities necessary to achieve clinical … Any member of the crew is empowered to wave off a landing—judgments of safety trump formal rank.

444. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - Management of the first tracheostomy tube change is often based on the judgment of the physician who … Clinical consensus statement: tracheostomy care. … AARC Clinical Practice Guideline: management of adult patients with tracheostomy in the acute care setting … Tracheotomy: clinical review and guidelines. … June 5, 2019 Implementation of the I-PASS handoff program in diverse clinical environments

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843051/psn-pdf
     February 01, 2023 - The order and timing of subsequent interventions depends on the severity of presentation and surgeon judgment … comorbidities, appropriate and sufficient preoperative education, a team approach to education and 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 manage … be counseled on the risk of cervical hematoma and given detailed instructions on how to contact the clinical

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49576/psn-pdf
     January 01, 2009 - In the absence of data, we must rely on clinical experience and common sense to explore this issue. … In my judgment, probably not, for the following reasons: (i) it would be difficult to interpret and

447. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet
     psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
     March 31, 2021 - 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

448. Triage Time Bomb | PSNet
     psnet.ahrq.gov/web-mm/triage-time-bomb
     September 01, 2008 - As in this scenario, nurses often conduct ED triage by using their clinical judgment and experience in

449. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
     psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
     November 30, 2021 - 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) … It is not clear to what degree malpractice cases reflect severe diagnostic errors in clinical practice … It seems that her clinical situation is deteriorating.” … Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality.

450. The Wet Read | PSNet
     psnet.ahrq.gov/web-mm/wet-read
     October 01, 2017 - 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 … 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 … 19, 2022 Insulin pump-associated adverse events: a qualitative descriptive study of clinical

451. Anemia and Delayed Colon Cancer Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
     July 21, 2020 - If a proximal small bowel lesion is suspected based on clinical presentation, then push enteroscopy is … 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.

452. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
     psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
     January 29, 2021 - Background Airway obstruction in a patient who is already intubated is an uncommon but very dangerous clinical … Therapeutic intervention often must be initiated based on clinical probabilities, before a definitive … missing important information or processes when staff are under great stress during extremely difficult clinical … 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.

453. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
     March 25, 2025 - Edwin Boudreaux : I am a clinical psychologist by training. … Obviously, the shorter the screener, the more acceptability it is going to have in clinical practice. … quickly, and if they have any risk, it stratifies them based on three levels that can be aligned with clinical … It is useful from a clinical perspective to better understand the risk factors, and it can be scored … suicide prevention efforts after discharge. 20 Additional obstacles include time constraints during clinical

454. Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/suicide-prevention
     March 24, 2025 - suicide prevention efforts after discharge. 20 Additional obstacles include time constraints during clinical … Edwin Boudreaux : I am a clinical psychologist by training. … Obviously, the shorter the screener, the more acceptability it is going to have in clinical practice. … quickly, and if they have any risk, it stratifies them based on three levels that can be aligned with clinical … It is useful from a clinical perspective to better understand the risk factors, and it can be scored

455. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
     February 01, 2010 - First of all, teaching hospitals are major providers of clinical care in the United States—patients need … Second, residents are being trained to deliver a lifetime of clinical care and to lead complex health … Vidyarthi, MD Associate Professor of Clinical Medicine Director, Quality and Safety Programs, Graduate … safety in the learning environment, as well as educational supervisory systems that permit independent judgment … judgment, they should assure their patients that they're being cared for by a physician who can.

456. In Conversation with…Thomas J. Nasca, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
     February 01, 2010 - safety in the learning environment, as well as educational supervisory systems that permit independent judgment … 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. … Second, residents are being trained to deliver a lifetime of clinical care and to lead complex health … Vidyarthi, MD Associate Professor of Clinical Medicine Director, Quality and Safety Programs, Graduate

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49608/psn-pdf
     August 01, 2010 - in need of life-saving interventions, level 2 patients are at high risk and need to be moved to the clinical … (We need to acknowledge, of course, that the triage nurse's skepticism about this patient's clinical … five-category triage system can improve triage accuracy, it is not the complete answer, since many judgments

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/84413/psn-pdf
     February 23, 2022 - The physician should have considered whether the patient’s clinical symptoms fit with the radiographic … chronic pain management and opioid analgesics can be difficult but conveying genuine empathy without judgment … https://psnet.ahrq.gov//#16 John Landefeld, MD, MS Assistant Clinical Professor Department of Internal … Medicine Division of General Internal Medicine UC Davis Health Sara Teasdale, MD Assistant Clinical … Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72516/psn-pdf
     November 25, 2020 - In one study, nurses participating in a clinical vignette describing a patient presenting with a heart … A subsequent analysis showed that the alert was triggered at “clinical time zero” in 41% of cases and … 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.

460. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
     psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
     August 14, 2024 - The order and timing of subsequent interventions depends on the severity of presentation and surgeon judgment … comorbidities, appropriate and sufficient preoperative education, a team approach to education and 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 manage … be counseled on the risk of cervical hematoma and given detailed instructions on how to contact the clinical