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Total Results: 562 records

Showing results for "clinical judgment".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33785/psn-pdf
     May 01, 2015 - As of 2017, he is Chief Clinical Officer for Sound Physicians. … But being on the other side of the fence as a clinical surgeon, we see wide disparities not only in … Although I appreciated at some clinical level that some surgeons are better than others, I was just … I also appreciated that, in some instances, there are legitimate clinical safety concerns associated … in retrospect about whether the surgeon made certain errors in terms of technique or perioperative judgment

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33732/psn-pdf
     July 01, 2012 - Robert Wachter, Editor, AHRQ WebM&M: Can you describe what you see as both the clinical and the business … I think it's premature to make a judgment. … RW: Let's talk about the non-clinical implications of this. … information into Watson to make it the equivalent of the Jeopardy champion for clinical care. … But the question of how to create integrated clinical decision support is a big challenge facing the

463. A Loss of Trust and a Missed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
     October 31, 2023 - 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 … John Landefeld, MD, MS Assistant Clinical Professor Department of Internal Medicine Division of General … Internal Medicine UC Davis Health Sara Teasdale, MD Assistant Clinical Professor Department of … Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline

464. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet
     psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
     October 02, 2013 - The patient underwent resection and adjuvant chemotherapy followed by rapid clinical decline. … Subsequent review of the case, including the clinical documentation, noted that the provisional diagnosis … Typical estimates place the overall diagnostic error rate in clinical practice in the range of 10%–15% … So even in the first stage of the case, the physician is faced with a complex set of probabilistic judgments … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120.

465. Premature Closure: Was It Just Syncope? | PSNet
     psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
     February 10, 2021 - 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. Levis J. … Cognitive forcing strategies in clinical decisionmaking.

466. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
     May 26, 2021 - Preventing anchoring errors in clinical judgment. … Journal of Consulting and Clinical Psychology;52(3): 3660371. … O’Sullivan ED, Schofield.SJ Cognitive bias in clinical medicine. … Clinical diagnosis of endometriosis: a call to action. AJOG . 2019;220:1-11. … May 7, 2014 Using the NAM diagnostic process framework to teach clinical reasoning in

467. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
     January 01, 2022 - The physician should have considered whether the patient’s clinical symptoms fit with the radiographic … relationships they can foster, may contribute to delays in diagnosis because so much focus in the clinical … chronic pain management and opioid analgesics can be difficult but conveying genuine empathy without judgment … Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline … Pharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49591/psn-pdf
     October 01, 2009 - Had I been the CMO in this case, I would have quickly evaluated the clinical facts and confirmed that … It's highly unusual for a CMO to be asked to second-guess a surgeon's clinical judgment in matters directly … Our clinical departments are now required by The Joint Commission and the ACGME to regularly evaluate … physicians are being held accountable for inappropriate behavior and that even senior faculty have lost clinical … Hirsch, RN, MS Clinical Professor Director, Nursing & Health Systems Leadership (Administration) Masters

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - 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

470. In Conversation With… John D. Birkmeyer, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
     January 31, 2024 - As of 2017, he is Chief Clinical Officer for Sound Physicians. … But being on the other side of the fence as a clinical surgeon, we see wide disparities not only in how … Although I appreciated at some clinical level that some surgeons are better than others, I was just astounded … I also appreciated that, in some instances, there are legitimate clinical safety concerns associated … in retrospect about whether the surgeon made certain errors in terms of technique or perioperative judgment

471. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - Some patients may be considered “ruled out” for PE on clinical grounds alone. … Clinical decision aids assist clinicians in determining the likelihood of PE. … judgment. … Acute Pulmonary Embolism: Focus on the Clinical Picture. … Clinical Radiology . 2011;66(11):1015-1022. doi:10.1016/j.crad.2011.05.013. Rosovsky R.

472. Emergent Triage Miss | PSNet
     psnet.ahrq.gov/web-mm/emergent-triage-miss
     March 06, 2015 - 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 … July 1, 2020 Health care professionals' perceptions of unprofessional behaviour in the clinical

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49682/psn-pdf
     April 01, 2013 - The patient underwent resection and adjuvant chemotherapy followed by rapid clinical decline. … Subsequent review of the case, including the clinical documentation, noted that the provisional diagnosis … Typical estimates place the overall diagnostic error rate in clinical practice in the range of 10%–15% … So even in the first stage of the case, the physician is faced with a complex set of probabilistic judgments … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120.

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33873/psn-pdf
     February 01, 2019 - medical education, let's say from your vantage point as a junior medical educator, it sounds like early clinical … you are being charged with helping to catalyze a movement where a medical student will have earlier clinical … RW: How about clinical rotations? … We've been talking mostly about the first couple of years and early clinical exposure, teamwork, and … SS: Many exciting things are happening on the clinical rotation side.

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72911/psn-pdf
     March 15, 2021 - https://psnet.ahrq.gov//#26 https://psnet.ahrq.gov//#27     Jennifer Branch, PharmD Associate Clinical … Professor, UCSF School of Pharmacy Assistant Clinical Professor, UOP Department of Pharmacy Services … Resident Department of Pharmacy Services, UC Davis Health   Victoria Jackson, MS, NP-C, PA-C Assistant Clinical … “Anticoagulant-Related Bleeding: Clinical Epidemiology, Prediction, and Prevention.” … Journal of Clinical Epidemiology 45 (10): 1045–51. https://doi.org/10.1016/0895-4356(92)90144-c. 21

476. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet
     psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
     January 07, 2022 - 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. … available for patients allergic to penicillin, but these therapies should be used in conjunction with close clinical

477. Difficult Encounters: A CMO and CNO Respond | PSNet
     psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
     March 01, 2018 - Had I been the CMO in this case, I would have quickly evaluated the clinical facts and confirmed that … It's highly unusual for a CMO to be asked to second-guess a surgeon's clinical judgment in matters directly … Our clinical departments are now required by The Joint Commission and the ACGME to regularly evaluate … Hirsch, RN, MS Clinical Professor Director, Nursing & Health Systems Leadership (Administration … February 12, 2020 The impact of computerised physician order entry and clinical decision

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72739/psn-pdf
     February 10, 2021 - Some patients may be considered “ruled out” for PE on clinical grounds alone. … Clinical decision aids assist clinicians in determining the likelihood of PE. … judgment. … Acute Pulmonary Embolism: Focus on the Clinical Picture. … Clinical Radiology. 2011;66(11):1015-1022. doi:10.1016/j.crad.2011.05.013. 41. Rosovsky R.

479. In Conversation with...Joseph Britto, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
     February 01, 2007 - Isabel , a clinical decision support system, was founded in 1999 by Britto and Jason and Charlotte Maude … Wyatt, again, showed how three questions arise in almost every clinical encounter—and sadly, two out … It doesn't strip away clinical judgment. Physician autonomy is preserved. … Clinical problem solving and diagnostic decision making: selective review of the cognitive literature … Cognitive forcing strategies in clinical decisionmaking.

480. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
     November 01, 2005 - implementation of evidence-based interventions to improve patient safety and decrease mortality in six clinical … Although I don't do clinical practice right now, I always loved it. … You know more than you can prove through clinical trials and we need to use all the knowledge we can. … 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