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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - From a patient safety perspective, a nurse’s role includes monitoring patients for clinical deterioration … on more than two consecutive days. 7 Fatigue results in inattention, a decline in vigilance, poor judgment … Resident UC Davis Health Deb Bakerjian PhD, APRN Co-Editor-in-Chief, AHRQ's Patient Safety Network (PSNet) Clinical
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - 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 … 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.
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Packing (2)
• Materials available for packing can vary and which kind to use is
subject to physicians’ judgment … Aggression in clinical settings: nurses' views, a follow study. J Adv Nurs. 1999;29(3):532-541.
10.
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - We need to allow clinicians to exercise their judgment in moments like
that. … Right now we
have a workflow around clinical care.
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psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - Preventing anchoring errors in clinical judgment. … Journal of Consulting
and Clinical Psychology;52(3): 3660371.
9. … O’Sullivan ED, Schofield.SJ Cognitive bias in clinical medicine. … Clinical diagnosis of endometriosis: a call to action.
AJOG. 2019;220:1-11.
13.
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - From a patient safety perspective, a nurse’s role
includes monitoring patients for clinical deterioration … each on more than two consecutive days.7 Fatigue results in
inattention, a decline in vigilance, poor judgment … UC Davis Health
Deb Bakerjian PhD, APRN
Co-Editor-in-Chief, AHRQ's Patient Safety Network (PSNet)
Clinical
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - surgeon, 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.
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - aggressively with intravenous (IV) antibiotics and possible pacemaker lead removal, the patient’s rapid
clinical … Professional patient navigators may carry out
more advanced clinical tasks14 thereby helping to ensure … many studies involved only a short duration of follow-up and
lacked enough power to detect effects on clinical … access to the list of findings in the critical and important categories in
order to reduce risk of clinical … judgment error.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - aggressively with intravenous (IV) antibiotics and possible pacemaker lead removal, the patient’s rapid clinical … Professional patient navigators may carry out more advanced clinical tasks 14 thereby helping to ensure … many studies involved only a short duration of follow-up and lacked enough power to detect effects on clinical … access to the list of findings in the critical and important categories in order to reduce risk of clinical … judgment error.
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Patient care involves many gray areas in which professional judgment is required. … Notification of security with a description of the missing patient and pertinent clinical information
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - 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 enforce
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Patient care involves many gray areas in which professional judgment is required. … Notification of security with a description of the missing patient and pertinent clinical information … December 21, 2014
Clinical deterioration and hospital‐acquired complications in adult
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psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - Patients on either of these two regimens were more likely to achieve a clinical remission of disease … initial prednisone did not have more toxicity than those who were not given prednisone.( 7 ) In my judgment … September 30, 2015
A reduction in cardiac arrests and duration of clinical instability
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
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%.
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
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%.
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Jennifer Branch, PharmD Associate Clinical Professor, UCSF School of Pharmacy Assistant Clinical Professor … 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 .
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Medical trainees, whose clinical experience is progressively being fragmented by work hour restrictions … Clinical problem solving and diagnostic decision making: selective review of the cognitive literature … Cognitive forcing strategies in clinical decisionmaking. … Wyatt, again, showed how three questions arise in almost every clinical encounterand sadly, two out … It doesn't strip away clinical judgment. Physician autonomy is preserved.
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - medical students and
medical education—in anatomy, physiology, pathophysiology—and then moved into the clinical … We introduce students to guided procedures at the end of
the second year, before they start the clinical … Data is
accumulating across the board for using ultrasound to decrease radiation exposure in many clinical … RW: For areas where somebody is making a judgment about a kidney stone or about appendicitis, how
accurate … AI is going to be a tool we will use, and we should apply the
technology to both education and clinical
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - Many pioneers in simulation were clinical people with engineering or other technical backgrounds. … But it also was a barrier because the people steeped in more traditional clinical education or formal … A level two study would be where you look to see if their actual clinical performance has been changed … One kind of simulation is already a required part of medical licensure—the clinical skills exam, which … Although effectiveness is now well established, value judgments require consideration of costs—not only
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - Appreciate that order sets may encourage a mechanistic focus that may prevent a deeper
consideration of clinical … summary, though a net benefit was realized from CPOE use, we see that users occasionally
will cede judgment