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Showing results for "clinical judgment".

1. Part One: Traditional Practice and Recommendations for Change | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cauti-tools/ena-slides/part1.html
   October 01, 2020 - "Ninety percent of the time I'm using my nursing judgment." … Nurses stated that care related to elimination fell under the purview of nursing judgment, even when … Providers are described as accepting the clinical judgment of emergency nurses with regard to catheter … Elimination under the purview of nursing judgment. … Providers are described as accepting the clinical judgment of emergency nurses with regard to catheter

2. Exhibit 4. Factors Considered in Project Selection* | Agency for Healthcare Research and Quality
   www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4.html
   November 01, 2014 - Outpatient clinic: N = 3 Emergency department: N = 2 System-wide: N = 2 Surgery: N = 3 Clinical … Administrative (e.g., billing, scheduling) Clinical (e.g., inpatient, cardiology, surgery) … Clinical support services (e.g., lab services, radiology, pharmacy) N= 2 N= 8 N= 3 … activities following in an established, unchanging sequence with minimal degree of professional autonomy and judgment … may involve multiple dimensions of the organization with a high degree of professional autonomy and judgment

3. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
   September 01, 2023 - Their deep foundation of knowledge and clinical reasoning skills are gained at a great price (financial … It is also possible that they value other activities, have other pressing priorities with their clinical … One strategy is to frame discussions around improvement opportunities to avoid the harsh judgment assigned … Thus, attempts to characterize diagnostic reasoning as good or bad require judgment that may not be objective

4. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
   www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
   January 01, 2025 - reported that emotions influenced their clinical judgments and behavior in their patient encounters, … Key Words: Emotions, Clinical Reasoning and Judgment, Patient Safety, Emergency Department 2. … practice, with the potential to influence clinical judgment and behavior. … ED physicians and nurses and that were capable of producing differences in clinical reasoning, judgment … Overall, 75% of participants indicated that their emotions influenced their clinical judgment and behavior

5. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)
   www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
   January 01, 2024 - detect injuries due to medical care (as opposed to the underlying disease process); (2) guide implicit judgments … judgment in rendering determinations about injury and error. … The reliability of error judgments was moderate and approached poor for claims involving missed and … against this bias: reviewers were instructed to ignore the litigation outcome; one quarter of error judgments … Individual errors in judgment, vigilance, or memory were certainly not irrelevant.

6. CHIPRA 240: Section 5, Table 2 (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
   May 01, 2010 - Citations Expert recommendation Once a child’s BMI is measured, clinicians must exercise judgment … The clinical terms overweight and obesity should be used for documentation and risk assessment, but … the use of different terms in the clinician’s office will help avoid an inference of judgment or … III) Opinions of respected authorities, based on clinical experience; descriptive studies or case reports

7. CHIPRA 241: Section 5, Table 2 (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-5-table-2.pdf
   May 01, 2010 - Barlow states, “Once a child’s BMI is measured, clinicians must exercise judgment, first in assessing … choosing language to inform the child and family… The expert committee recommends the use of the clinical … assessment but the use of different terms in the clinician’s office, to avoid an inference of judgment … III) Opinions of respected authorities, based on clinical experience; descriptive studies or case reports

8. 014-Bcx-Algorithm-Decision-Support-Tool (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/014-bcx-algorithm-decision-support-tool.docx
   October 01, 2024 - Scoping Review of Indications for Blood Cultures in Adult Nonneutropenic Patients” by Fabre et al in Clinical … Bacterial Blood Cultures for Non-Neutropenic Adult Patients · This algorithm is not a substitute for clinical … judgment … The algorithm differentiates between initial indications for blood cultures in the setting of a new clinical … For blood cultures being considered in the setting of a new clinical event: 1.

9. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
   www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
   January 01, 2024 - or third-year emergency medicine residents randomized to one of three conditions: control (routine clinical … instruction), in-person training (routine clinical instruction plus a 4-hour training session), or … Condition: Participants randomized to the control condition received no training above the routine clinical … (Situation judgment test listed in G. … Situation Situation judgment test questions were developed to allow learners to judgment test: receive

10. Identifying Targets for Improving Antibiotic Use
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
    November 01, 2019 - with sepsis Forgetting to obtain needed cultures Forgetting to narrow antibiotic therapy based on clinical … There is no need to wait for the results of a sputum culture when clinical judgment suggests he does … It is important for clinical staff to feel comfortable participating in optimizing antibiotic use on … described in this presentation must be applied by health care practitioners in accordance with professional judgment … A systematic review of the definitions, determinants, and clinical outcomes of antimicrobial de-escalation

11. Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix B (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
    June 02, 2025 - Alarm symptoms or “red flags” (i.e., features in the clinical presentation that are considered to predict … The diagnostic process was affected by incomplete or incorrect clinical information given to the care … The clinical presentation at the initial or subsequent presentation was mostly typical of the final … • Make your judgments about clinicians’ decision making and diagnostic reasoning based on the information … this stage of the process. • Prompt 13 asks you to look at the case as a whole and come to a final judgment

12. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
    March 31, 2008 - Errors classified as having been related to judgment and knowledge or to systems issues were included … within the cognition and systems grouping. 4 Judgment and knowledge errors were reported in 129 … activities Delays in therapy 81 (13.3) 4.88 (2.50 - 9.55)b 5.20 (2.75 - 9.83)b 26 (41.9) Judgment … associated with patient harm that might be less amenable to systematic intervention, namely, the errors in judgment … were common factors contributing to poor outcomes.20 Our results show that errors in judgment and

13. Categorizing High and Low Performance in Quality Reports | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/compare/categorize.html
    December 01, 2022 - test alone does not suffice to categorize providers, in part because the differences may not have much clinical … This judgment-based approach is built into the standard technique for categorizing performance on CAHPS … Some report sponsors worry that if statistical tests or more judgment-based tests of clinical significance … immediately comes to mind, but may be ill-advised, is to use a less stringent test of statistical or clinical

14. Improving Communication and Teamwork in the Surgical Environment
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
    May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Coaching Clinical Teams Module AHRQ … No. 16(17)-0019-2-EF May 2017 Coaching Clinical Teams | ‹#› AHRQ Safety Program for Ambulatory Surgery … Debriefing with good judgment: combining rigorous feedback with genuine inquiry. … Debriefing with good judgment: combining rigorous feedback with genuine inquiry. … Debriefing with good judgment: combining rigorous feedback with genuine inquiry.

15. Hospital-Acquired Pneumonia (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
    November 01, 2019 - Hospital-Acquired Pneumonia Hospital-Acquired Pneumonia Diagnosis · Clinical symptoms of … respiratory pathogen recovered · If no sputum cultures have been obtained, de-escalate therapy based on clinical … judgment and individual patient risk factors · After clinical improvement is observed and oral medications … Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 Clinical Practice … Clinical implications of β-lactam-aminoglycoside synergism: systematic review of randomised trials.

16. Understanding AI’s Potential: Healthcare Applications of Deep Learning | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave3.html
    July 01, 2025 - types of patterns—whether in medical images, physiologic signals, or free-text documentation—their clinical … These advances highlight how deep learning can augment clinical judgment and reduce diagnostic error—an … These models are increasingly applied across a range of clinical contexts from high-acuity inpatient … The AI-enabled sepsis prediction algorithms discussed earlier have demonstrated meaningful clinical impact … Ambient digital scribes, an LLM-driven technology that provides drafts of clinical documentation for

17. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
    August 01, 2023 - Limited clinical information due to alterations in mental status, extremes of age, delirium, or poor … connotation may arise from the general description of the “heuristics and biases” approach to intuitive judgments … as skeptical of expert judgment or intuition. 84 An alternate theory describing intuitive judgments … proponents of dual process theory and naturalistic decision making align is that heuristic-driven, intuitive judgment … Feedback on diagnostic accuracy is often inconsistent or lacking in clinical practice.

18. Riding the AI Wave: Moving Forward | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave6.html
    July 01, 2025 - include system transparency, clear accountability structures, and training which emphasizes both human judgment … Impact on equity, safety, and clinical decision making. … judgment. … Has the tool been evaluated for its impact on clinical outcomes? … Within clinical care, AI tools are being integrated into many parts of the healthcare process.

19. Monitoring Ventilator-Associated Events: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
    February 01, 2017 - Clinical and economic consequences of ventilator–associated pneumonia: a systematic review. … Clinical and economic consequences of ventilator–associated pneumonia: a systematic review. … Evaluation of clinical judgment in the identification and treatment of nosocomial pneumonia in ventilated … Evaluation of clinical judgment in the identification and treatment of nosocomial pneumonia in ventilated … Evaluation of clinical judgment in the identification and treatment of nosocomial pneumonia in ventilated

20. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/exec-summ.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships Executive Summary Previous Page Next … Page Table of Contents Potential Measures for Clinical-Community Relationships Acknowledgements … AHRQ’s Clinical-Community Relationships Measures (CCRM) Atlas , published in March 2013, provides a … The core set reflects a judgment about which measures may be the most useful and feasible for quality … for a wider set of services or activities than the specific clinical preventive services that have been