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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
November 01, 2019 - outcomes*
OR/RR (95% CI)
Paul 20029
Cochrane 68 RCTs Mortality: 0.87 (0.34–2.24)
Clinical failure: … Cochrane 64 RCTs, observational Clinical failure: 1.02 (0.68–1.51)
Marcus 201113
J Antimicrob Ag 52 … In a double-blind clinical trial conducted in 51 French ICUs, patients were randomized to 8 or 15 days … described in this presentation must be applied by health care practitioners in accordance with professional judgment … Clinical implications of β-lactam-aminoglycoside synergism: systematic review of randomised trials.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Rhinosinusitis: establishing definitions for clinical research and patient care. … IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. … Clinical practice guideline (update): adult sinusitis. … Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - intervention development, providing what Miles and Huberman16 call valid,
evaluative judgments from … Clinical Steering Committee. … ASIPS was guided by a Clinical Steering
Committee of 12 individuals, including 2 representatives of … identification of critical control points,
Learning Groups applied their collective experience and judgment … interventions were based upon the analysis of
reported medical errors, multiple process flow maps, and the judgment
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www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
February 26, 2008 - Making actionable clinical practice recommendations.
3. … data
become available in the clinical repository. … Fall risk assessment based solely on the clinical judgment of the nurse, without the use of a
tool/questionnaire … Note: Other diagnoses are
possible, requiring nurses to use clinical judgment to diagnose, plan, and … Fall risk assessment: A
prospective investigation of nurses' clinical judgment
and risk assessment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - Making actionable clinical practice recommendations.
3. … data
become available in the clinical repository. … Fall risk assessment based solely on the clinical judgment of the nurse, without the use of a
tool/questionnaire … Note: Other diagnoses are
possible, requiring nurses to use clinical judgment to diagnose, plan, and … Fall risk assessment: A
prospective investigation of nurses' clinical judgment
and risk assessment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - The trauma
surgery clinical team consisted of four staff attending physicians (all surgeons
trained … Thirteen of the 16 (81 percent)
involved errors of judgment, (i.e., an inappropriate or incorrect plan … In this way, more of the MICU
team’s mistakes and near misses were regarded as lapses of judgment, rather … While there was extended clinical teaching connected to the “angry” attending
physician responses in … This is unlikely, given the lack
of concern expressed by members of each clinical team to the presence
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Limitations:
Provides no real clinical decision support. … NICE Clinical guideline 92. … NICE Clinical guideline 92. … Operational definition of “expected LOS <48 hours” calls for judgment and could lead to ambiguity (e.g … Operational definition of "expected LOS <48 hours" calls for judgment and could lead to ambiguity.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb.html
October 01, 2022 - Limitations:
Provides no real clinical decision support. … NICE Clinical guideline 92. … NICE Clinical guideline 92. … Operational definition of “expected LOS <48 hours” calls for judgment and could lead to ambiguity (e.g … Operational definition of "expected LOS <48 hours" calls for judgment and could lead to ambiguity.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
June 01, 2023 - [The role of clinical autopsy in monitoring the quality of the clinical diagnosis in an emergency department … Communication loads on clinical staff in the emergency department. … Uncertainty and objectivity in clinical decision making: a clinical case in emergency medicine. … Surgical judgment and mortality: analysis by a critique algorithm-based database and morbidity review … https://www.asc-abstracts.org/abs2019/16-17-surgical-judgment-and-mortality-analysis-by-a-critique-algorithm-based-database-and-morbidity-review
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - Reed Army Medical Center (WRAMC), where a concerted
effort is underway to put current research into clinical … Representatives from
these departments worked with clinical experts to develop a plan and timeline for … The application of this scholarly research by clinical staff nurses has become a
priority, due to its … The
clinical topic of tracheostomy care and suctioning was chosen for the pilot project
on the basis … judgment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - decisionmaking in a manner that emulates the actual surgical and clinical
experience. … judgment leading to adverse events (AEs). … judgment through the practice of cognitive skills. … judgment. … Active-RFID system accuracy and
its implications for clinical applications.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - Developing a Program
9
10
Identifying the Problems—2
Clinical Event
Son notes resident has dark … Developing a Program
10
11
Identifying the Problems—3
Clinical Event
Son notes resident has dark … Developing a Program
11
12
Identifying the Problems—4
Clinical Event
Son notes resident has … Developing a Program
12
Clinical Event
Son notes resident has dark urine, with a foul odor. … described in this presentation must be applied by health care practitioners in accordance with professional judgment
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - Program for Improving Antibiotic Use – Ambulatory Care
1
Objectives
Describe the pathophysiology and clinical … presentation of acute otitis media (AOM)
Identify criteria for the diagnosis of AOM
Use a clinical … Otitis Media
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
16
Moment 4
Clinical … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Clinical practice guideline: Tympanostomy tubes in children.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
July 01, 2023 - • To help improve the adoption of AIM clinical bundles by frontline staff
• Effective coaching helps … In the context of adopting the AIM clinical bundles, the key to integrating teamwork
behaviors into … As such, coaches play a critical role in
both technical (i.e., clinical practice) and adaptive (e.g. … • Working with Personal Issues―Listening empathically and without
judgment, and offering emotional … Listening empathically and without judgment
and offering emotional support for nonwork difficulties.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
July 01, 2023 - • To help improve the adoption of AIM clinical bundles by frontline staff
• Effective coaching helps … In the context of adopting the AIM clinical bundles, the key to integrating teamwork
behaviors into … As such, coaches play a critical role in
both Technical (i.e., clinical practice) and Adaptive (e.g. … • Working with Personal Issues―Listening empathically and without
judgment, and offering emotional … Listening empathically and without judgment
and offering emotional support for nonwork difficulties.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Defects: Clinical or operational events or situations that you do not want to happen again
Examples of … Assessment:
Ask all staff the following:
“Please describe how you think the next patient in your unit or clinical … Program for MRSA Prevention | Surgical Services
Learning From Defects
33
Key Takeaways
Defects are clinical … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Framework for analysing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154-7.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - Discuss opportunities for de-escalation of antibiotic therapy for UTIs after additional clinical data … described in this presentation must be applied by health care practitioners in accordance with professional judgment … Effect of 5-day nitrofurantoin vs single-dose fosfomycin on clinical resolution of uncomplicated lower … urinary tract infection in women: a randomized clinical trial.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … The clinical presentation of Fusobacterium-positive and streptococcal-positive pharyngitis in a university … Molecular and clinical diagnosis of group A streptococcal pharyngitis in children. … Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - antibiotics Downstream review of appropriateness of antibiotic therapy, usually at 48–72 hours Provides more clinical … antibiotics Downstream review of appropriateness of antibiotic therapy, usually at 48–72 hours Provides more clinical … Antibiotic time out (self-stewardship)
Rapid diagnostic testing
7
Approach Pro Con
Providers or clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - Defects: Clinical or operational events or situations that you do not want to happen again
Examples of … Assessment: Ask all staff the following—
“Please describe how you think the next patient in your unit or clinical … Safety Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
Key Takeaways
Defects are clinical … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Framework for analysing risk and safety in clinical medicine. BMJ. 1998 Apr 11;316(7138):1154-7.