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Showing results for "clinical judgment".

21. Chapter 5: Crossing the Bridge and Returning | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/obesity/obpcp5.html
    May 01, 2014 - Clinical Care Observation Guide Tool 4. Patient Waiting Room Survey Tool 5.  … Patients trust your judgment. … Remember that patients trust your judgment.

22. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/engage/appc.html
    March 01, 2017 - ti]) OR RCA* [ab] OR FMEA [ab]) OR (((hospital information systems [mh] OR decision support systems, clinical … [mh] OR drug therapy, computer-assisted [mh] OR Clinical Pharmacy Information Systems [mh] OR Medical … OR ((human [ti] AND factor* [ti]) OR ergonomic* [ti] OR human engineering [ti] OR Communication OR judgment … Feasibility [ti]) AND (trial [ti] OR Studies [ti] OR study [ti] OR Program [ti] OR Design [ti])) OR Clinical

23. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas1.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships Introduction Previous Page Next Page … clinical-community relationship processes and outcomes.   … The core set reflects a judgment about which measures may be the most useful and feasible for quality … Clinical-Community Relationships Measures (CCRM) Atlas. March 2013. … Clinical-Community Relationships Evaluation Roadmap. July 2013.

24. Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
    November 01, 2019 - Prescribing Fear of inadequate antibiotic coverage leading to patient harm (or legal harm) Fear of judgment … Prescribing Fear of inadequate antibiotic coverage leading to patient harm (or legal harm) Fear of judgment … 93% 93% Clinical cure per protocol at 28 days The same! … Treatment for 5–10 days based on clinical stability H. influenzae: doxycycline OR amoxicillin/clavulanate … described in this presentation must be applied by health care practitioners in accordance with professional judgment

25. Co-producing a Diagnosis
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
    August 01, 2021 - Here, he articulates some of the challenges of being present during the clinical encounter.  … Avoid making judgments. Look into others' eyes when they're speaking. … Defer judgment.  Respond appropriately. … " Defer judgment. Recognize that interrupting is a waste of time. … Eliciting the patient’s agenda - secondary analysis of recorded clinical encounters.

26. Monitoring Ventilator-Associated Events Module 2
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
    January 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

27. Recommended Core Measures and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas4.html
    October 01, 2013 - Potential Measures for Clinical-Community Relationships Recommended Core Measures and Next Steps … Previous Page Next Page Table of Contents Potential Measures for Clinical-Community Relationships … The core set reflects a judgment about which measures may be the most useful and feasible for quality … Stakeholders with interest in the advancement of the clinical-community relationships approach may include … of a range of services, including, but not limited to, the clinical preventive services that have been

28. Human-AI Interaction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave5.html
    July 01, 2025 - Conclusion Acknowledgments References As AI tools become more deeply integrated into clinical … This evolution in clinical work reflects a broader change in the role of the provider from decision-maker … this human-in-the-loop model offers the best of both worlds: the efficiency of AI combined with the judgment … As AI models continue to improve and expand in clinical utility, their potential to enhance care grows

29. Developing a Taxonomy for Coding Ambulatory Medical Errors: 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/vol2/Pace.pdf
    January 01, 2004 - associated with harm, including therapeutic intent of an activity, language barriers, and errors of judgment … judgment/knowledge; administrative or clinical procedures; and threats from near misses where no patient … These codes include communication problems based on language barriers, clinician judgment, and lack … Description Odds Ratio 95% CI Therapeutic intent 2.71 1.75–4.17 Language barrier 8.35 2.52–27.65 Judgment … 2.43 1.06-5.56 Delay in therapy (medical/surgical or drug) 5.05 2.99-8.53 Error in knowledge/skill/judgment

30. Best Practices in the Diagnosis and Treatment Hospital-Acquired Pneumonia (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
    November 01, 2019 - Opportunities for de-escalation of antibiotic therapy for HAP after additional clinical and microbiological … Common clinical symptoms include fever, cough, shortness of breath, and pleuritic chest pain. … judgment and individual patient risk factors. … In a double-blind clinical trial conducted in 51 French intensive care units or ICUs, patients were … in this presentation must be applied by health care practitioners in accordance with professional judgment

31. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
    May 01, 2023 - captains prevent disasters when otherwise excellent decision makers experience momentary lapses in judgment … In the clinical environment, team members should challenge colleagues if they have requested clarification

32. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
    September 01, 2024 - judgment and evidence-based guidelines to navigate the complexities of aging and optimize diagnostic … Clinical visits may therefore require the attendance of a “companion” (e.g., family member or unpaid … pharmacists are generally not part of the primary care clinical team, inaccurate medication lists are … Clinical judgment may be replaced by quick-to-use algorithm-based diagnostic tools. … errors in ambulatory care settings are particularly salient among older adults and include: Impaired judgment

33. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
    April 01, 2025 - Thus, judgments about diagnostic labels tend to be subjective and retrospective. … The concept of excellence requires judgment about what parameters are most important to prioritize … • How were judgments of “error” and preventability determined? … • Was a judgment about the adequacy of care based on an established standard of care, expert consensus … certainty is reached, determinations about what is adequate, optimal, or excessive are subject to judgment

34. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
    April 01, 2025 - with concern by some, who noted that “accurate” and “timely” are not standardized or specified, and judgments … Discrepancies or Diagnostic Discordance Disagreements in classification of disease, commonly used in clinical … before certainty is reached, determinations about what is adequate, optimal, or excessive are subject to judgment … Accurate: Correct, Precise  A diagnosis that is based on sound clinical reasoning and evidence. … Can also refer to how well the clinical reasoning and testing perform to rule in or rule out diagnostic

35. ICE Checklist 4: Cleaning and Disinfection of the Dialysis Station (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist4-cleaning-dialysis-station.pdf
    June 02, 2025 - Clinical judgment must be exercised to determine appropriate practice for each patient, ensuring that

36. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
    www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
    January 01, 2025 - Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical … clinical environment. Intermountain UCC leadership then deployed ePneumonia! … judgment for the clinician to not order the chest x-ray, or for the clinician to order a chest x-ray … when likelihood is lower but still possible according to their judgment. … Clinician judgment guided by Tele-CCM allows for direct admission to the intensive care unit for selected

37. Types of Evidence Used To Assess Diagnosis | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology4.html
    April 01, 2025 - Thus, evidence and interpretation of adequacy are only as good as their fit with the context and clinical … Judgments about adequacy of diagnosis are only further complicated by the inherent variability in disease

38. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-7.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction References … Previous Page   Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic … Judgment under uncertainty: heuristics and biases. Science. 1974;185:1124- 1131. … Identification of facilitators and barriers to residents’ use of a clinical reasoning tool.

39. Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
    September 01, 2022 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

40. Final Progress Report: Risk and Recovery in Complex Environments: Labor and Delivery as a Model (pdf file)
    www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
    January 01, 2025 - At least some of this paradigm shift was influenced by the seminal Science and Judgment in Risk Assessment … The safety crisis is highlighted by medical malpractice judgments that have reached historic proportions … We used all available evidence, including historical data, past experience, and expert judgment. … Clinical phase decomposition We also decomposed the system into phases of clinical care using a ‘mission … 5bpage%5d+AND+2003%5bpdat%5d&doptcmdl=abstract&holding=psrmlib National Research Council, Science and Judgment