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Total Results: 548 records

Showing results for "clinical judgment".

321. Antibiotic Stewardship Program Development: Part 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
     November 01, 2019 - Post-prescription review and feedback generally occur 48 to 72 hours after antibiotics are started when more clinical … Adjunct ASP Interventions SAY: ASPs may consider working with individual providers and/or clinical … in this presentation must be applied by health care practitioners in accordance with professional judgment

322. Chapter-2 - Failure-To-Rescue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
     March 01, 2020 - Impact on clinical alarms was mixed, with no significant increase in clinical alarms per monitored … judgment and quantifiable evidence to call for help. … During implementation, consider strategies for reinforcing discretion and judgment by clinicians … Trial • Clinical Trial, Phase I • Clinical Trial, Phase II • Clinical Trial, Phase III • Clinical … Trial • Clinical Trial, Phase I • Clinical Trial, Phase II • Clinical Trial, Phase III Patient Response

323. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - the hospital, 4,5 nursing homes, 6 and the ambulatory/outpatient setting. 7 In addition to poor clinical … Cross tabulations among the independent pharmacists’ judgments for whether medications would potentially … The overall agreement in judgments across all 1,389 medications was 68 percent, leading to a Cronbach … White, PharmD; Clinical Pharmacist, Providence Sacred Heart Medical Center. Cynthia F.

324. 012-Blood-Culture-Practices-Webinar (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
     October 01, 2024 - The Clinical Laboratory Standards Institute (CLSI) recommends calculating monthly rates of blood culture … Few studies have examined whether blood culture utilization is appropriate based on clinical indications … Many of these orders were inappropriate, as the patients did not meet clinical indications for blood … Discussions reveal that awareness of the clinical indications and blood culture stewardship among ABCH … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

325. Pf-Engagement-Facnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
     May 01, 2017 - . · Abandoning critical judgment. … They bring clinical judgment to the table.

326. Implementing Antibiotic Stewardship in Your Practice – Facilitator Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
     September 01, 2022 - implementing evidence-based practice guidelines related to the antibiotic stewardship goal; (4) providing clinical … healthcare practitioners to check in on their experiences with implementing the guidance and answer any clinical … In addition, emails can be sent at standard intervals to provide reminders about the initiative and clinical … stewardship activities in an ambulatory practice should be supported by senior leaders and directed by both a clinical … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

327. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
     October 01, 2024 - Defect: Any clinical or operational event or situation that you do not want to have happen again.4 Emphasizes … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

328. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
     January 01, 2004 - These could be administrative or clinical errors. … of mistakes in care arising from system and process failures, and 47 (14 percent) were of errors in clinical … judgment. … There was no clinical or cost consequence in 54 percent of the error reports. … No judgment about the severity of these consequences was sought from reporters or constructed by the

329. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
     January 01, 2025 - Otherwise, presentation material and organization were left to the judgment of individual speakers. … Judgment, inference, and opinion are often required to make a final determination. … Although the clinical evidence base for EMS remains small, the base for EMS-related policy decisions … Clinical trials are considered the gold standard in most medical research but they are difficult to … Spaite described clinical trials in EMS as yielding “little bang for the buck” due to the high costs

330. Optimizing Environmental Cleaning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
     October 01, 2024 - There is a lack of strong clinical evidence to support the effectiveness of universal sporicidal agents … terminal cleaning when C. difficile or MDRO rates are above the typical endemic rates on a particular clinical … to ask questions, walk through, and understand the process with as much detail as possible without judgment … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

331. Final Progress Report: Shared Online Health Records for Patient Safety and Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
     January 01, 2024 - What is the impact on clinical workflow and efficiency, not to mention clinical outcomes for patients … Study Outcomes The primary clinical outcomes (Table 1) of the Prepare for Care study were to evaluate … There were no clinical differences among study participants at baseline by treatment arm. … not confounded by the tendency of patients to engage in online PHR clinical interactions. … judgment.

332. 105-What-Are-The-4-Es-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
     April 01, 2025 - This includes representatives from clinical disciplines, together with those in the environmental services … Tracking and sharing performance metrics in clinical areas is another strategy to keep staff engaged. … In the short term, the team focuses on implementing a clinical decision support system for decolonization … The team tailors the intervention to different clinical settings, making necessary adjustments for the … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

333. Improving Health Information Technology (IT) Patient Safety: A Resource List for Users of the AHRQ Health Information Technology Supplemental Item Set (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
     May 01, 2023 - As newer and more sophisticated devices have been added to the clinical environment, clinicians’ workflows … assessment-health-it-toolkit A key to successful implementation of health IT is to recognize its impact on both clinical … Rather, the list reflects ECRI’s judgment about which risks should receive priority now.

334. Imbedding Research in Practice to Improve Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
     May 07, 2008 - Beginning in 2000, investigators from the KPCO Clinical Research Unit (now KPCO Institute for Health … • Translate the findings of each successful project into routine clinical practice at KPCO. … The PAS combined data from the electronic medical record (EMR) and clinical databases with screening … physicians in 49 to 96 percent of cases.11 Second, software-based alerts cannot match the professional judgment … Interventions from several of these projects are now routine clinical practice at KPCO.

335. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
     October 01, 2024 - affects one or both lungs, caused by an infectious pathogen Can be caused by bacteria, virus, or fungi Clinical … breath Diagnostic Testing abnormal chest radiographic findings, leukopenia/leukocytosis, positive clinical … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 Clinical Practice … ICU Liberation Bundle (A-F). https://www.sccm.org/Clinical-Resources/ICULiberation-Home/ABCDEF-Bundles

336. Indwelling Urinary Catheter Insertion Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
     April 01, 2022 - Even when inserting catheters during clinical rotations, the instructor is often hovering nearby, with … Another strategy to overcome the barrier of supplies not readily available include working with other clinical … can be sure barriers to aseptic insertion can be reduced by sharing these best practices with other clinical … Slide 18 To summarize, the key points from this module are as follows: Use judgment and critical

337. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - , such Advances in Patient Safety: Vol. 4 212 conferences often are conducted by the larger clinical … Cases are selected carefully to illustrate a compelling array of patient safety issues and clinical … The editors review each submission using criteria such as clinical interest, patient safety interest … Members of the editorial board (including experts in clinical fields such as obstetrics-gynecology and … Training/learning curve issue 9 (16%) Communication: provider-patient issue 5 (9%) Difficult judgment

338. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
     December 01, 2017 - Wound Rounds * X   On-Time Resident Clinical, Functional, and Intervention Profile Report – … Trigger Summary Report (Resident Level) Trigger Summary Report (Unit Level) Risk Change Report Clinical …   X X CNA Shift Change Report CNAs meet at shift change to share summary of residents' clinical … X   X X Nurse Shift Change Report Nurses meet at change of shift to review resident clinical … And remember, you don't have to review everyone on the report; use your clinical judgment when it comes

339. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
     January 01, 2004 - However, skilled clinical assessment, while necessary, is not sufficient for effectively responding … The policies we developed are based on clinical experience, research knowledge, and group consensus … The TIDES project engaged clinical management in three large VA regions (Veterans Integrated Service … As implemented by the clinical leaders and managers who participated in the TIDES project, depression … Samaritans’ scoring system helps develop judgment. Br Med J. 1995;310(6972):126–7. 6.

340. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
     October 01, 2024 - 2013; 381(9872):1099-106 Huang14 1/2009-9/2011 Cluster RCT 43 74 (ICU) 122,646 37 percent less MRSA clinical … cultures (primary) MRSA clinical cultures All-cause bacteremia Emergence of resistance to mupirocin … Cultures14,20 REDUCE MRSA & Swap Out Trials Cumulative Hazard of MRSA Clinical Cultures Reproduced … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Clinical relevance of mupirocin resistance in Staphylococcus aureus.