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Showing results for "clinical judgment".

361. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - behaviors to the clinical setting. … items was determined, with a cutoff of 0.8 providing empirical evidence for the convergence of rater judgments … When expert judgments indicated that specific aspects of the leadership measures were not sufficiently … The investigators worked with SMEs to identify observable clinical triggers. … Methodology for video capture of live clinical events Publications 1.

362. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
     February 23, 2008 - facilities used colorimetric analyzers (CO2 analyzers) to confirm tracheal placement, in addition to clinical … competency in airway management per the requirements of this directive, clinicians may exercise their judgment … However, the change in policy had the backing of national clinical VHA leadership in surgery, anesthesiology … National Association of EMS Physicians Standards and Clinical Practice Committee. … Clinical anesthesia. Philadelphia: JB Lippincott; 1989: p. 543-560. 14. ASA task force report.

363. Chapter 4, Emerging Trends in Care Coordination Measurement | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
     June 01, 2014 - Rich clinical context. … As patterns of coordination-related clinical workflows emerge in the U.S. health care system, so too … care coordination or some other aspect of care was at times a difficult decision requiring subjective judgment … Patient-centered care across transitions: challenges and opportunities in clinical informatics. … Meaningful Use Clinical Quality Measures. Centers for Medicare & Medicaid Services.

364. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
     July 01, 2004 - features: normalized inter-rater reliability; lower cost-per-chart reviewed than the traditional clinical … At the CDACs, trained abstractors processed each clinical chart by recording predefined chart data. … Independent, practicing clinicians are employed for the last phase of beta testing, clinical review. … The purpose of the MPSMS beta clinical review process is twofold: 1. … To determine if practicing clinicians, using their clinical judgment and Qualidigm and CDAC abstractors

365. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/results.html
     March 01, 2017 - This referred not only to communication between the patient and the physician during the clinical encounter … in decisionmaking includes providing the physician with all the information needed to make a sound clinical … judgment, listening to advice on lifestyle and behavioral factors that may influence poor health, and … high-reliability organizations were recommended to reduce the opportunity for errors in communication, enhance clinical

366. White Paper - Redefining Primary Care for the 21st Century (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
     January 01, 2020 - This report is not intended to be a substitute for the application of clinical judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … For example, in Learning to Integrate Neighborhoods and Clinical Care (LINCC), Group Health patients … • Use clinical data to identify care gaps and plan visits. … Peterson Center on Health Care, & Stanford Medicine Clinical Excellence Research Center.

367. Final Progress Report: Shared Decision Making in Surgery To Improve Patient Safety and Reduce Liability (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
     January 01, 2024 - two clinical settings with differing institutional structures. … Physicians were concerned about intrusion into their clinical judgment and clinical practices by the … clinical encounters … • Scheduling training and follow-up in busy clinical settings. … Commonly missed elements of SDM in clinical encounters. 5. Memory aids.

368. CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
     January 01, 2014 - Patient satisfaction was assessed using the Patient Judgment System, a validated survey administered … Composite measures of clinical quality, Sequist TD, Glahn TV, Li A, Rogers WH, Safran DG. … Measuring chronic care delivery: patient experiences and clinical performance. … processes of care and clinical outcomes of care composites. … The quality of clinical interactions composite had a significant positive correlation with the clinical

369. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - Abandoning critical judgment. … They bring clinical judgment to the table.

370. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - Encouraging a safe environment to discuss and reassess clinical plans for residents is essential to reduce … described in this presentation must be applied by health care practitioners in accordance with professional judgment

371. Best Practices in the Diagnosis and Treatment of Sepsis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
     November 01, 2019 - increase in susceptibility, such as would be assumed by adding tobramycin to cefepime, may make a clinical … Opportunities for de-escalation should be assessed on a daily basis based on the patient’s clinical … There have been several clinical trials with different sizes, populations, and procalcitonin algorithms … Mortality and Antibiotic Duration in Critically Ill Patients SAY: Given variable results of clinical … in this presentation must be applied by health care practitioners in accordance with professional judgment

372. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
     January 01, 2025 - process steps to consider in development of a new ideal model As a prelude to FMEA, we worked with clinical … second FMEA team differed from the first FMEA team, although both consisted of team members with deep clinical … improved understanding of the FMEA process itself and the utility of actual data versus the accumulated judgment … of a team of experts with experience in the clinical process that is subject to FMEA. … As such, many of the assessments of frequency and severity rely as much on participant judgment as

373. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
     September 01, 2015 - • Staff satisfaction with the empanelment process, including clinicians, other clinical staff, and … Panel Management Training Part 2: Creating clinical practice guidelines How are clinical practice … For effective panel management to take place, panel managers need to exercise some clinical judgment … Clinical practice guidelines agreed upon by the clinic leadership says that patients with A1c levels … : Panel Assessment and Maintenance Original Date: Revision Date(s): Approval Date: Manual: Clinical

374. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
     September 01, 2015 - The goals of academic detailing have traditionally been to improve clinical practice in a targeted area … You may opt to convene academic detailing sessions for chief executive officers, clinical managers, … academic detailing sessions can be held during the facilitation intervention as needed to support clinical … Note: You need to use your judgment. Does it seem like there is a big backlog of patients? … �“What do you think is the most compelling clinical data for a product?”

375. 017-Ss-Importance-Ssi-Mrsa-Prevention-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
     April 01, 2025 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

376. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
     January 01, 2024 - antecedent sign, 23%-81% did not receive appropriate care in response to an antecedent sign, in the judgment … The team can be activated by any clinical staff person when one or more trigger signs are observed … lpm Decreased level of consciousness Agitation, delirium Possible stroke Seizure Marked concern by clinical … We were not able to determine the timing of ICU transfers during the process of clinical decline. … Clinical antecedents to in-hospital cardiopulmonary arrest. Chest.

377. Strategy 3: Bedside Shift Report (Tool 3)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
     July 23, 2010 - brochure (a piece of paper alone will not get patients and families engaged) Abandoning our critical judgment … We bring our clinical judgment to the table – it is important perspective as part of the health care

378. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
     March 28, 2008 - In this approach, we conducted a simulation study of the clinical environment of type 2 diabetes to … Encounters were defined in terms of clinical visits. … ) was tested on an administrative database of clinical treatment records. … Figure 4 shows two histograms resulting from testing the decision tree with real clinical data. … Judgment under uncertainty: Heuristics and biases.

379. 157-What-Are-4-Es (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
     October 01, 2024 - This includes representatives from not only clinical disciplines, but other personnel such as those in … The VP doesn’t have a clinical background and didn’t know about the MRSA problem, but once informed, … They focus on installing a computerized clinical decision support system for antibiotic prescribing, … Adoption of the computerized clinical decision support system goes relatively smoothly, aside from minor … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

380. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
     January 01, 2003 - • Adopt clinical protocols for administration of high-alert medications. … Physician clinical performance measures intend to measure individual physician’s clinical practice behavior … and adherence to evidence-based, objective clinical practice criteria. … Physician clinical performance assessment: the state of the art. … A judgment of errors. Nurs Times 1991:87(14);26–30. 23. Lilley LL, Guanci R.