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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - LHC has roughly 8,400 clinical and administrative employees and is one of the area's largest employers … The initiative has five points: excellent service, best people, clinical quality and safety, resource … mentioned that awareness of the tools would generate a culture of transparency and reduce blame and judgment … Teams from each clinical area identified areas for process improvement. … One executive noted that involving physicians required judgment, since a balance had to be achieved between
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - Slide 1
Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI
*
Barbara Meyer Lucas, MD, MHSA
Project Consultant
Michigan Health & Hospital Association
Keystone Center for Patient Safety and Quality
Milisa Manojlovich, PhD, RN, CCRN
Associate Professor
Division of Nursing Business & Hea…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
April 01, 2025 - Antimicrobial Prophylaxis
SAY:
Given the risks and benefits of vancomycin, it should be reserved for specific clinical … chronology (or the timing of a reaction from when the patient was exposed to a drug), mechanism, and clinical … These are IgE-mediated, and the clinical presentation is urticaria (or hives), bronchospasm, and in the … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - described in this product must be applied by health care practitioners in accordance with professional judgment … Promptly report any signs of an infection to the clinical supervisor. … Tell the resident that you are seeking additional help from your clinical supervisor. … Talk to the lab or clinical supervisor about questions concerning culture results. … Work with the clinical supervisor to identify similar symptoms among those who are sick.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Measure Topic – clinical quality: Yes.
j. Measure Topic – patient safety: Yes.
k. … records reviewed to 84 percent (Kappa = 0.51) for the last one-third of records, and
primary reviewers’ judgments … The triggers used in the measure rely on clinical information, such as clinical notes, laboratory
results … While studies suggest that experienced reviewers
make fairly consistent judgments about whether harm … determining whether
a hypotensive event is due to medication or disease progression relies on individual judgment
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www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
January 01, 2025 - Use of value sets and clinical
logic expressed using the Clinical Quality Language was
included in … Though the apps have some ability to mute repeated
codes, remaining data evaluation relies on the judgment … endpoints but does not yet address
reconciliation and deduplication of the data and relies on the judgment … Use of value sets and clinical logic
expressed using the Clinical Quality Language was included in the … Though the apps have some ability to mute repeated codes,
remaining data evaluation relies on the judgment
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
October 01, 2024 - A review of clinical indications and alternatives must be considered before a catheter is placed. … Evidence-based clinical indications for central line placement are listed on this slide. … These clinical indications include administration of vasopressors, chemotherapy, or total parenteral … You may be surprised to see how many short-term workarounds have become a normal part of the clinical … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
June 02, 2025 - Epithelialization
Ulcer pain
Current stage
Followup ulcer status (improving, no change, worsening) per nursing judgment
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
January 10, 2022 - desk staff with patient registrations so all radiology
reports can be logged in and reported to key clinical … evaluation reveals an
unsuspected pulmonary embolism, a diagnosis different from what the outpatient
clinical … When the clinical situation dictates that the team member must be assertive and
address concerns regarding … For example, “When you
question my judgment in front of others, I feel embarrassed, and it makes me very … providers, support staff schedules will
be adjusted so each clinical provider has “their own” staff
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
January 10, 2022 - desk staff with patient registrations so all radiology reports can be logged in and reported to key clinical … evaluation reveals an unsuspected pulmonary embolism, a diagnosis different from what the outpatient clinical … When the clinical situation dictates that the team member must be assertive and address concerns regarding … For example, “When you question my judgment in front of others, I feel embarrassed, and it makes me very … providers, support staff schedules will be adjusted so each clinical provider has “their own” staff
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - the validity of 23 groups of codes in the
International Classification of Diseases, 9th revision, Clinical … Qualifications of the nurse reviewers included 3 years of experience with
clinical data abstraction … in combination with either acute care or clinical coding
experience. … Many of the remaining codes appear promising but are based on too
few records to make a judgment. … Does
clinical evidence support ICD-9-CM diagnosis coding
of complications?
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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - By
linking data from the VHA DOAC Dashboard to the VHA Clinical Data Warehouse, we were able
to identify … However, integration into clinical workflow and responsiveness to user feedback remain major
obstacles … judgment or
justification for their work. … After initial pharmacist review, 38% were
recommended for a clinical prescription change and 88% of … Improving clinical practice using clinical decision
support systems: a systematic review of trials to
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www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - perfor-
mance because they “provide an alternative to reliance on
25 (p307) intuition and memory in clinical … any possible biases or heuristics (i.e., mental short-
cuts) that may have adversely influenced their judgment … medicine,27 more research is needed
within diagnosis to better understand how checklists can im-
pact clinical … The impact of interrup-
tions on clinical task completion. BMJ Qual Saf 2010;19(4):284–289.
2. … A matter of urgency: reducing clinical text
message interruptions during educational sessions.
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - reviewers and calculated inter-rater reliability
using the kappa statistic, with kappa values of 0.93 for judgments … Research Design: Prospective cohort embedded in a clinical trial. … Research Design: Prospective cohort embedded in a clinical trial. … Predicting Nursing Home Adherence to Clinical Trial Intervention. … In Preparation
Purpose: To describe factors predictive of nursing home (NH) adherence to a clinical
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - Reference Guide for Clinicians
This Quick Reference Guide for Clinicians presents summary points from the Clinical … judgment to develop recommendations on treating tobacco use and dependence. … These treatment extenders can make clinical interventions more efficient. … a Based on the 2008 Clinical Practice Guideline: Treating Tobacco Use and Dependence , U.S. … Address tobacco use at next clinical visit (treat tobacco use as a chronic disease).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - is to monitor hand hygiene adherence at the time of entry and time of exit from a patient’s room or clinical … Focus group sessions—including representation from all clinical and ancillary staff departments—sought … described in this presentation must be applied by health care practitioners in accordance with professional judgment … Clinical Safety: Hand Hygiene for Healthcare Workers. https://www.cdc.gov/clean-hands/hcp/clinical-safety … Hygiene Initiative after 8 years on infection control practices, health-care worker education, and clinical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Just as you can audit clinical processes, you can audit briefing and debriefing processes. … The technical work involves evidence-based clinical practices. … Use the audit tool as a starting place to develop one that reflects your clinical setting and bundle. … Your observers will not have to make many judgment calls, but rather will be looking for discrete tasks … This included the highly clinical elements of the case, which was a nice surprise.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
December 01, 2017 - Followup ulcer status (improving, no change, worsening) per nursing judgment.
Treatments.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Final judgment, was prophylaxis order for patient at the time of the survey appropriate?