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Showing results for "clinical judgment".

41. Final Progress Report: Development and Validation of a Tool to Evaluate Handoff Quality (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/arora-report.pdf
    January 01, 2024 - Because the handoff is a ubiquitous feature of clinical medicine, relevant to all specialties, it is … significant increases compared with ratings of senders overall and for setting, organization, and judgment … Although attendings received significantly higher ratings for judgment than trainees when providing … handoffs, attendings received significantly lower scores than trainees for judgment AND organization … Scripts were based upon real-time clinical observations.

42. Module 3: Best Practices in Pressure Injury Prevention (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 02, 2025 - Risk assessment is essential for many reasons: · It aids in clinical decision making. … They are meant to be used in conjunction with a review of other risk factors and clinical judgment. … What element in the case study requires additional clinical judgment? … This clinical issue heightens the risk to a much higher level. … It doesn’t affect the actual risk score, but a professional’s clinical judgment would reveal that this

43. Limitations of AI and the Resulting Risk | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave4.html
    July 01, 2025 - admission with high sepsis risk and underestimate the risk for patients in general wards, even when clinical … For instance, GPT-4 systematically generated racially stereotyped clinical vignettes and produced different … Evaluations of AI-generated clinical content have uncovered concerning error rates. … Ambient digital scribes have been found to introduce errors in 70 percent of generated clinical notes … It is equally important to understand how human judgment is shaped by AI outputs—both positively and

44. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
    January 01, 2024 - The expert reviewer abstracts those additional data elements requiring clinical judgment, such as patient … percent of airway NRE contained mutable factors related to provider training, skill and knowledge, or judgment … conducted a study to determine whether Pathfinder, a psychological scaling technique, applied to judgments … Pathfinder was applied to participants’ pair-wise relatedness judgments of the clinical concepts in … These preliminary data suggest that selective reading (based on clinical judgment) may have limited

45. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
    March 23, 2008 - Relying on clinical judgments rather than on technology to make a decision is becoming riskier from … judgment. … The risk of clinical judgment was a high concern in another study20 that surveyed EM physicians, rather … Interestingly, all groups strongly agreed that relying on clinical judgment rather than on technology … f) Relying on clinical judgment rather than on technology to make a diagnosis is becoming riskier

46. Using Patient Cases for Learning | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
    September 01, 2022 - student learning by imparting relevance, aiding connections between theory and practice, and improving clinical … Identify key diagnostic safety concepts and interventions essential for nurses in a specific clinical … foster reflective thinking and reinforce key learning concepts, educators can use debriefing with “good judgment

47. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
    October 01, 2017 - Risk assessment is essential for many reasons: It aids in clinical decision making. … They are meant to be used in conjunction with a review of other risk factors and clinical judgment. … What element in the case study requires additional clinical judgment? … This clinical issue heightens the risk to a much higher level. … It doesn’t affect the actual risk score, but a professional’s clinical judgment would reveal that this

48. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Good calibration of judgment occurs when the task characteristics are appropriately matched to the cognitive … to produce irritability, intolerance, and other mood changes that will also exert an influence on judgment … Decrease reliance on memory Improve the accuracy of judgments through cognitive aids: mnemonics, … Physician judgment in clinical settings: methodological influences and cognitive performance. … Judgment and decision making in dynamic tasks.

49. AHRQ Safety Program for MRSA Prevention
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
    October 01, 2022 - difficile infection Emergence of antibiotic resistance Greater than 95 percent of adverse events have clinical … An 80-year-old man admitted from a nursing home with suspected pneumonia, showing clinical improvement … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society … Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice

50. PowerPoint Presentation (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T5-Training_Slides_for_Nursing_Home_Nurses_Phase_3.ppt
    May 01, 2014 - Clinicians’ judgment is based on: Patient factors (e.g., age, symptoms, allergies) Facility factors … Antibiograms display the organisms present in clinical specimens sent for laboratory testing as well

51. Coaching Clinical Teams Module | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
    May 01, 2017 - Coaching Clinical Teams Module Slide 1: Coaching Clinical Teams Module Slide 2: Objectives … series of steps: Understand current team training in the health care setting Describe coaching in the clinical … respected by their peers 1 An excellent communicator and listens respectfully Knowledgeable of the clinical … Slide 30: When To Coach in the Clinical Setting Avoid interfering with direct patient care. … Debriefing with good judgment: combining rigorous feedback with genuine inquiry.

52. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - Clinical staff may have undertaken expensive training. … The tool does not seek to take away the manager’s judgment by imposing firm answers or solutions. … Indeed, the importance of the manager applying judgment rather than slavishly following the tool is … Users tend to find this section the most challenging to work through, and the need for careful judgment … Managers are advised to avoid deducing behavioral norms from blanket judgments and prejudices, such

53. Acute Care Improving Communication and Teamwork Around Antibiotic Prescribing
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-slides.pptx
    November 01, 2019 - time How to operationalize an antibiotic time out Select a “prompter” (consider the bedside nurse or clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment

54. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - of clinical guidelines. … The risk assessment tools are not meant to replace clinical assessments and judgment but are to be used … in conjunction with clinical assessments. … Many other factors might be considered as part of clinical judgment. … judgment.

55. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
    October 01, 2014 - of clinical guidelines. … The risk assessment tools are not meant to replace clinical assessments and judgment but are to be used … in conjunction with clinical assessments. … Many other factors might be considered as part of clinical judgment. … judgment.

56. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptx
    June 01, 2021 - Success/Challenges 11 Busy schedules Not available to meet on a regular basis Often do not have a clinical … background Create a reasonable schedule for all of you Quarterly meetings Explain any clinical information … Antibiotic Use – Long-Term Care Senior Executive 17 Summary Your senior executive— Does not need a clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment

57. Improving Communication and Teamwork Around Antibiotic Decision Making (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
    November 01, 2019 - It is critical that clinical team members develop skills and strategies to ensure they can work together … To operationalize an antibiotic time out, select a “prompter” (consider the bedside nurse or clinical … pharmacist) that brings up the questions on the tool during clinical rounds. … This form should be periodically completed by the stewardship team in conjunction with frontline clinical … in this presentation must be applied by health care practitioners in accordance with professional judgment

58. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
    November 01, 2019 - Instead, there needs to be a “meeting of the minds” of all clinical providers on approaches to change … De-escalation can also be guided by the clinical status of the patient. … There is no reason to wait for the results of a sputum culture when clinical judgment suggests he does … It is important for clinical staff to feel comfortable participating in optimizing antibiotic use on … in this presentation must be applied by health care practitioners in accordance with professional judgment

59. ED-to-Hospital Transitions | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
    June 01, 2023 - patients’ presenting symptoms and final diagnoses, between admission and discharge diagnoses, and between clinical … They also do not recognize the imperative for emergency care to focus on clinical stabilization and triage … because the language and goals of emergency care (i.e., triage and safe disposition) often differ from clinical … goals in other settings (e.g., diagnostic accuracy), ED clinicians may have different cognitive and clinical … judgment and the patient’s clinical trajectory, diagnostic uncertainty, and outstanding tasks. 22

60. ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
    February 02, 2012 - ● Value judgments: The committee con­ sidered the requirements for establish­ ing the diagnosis, the … ● Value judgments: The committee mem­ bers included the effects of untreated ADHD when deciding … ● Value judgments: The committee mem­ bers included the effects of untreated ADHD when deciding … ● Value judgments: The committee mem­ bers included the effects of untreated ADHD when deciding … ● Value judgments: The committee mem­ bers included the effects of untreated ADHD when deciding