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Showing results for "clinical judgment".

441. Appendix V. JAMIA Draft Manuscript | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
     April 01, 2018 - IPs have been favored over automated systems for this task because of their adaptability and clinical … judgment about the presence or absence of SSI. … However, these systems can be extremely sensitive to artifacts of data manipulation or changes in clinical … 13 , 16 ] still did not generalize well because of institutional differences in data collection and clinical

442. Final Progress Report: Measuring Mistrust in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
     January 01, 2024 - entrusted with their care will assume responsibility for them and not inappropriately defer to the judgment

443. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
     May 01, 2018 - • Fiscal burden of measure focus (e.g., clinical condition) on patients, families, public and private … Measure Topic – clinical quality: No. j. Measure Topic – patient safety: Yes. k. … See Appendix 1 in the Supporting Documents for Clinical Guideline Tables. 5.B. … Clinical or Other Rationale Supporting the Focus of the Measure (optional) Provide documentation of … Face validity refers to whether the measure plausibly represents the concept being evaluated in the judgment

444. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
     January 01, 2003 - The selected variables extracted included demographic and clinical information. … The injuries and adverse events were grouped into categories using the Clinical Classification Software … the primary discharge diagnoses into clinical classes. … medical care, or only a subset of preventable injuries that are clearly related to medical error is a judgment … Clinical Classifications Software (ICD-9-CM) Summary and Download.

445. Communication Strategies to Promote Resident Safety
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
     September 01, 2016 - captains prevent disasters caused when otherwise excellent decision-makers experience momentary lapses in judgment … So in the clinical environment, team members should challenge colleagues if requesting clarification

446. Communication of Weight Classification for Children Who Are Overweight or Obese (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
     February 01, 2020 - Measure Topic – clinical quality: Yes. j. Measure Topic – patient safety: No. k. … Once a child’s BMI is measured, clinicians must exercise judgment, first in assessing the child’s health … presented with a standardized data collection form designed to minimize the need to make subjective judgments … This source is considered the gold standard for clinical information. … Clinical or Other Rationale Supporting the Focus of the Measure (optional) Section 6.

447. Development of a Comprehensive Medical Error Ontology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
     June 16, 2008 - d 11, 12 While most of the existing classification schemes may be well suited to the particular clinical … Potential solution • Lack of attentiveness • Lack of agency/ fiduciary concern • Inappropriate judgment … Although health care service and clinical location may seem similar, they are different. … SNOMED clinical terms: Overview of the development process and project status. … Development of an ontology to model medical errors, information needs, and the clinical communication

448. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
     January 01, 2024 - It electronically collected and distributed clinical information on more than 20,000 ED patients who … In one case, in a hospital that did not participate, all clinical and administrative parties were motivated … variables as well as demographic and clinical data for retrospective reports and research analyses … To begin with, users do not have a sense of how to put a value judgment on an average TIPI score. … Many providers of clinical information systems and/or consulting services offer benchmarking reports/

449. Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
     February 01, 2012 - 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 … Randomized versus historical controls for clinical trials. Am J Med 1982;72:233-40. 44. … Meta-analysis in clinical trials. Control Clin Trials 1986;7:177-88. 46. … Vitamin D and the heart: why we need large-scale clinical trials.

450. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
     January 01, 2024 - The nurse could then further tailor the plan based on their clinical judgment and knowledge of the patient … MMC had electronic clinical documentation and was changing EHR vendors during this study. … Color-coded clinical decision support links risk factors to evidence-based interventions. … Applied clinical informatics, 9(02), 302-312. … Clinical dashboards: impact on workflow, care quality, and patient safety.

451. Patient-Centered Outcomes Research Trust Fund Strategic Framework (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
     June 01, 2023 - Clinical Decision Support (CDS) is specifically called out in AHRQ’s PCORTF authorization. … Leverage and support innovation in digital health, clinical decision support, and new models of care … via clinical decision support (CDS) and engage with stakeholders about the value of the information … culturally competent providers).5 Affordable: Affordability is a function of income, spending, and judgments … Improving medication use and outcomes with clinical decision support: a step-by-step guide.

452. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - Bedside shift report is a clinical expression of engaging patients and families as essential partners … process: Establish a multidisciplinary team This team should include hospital leaders, nurses, key clinical … Nurses can use their professional judgment when deciding whether to include a particular patient in the … At Advocate Trinity Hospital, the clinical manager of the unit on which the Guide strategies were being … nurse manager worked with other managers; and the clinical practice partner took the lead with nurses

453. Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
     September 08, 2015 - finding ways to make them feel comfortable talking with providers about barriers to complying with clinical … Other States rely primarily on a caregiver’s own judgment about his or her ability to provide peer

454. Tobacco Use and Help With Quitting Among Adolescents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0090-fullreport.pdf
     July 25, 2016 - Clinical Guidelines Key Finding U.S. … Clinical practice guideline. … Clinical Guidelines Key Finding U.S. … Clinical Guidelines Key Finding Institute for Clinical Systems Improvement (ICSI) - 2010: Tobacco Use … Providing these services is left to the judgment of individual medical groups, clinicians, and their

455. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
     January 01, 2024 - This particular clinical handover situation was chosen because it involves interprofessional communication … Traditional specialty-centric clinical education programs are deficient in team training. … To try to improve clinical handovers, Dr. … used absolute rather than relative rating scales: ratings were based on the observers’ best-trained judgment … Observers did not interact with clinical personnel except to obtain self-evaluation surveys from the

456. Final Progress Report: NPSF Joint Medical-Legal Conference at SMU (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/nance-report.pdf
     January 01, 2025 - 1) creating effective medical reporting systems; (2) creating a legal atmosphere conducive to open clinical … Keywords: Disclosure, Reporting, Clinical Communication, Patient Safety, Medical-Legal. … An important component of this is that doctors often worry that a judgment against them personally will … If our goal as a society is to extract as much clinical information from errors and mistakes as possible … That recognition alone mandates sharing of clinical information about human failures and sets the stage

457. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
     October 01, 2024 - All-cause bloodstream infection (BSI) rate: Number of all-cause BSI events per 1,000 patient-days MRSA clinical … cultures: Percentage of patients with any positive MRSA clinical cultures over the past year Decide … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … prevent Staphylococcus aureus and bloodstream infections in adult ICUs: a pragmatic cluster-randomized clinical

458. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
     September 01, 2015 - Merriam-Webster (2014) defines it as the “skill, good judgment, Wand polite behavior that is expected … culture in the organization that enables chronic lateness, and other challenges such as understaffing or clinical … However, the basis of the practice’s assessment of you will quickly shift to a judgment of your actions

459. 013-Ss-Cleaning-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
     April 01, 2025 - Monitoring the quality of cleaning is a key facet of environmental cleaning and necessary to ensure best clinical … This requires added time commitments from clinical staff and microbiology lab technicians. … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment

460. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
     July 01, 2018 - Prevention of Venous Thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice … We rely on doctors to write in/choose the most appropriate DVT prophylaxis based on their judgment and … should only be made after careful consideration of ease of use, sophistication of the informatics and clinical … decision support in your health record, evidence for clinical utility, and ability to predict VTE risk