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Showing results for "clinical judgment".

81. Diagnostic Stewardship Interventions To Reduce Diagnostic Error | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship5.html
    August 01, 2024 - For blood cultures, several strategies have been shown to reduce contamination rates: education of clinical … laboratory professional, such that the decision to perform further testing may be mediated by professional judgment … These modifications, which in many scenarios can be delivered through clinical decision support systems

82. CUSP Program Sustainability
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/028-ss-cusp-program-sustainability.pptx
    April 01, 2025 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Sustainability References Enhancing Project Spread and Sustainability – A Companion to the “Easy Guide to Clinical … Clinical Excellence Commission.

83. Making Health Care Safer II, Executive Summary (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - Furthermore, the standardization imposed by the clinical trial paradigm may stifle the adaptive responses … assessments were based explicitly on the combination of the available evidence with their expert judgment … For these practices, at least in the judgment of our TEP, there is sufficient knowledge to implement … Lastly, we relied on the judgment of our TEP at every important step of the project. … Therefore, the results are as much a product of these judgments as are our systematic review methods

84. Studies Summarize Current Evidence on Tools to Treat, Diagnose ADHD Symptoms in Children | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/906.html
    March 01, 2024 - tools showed promising diagnostic performance, but a valid and reliable diagnosis of ADHD requires the judgment … Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical … admission from the emergency department in patients with acute heart failure: the SSU-AHF randomized clinical

85. The “Never Antibiotic” Diagnoses: Acute Bronchitis – Slides
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-slides.pptx
    September 01, 2022 - described in this presentation must be applied by healthcare practitioners in accordance with professional judgment … Chronic cough due to acute bronchitis: ACCP evidence-based clinical practice guidelines. … Beta2-agonists for acute cough or a clinical diagnosis of acute bronchitis.

86. Acute Care ASP Development
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-slides.pptx
    November 01, 2019 - Use – Acute care 8 Essential Partners: Medical and ID Staff Member Role Medical Staff Source of clinical … Microbiology Member Role Information Technology (IT) Assist with collating antibiotic, microbiology, and clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment

87. Potential Measure Development Methodology | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas2.html
    October 01, 2020 - Potential Measures for Clinical-Community Relationships Potential Measure Development Methodology … The core set reflects a judgment about which measures may be the most useful and feasible for quality … suitable for delivery through clinical-community relationships. … Clinical-Community Relationships Measures (CCRM) Atlas. March 2013. … Clinical-Community Relationships Evaluation Roadmap. July 2013.

88. Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
    November 15, 2022 - positive and negative attributes with particular patient populations can influence clini- cians’ judgments … In addition to affecting judgments, biases impact behav- ior toward others (e.g., reduced eye contact … While there is debate on the extent that these biases impact clinical decision-making, clinician bias … health out- comes and address social determinants of health (SDOH) when adequately integrated into clinical … “I’m Not Feeling Like I’m Part of the Conversation” patients’ perspectives on communicating in clinical

89. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
    January 22, 2008 - judgment to resolve the issue (P = 0.89). 10 Discussion The primary objective of any patient … judgment. … Improving clinical communication. J Am Med Inform Assoc 2000; 7: 453-461. 22. … judgment 19 _____ Asked patient and/or patient’s family _____ I couldn’t get it _____ Other … judgment _____ Asking the patient and/or patient’s family _____ I couldn’t get it _____ Other

90. Chipra-89-Adhd-Behavior-Section-5-Attach-5 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
    February 02, 2012 - ● Value judgments: The committee con- sidered the requirements for establish- ing the diagnosis, the … ● Value judgments: The committeemem- bers considered the value of medical home services when deciding … ● Value judgments: The committeemem- bers included the effects of untreated ADHD when deciding to … ● Value judgments: The committeemem- bers included the effects of untreated ADHD when deciding to … ● Value judgments: The committeemem- bers included the effects of untreated ADHD when deciding to make

91. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
    June 01, 2021 - Management RTI 17 When To Consider Transfer Resident has not shown clinical improvement … within 24 hours of starting antibiotic therapy Clinical instability Unable to maintain oxygen saturation … described in this presentation must be applied by health care 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

92. Acute Care Learning From Defects
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
    November 01, 2019 - antibiotics for duration of hospitalization Antibiotics could have been changed from IV to PO once clinical … regimen 3 Received 10 days of antibiotics Reasonable to consider shorter course of therapy given clinical … or emotional condition of the patient/family Negative: Unclear clinical diagnosis; family strongly prefers … a certain antibiotic regimen Positive: Clear clinical syndrome; patient informed about stewardship issues … described in this presentation must be applied by health care practitioners in accordance with professional judgment

93. Improving Antibiotic Use is a Patient Safety Issue
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
    November 01, 2019 - developed antibiotic-associated adverse events after hospital discharge Most adverse events had some clinical … ramifications Additional hospitalizations (3%) Prolonged hospital stay (24%) Additional clinical or … 1987 1988-1992 1993-1997 1998-2002 2003-2007 2008-2012 2013-2017 16 14 10 7 6 2 7 Years Approvals Clinical … Antibiotic Use – Patient Safety Issue AHRQ Safety Program for Improving Antibiotic Use – Acute Care 10 Clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment

94. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching.pptx
    July 01, 2023 - To help improve the adoption of AIM clinical bundles by frontline staff Effective coaching helps to achieve … In the context of adopting the AIM clinical bundles, the key to integrating teamwork behaviors into daily … As such, coaches play a critical role in both technical (i.e., clinical practice) and adaptive (e.g., … Working with Personal Issues―Listening empathically and without judgment, and offering emotional support … Listening empathically and without judgment and offering emotional support for nonwork difficulties.

95. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching.pptx
    July 01, 2023 - To help improve the adoption of AIM clinical bundles by frontline staff Effective coaching helps to achieve … In the context of adopting the AIM clinical bundles, the key to integrating teamwork behaviors into daily … As such, coaches play a critical role in both Technical (i.e., clinical practice) and Adaptive (e.g., … Working with Personal Issues―Listening empathically and without judgment, and offering emotional support … Listening empathically and without judgment and offering emotional support for nonwork difficulties.

96. On the CUSP: STOP CAUTI Teamwork Theory in Action April 16, 2013
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
    April 16, 2013 - Chu, MD, FHM Director of Hospital Medicine Boulder Community Health Associate Clinical Professor of Medicine … The judgment of the Court was announced by William J. … The judgment of the Court was announced by William J.

97. Project Report - Lean Sigma (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
    January 01, 2003 - infection is only suspected, the C-VAD is not known to be the source, or the C-VAD cannot be removed, clinical … judgment is necessary. … The catheter tip may be submitted for semiquantitative culture if there is clinical suspicion of CLABSI … Evaluate the clinical picture.

98. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
    November 01, 2019 - outcomes* OR/RR (95% CI) Paul 20032 Cochrane 68 RCTs Mortality: 0.87 (0.34–2.24) Clinical failure: … ) Paul 20044 BMJ 64 RCTs Mortality: 1.50 (0.70–32.84) Clinical failure: 1.01 (0.68–1.49) Paul 20065 … Cochrane 64 RCTs, observational Clinical failure: 1.02 (0.68–1.51) Marcus 20116 J Antimicrob Ag 52 … described in this presentation must be applied by health care practitioners in accordance with professional judgment … Clinical implications of β-lactam-aminoglycoside synergism: systematic review of randomised trials.

99. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
    January 01, 2024 - judgment and interdisciplinary communication problems.9, 10, 12 Examination of AEs due to missed and … Leading factors contributing to errors were failure in judgment, vigilance or memory, or knowledge, … These data were collected for all AEs, regardless of the judgments related to preventability, as mitigation … Specifically, nurse auditors recorded their judgment as to whether or not an AE was medication related … We recognize that judgments of preventability and/or ameliorability are not easy to make and that data

100. The Rural Physician Peer Review Model©: A Virtual Solution (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
     June 19, 2008 - Thus, rural practitioners often have to render their initial clinical judgments based on less immediate … in 2003 with the mission of improving access to care and reducing disparities in health status and clinical … • Disseminate evidence-based practice guidelines and updated information regarding clinical standards … of operation, from February 2004 through April 2007, the majority—575 cases (62 percent)—received judgments … Peer Review Model is significant because it provides a virtual process to achieve unbiased physician judgments