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Showing results for "clinical judgment".

1321. Closing the Feedback Loop to Improve Diagnostic Quality - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
      January 01, 2011 - Patient satisfaction with their clinical care c. … criteria and a process of training and mutual discussion to develop a reasonably consistent set of judgments … based on clinical relevance and importance. … If the diagnosis lists were considered consonant, an additional judgment was required to be sure that … If dissonant, an additional judgment was required to identify the source of the dissonance.

1322. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - Sources of correctable dosing errors have been identified and include poor dosing judgment, failure … Baseline clinical data are obtained by chart review. … It was not that the clinical sites reneged on their commitments. … Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. … Selection bias and treatment heterogeneity in clinical trials.

1323. Archived: Drug Abuse: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/drug-abuse-screening-1996
      January 01, 1996 - Effectiveness of Early Detection Recommendations of Other Groups Discussion Clinical … Adverse Effects of Screening Drug testing is frequently performed without informed consent in the clinical … Use of standardized clinical assessment in all pregnant women can increase the identification of drug … A rush to judgment. JAMA . 1992;267:406–408. [ PubMed ] 27. … A survey of drugs of abuse testing by clinical laboratories in the United Kingdom.

1324. Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/LU_2NqdYKvadBZuYjUmKo5
      April 10, 2018 - The USPSTF recognizes that clinical decisions involve more con- siderations than evidence alone. … recommends selectively offering or providing this service to individual patients based on professional judgment … Read the Clinical Considerations section of the USPSTF Recommendation Statement. … Fifteen of the 21 home visi- tation trials used clinical personnel in some capacity. … Clinical report—the pediatrician’s role in child maltreatment prevention.

1325. Screening for Ovarian Cancer: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/zHvENvrSUeZh6gFPUK_37c
      February 13, 2018 - The USPSTF recognizes that clinical decisions involve more con- siderations than evidence alone. … recommends selectively offering or providing this service to individual patients based on professional judgment … Read the Clinical Considerations section of the USPSTF Recommendation Statement. … The review included any screening approach evaluated by clinical trial design. … Clinical Preventive Service Recommendation: ovarian cancer. https://www.aafp.org/patient-care /clinical-recommendations

1326. Disposition of Comments for CER 177 Agitation Aggression Dementia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_disposition-comments.pdf
      March 21, 2016 - I think it is trying to point out that some interventions require application of clinical judgment … The text now states: “The more interventions require clinical judgment, the more difficult it is to … to the urgency of the situation or when clinical trials exclude subjects due to other common clinical … making enlistment of staff in a clinical trial very difficult. … Journal of Clinical Geropsychology 8(1):53-73.

1327. Vascular Access Device (VAD) Policy, Adult (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
      March 01, 2008 - 3.0 Policy Number IFC035 Effective Date 03/01/2008 The Johns Hopkins Hospital Interdisciplinary Clinical … Defined Clinical Duties Those who, by virtue of their delineated clinical privileges or job description … Has defined clinical duties to insert central VADs (see definition above) 2. … The supervisor may waive the assistant role if in their best judgment they are able to assume the role … Clinical practice guidelines for vascular access. 7. Rosenthal, K. (2003).

1328. In Conversation With… Abraham Verghese, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
      November 01, 2012 - "( 17 ) Subjectivity and interobserver disagreement are simply part of clinical medicine, and physical … Restoring physical diagnosis to its proper place in clinical medicine requires two types of changes. … The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. … Clinical prediction rule for pulmonary infiltrates. Ann Intern Med. 1990;113:664-670. … Comparison of physician judgment and decision aids for ordering chest radiographs for pneumonia in outpatients

1329. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism_research-protocol.pdf
      December 09, 2009 - Often, clinical recommendations are based on the most common or most popular treatments at a given time … Funding source could refer either to research funding or to payment data for clinical care. … Settings will include medical, other clinical therapy settings, the home, and the educational setting … We will make these judgments for each of the main key questions and any subquestions, if appropriate … Behavioural and developmental interventions for autism spectrum disorder: a clinical systematic review

1330. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/therapies-for-autism-spectrum-disorder-2-9-2010.pdf
      January 01, 2010 - Often, clinical recommendations are based on the most common or most popular treatments at a given time … Funding source could refer either to research funding or to payment data for clinical care. … Settings will include medical, other clinical therapy settings, the home, and the educational setting … We will make these judgments for each of the main key questions and any subquestions, if appropriate … Behavioural and developmental interventions for autism spectrum disorder: a clinical systematic review

1331. N3Veybr4Zdhzfqsw3Erlhe (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/N3VeYbr4ZdhZfqsw3ErLHE
      November 01, 2014 - The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. … Screening for asymptomatic carotid artery stenosis: clinical summary of U.S. … SCREENING FOR ASYMPTOMATIC CAROTID ARTERY STENOSIS CLINICAL SUMMARY OF U.S. … recommends selectively offering or providing this service to individual patients based on professional judgment … Read the Clinical Considerations section of the USPSTF Recommendation Statement.

1332. Screening for Anxiety in Children and Adolescents: US Preventive Services Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/qWZxPBqpffTYVNvGYPkohz
      May 01, 2021 - Clinical Review & Education JAMA | US Preventive Services Task Force | RECOMMENDATION STATEMENT 1438 … The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. … adolescents aged 12 to 17 years. • In the absence of evidence, health care professionals should use their judgment … The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. … Accessed April 19, 2022. https://www.acog.org/clinical/clinical-guidance/ committee-opinion/articles/

1333. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
      January 01, 2024 - Medical residency was focused upon, because it is where long-term mindsets about clinical practice and … Attending and resident physicians making up a single clinical team in the area of trauma surgery were … The trauma surgery clinical team consisted of four on-staff attending physicians (all surgeons trained … Once preliminary findings for each residency setting were complete, an established group of clinical … Individuals in the clinical teams saw them as helping to create a good doctor.

1334. Making Just Culture a Reality: One Organization's Approach | PSNet
      psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
      October 01, 2007 - The " just culture " concept teaches us to shift our attention from retrospective judgment of others, … First, a small group of 10 key clinical and operational leaders attended a day-long session with David … We then conducted a "big bang" educational session for all operational and clinical leaders across the … Lastly, the organization and clinical leadership should identify which behaviors will be considered … these three classes of human fallibility is the biggest contributor to harm or potential harm in the clinical

1335. In Conversation With… Lawrence Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
      February 01, 2012 - The very good residents thrived in that situation, and the weak residents developed poor clinical behaviors … LS : I think supervision and completely substituted judgment are not the same thing. … If on the other hand, we expect people to collect their own dataset, make their own judgment, order their … between using the hospital only for procedures and critically ill patients, while all the real thinking, judgment … How residents view their clinical supervision: a reanalysis of classic national survey data.

1336. A review of educational philosophies as applied to radiation safety training at medical institutions. | PSNet
      psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
      May 31, 2017 - January 13, 2021 The role of cognitive bias in breast radiology diagnostic and judgment

1337. Diagnostic errors in primary care: lessons learned. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
      September 12, 2011 - April 9, 2013 Information distortion in physicians' diagnostic judgments.

1338. The ECG Is Not Normal | PSNet
      psnet.ahrq.gov/web-mm/ecg-not-normal
      November 10, 2015 - some point, provided a close relative with medical care, be it an off-the-cuff opinion or a long-term clinical … doctors should depend on their colleagues to care for sick relatives, for "solicitude obscures the judgment … or any one who by the ties of consanguinity is rendered peculiarly dear to him, tend to obscure his judgment … A parent-turned-doctor cast a professional eye over a test result that made little clinical sense. … Abigail Zuger, MD Associate Professor of Clinical Medicine Columbia University Medical Center

1339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49445/psn-pdf
      May 01, 2004 - The judgment ruled in her favor, saying that the hospital and ED staff violated her civil rights and … efforts, and highlights the need to pay close attention to patients' wishes, regardless of the potential clinical

1340. 0_Overview (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/0_Overview_1.pdf
      July 13, 2007 - Health information exchange refers to the sharing of clinical and administrative data across the boundaries … policies, or laws that impede, prohibit, or impose conditions on health information exchange—without judgment … Additionally, since this exercise is not intended to pass judgment on particular business practices