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Total Results: 2,223 records

Showing results for "clinical judgment".

1501. PowerPoint Presentation (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-applicability.ppt
      June 01, 2012 - affect applicability Systematically abstract key characteristics that may affect applicability Make judgments … determining the most important factors, systematically abstracting the key characteristics, making judgments … Outcomes (from test results) How studies addressed clinical outcomes selected for the review: Earlier … The PICOTS element presented in this table is clinical outcomes. … How is the test used now in clinical practice compared to when the studies were completed?

1502. Health Information Technology Center for Education and Research on Therapeutics (HIT-CERT) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/u19hs021094-bates-final-report-2017.pdf
      January 01, 2017 - To use new sources of data from clinical decision support to identify physician-level variation and … inability to blind chart reviewers as to whether patient was in intervention vs. control group, subjective judgments … Overrides of medication-related clinical decision support alerts in outpatients. … Their adoption in clinical information systems has been slow. … Clinical reasoning in the context of active decision support during medication prescribing.

1503. Archived: Final Evidence Summary: Coronary Heart Disease: Screening Using Non-Traditional Risk Factors | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary16/coronary-heart-disease-screening-using-non-traditional-risk-factors-2009
      October 15, 2009 - This report is intended as a reference and not as a substitute for clinical judgment. … Preventive Services Task Force (USPSTF) evaluate the factors' clinical usefulness. … it does not enable judgment of the effect of using the new test in persons classified as intermediate-risk … The role of carotid arterial intima-media thickness in predicting clinical coronary events. … Francis Heart Study randomized clinical trial. J Am Coll Cardiol . 2005;46:166-72.

1504. Primary Care Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendaiton Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/PR7HUFdx2b_F9HvDFqz76L
      March 19, 2024 - The USPSTF recognizes that clinical decisions involve more con- siderations than evidence alone. … USPSTF notes that policy and coverage decisions involve considerations in addition to the evidence of clinical … Clinical Review & Education JAMA | US Preventive Services Task Force | RECOMMENDATION STATEMENT jama.com … The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. … • Clinicians should use their clinical judgment when deciding whether and when to provide interventions

1505. Behavioral Counseling to Prevent Skin Cancer: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/U7JR2xtrb6EHFyLP6yUTAK
      March 20, 2018 - Clinical Review & Education JAMA | US Preventive Services Task Force | RECOMMENDATION STATEMENT 1134 … The USPSTF recognizes that clinical decisions involve more con- siderations than evidence alone. … (C recommendation) See the Clinical Considerations section for information on risk assessment. … recommends selectively offering or providing this service to individual patients based on professional judgment … Read the Clinical Considerations section of the USPSTF Recommendation Statement.

1506. Archived: Evidence Summary: Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/behavioral-counseling-and-pharmacotherapy-interventions-for-/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions-september-2015
      September 21, 2015 - This article is intended as a reference and not as a substitute for clinical judgment. … This article may be used, in whole or in part, as the basis for the development of clinical practice … We evaluated the appropriateness of meta-analytic procedures and used our technical judgment to interpret … A clinical practice guideline for treating tobacco use and dependence: A U.S. … A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S.

1507. Disposition of Comments for Efficacy and Safety of Screening for Postpartum Depression (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-postpartum-screening_disposition-comments.pdf
      May 01, 2013 - In clinical setting, a dominant philosophy has been, "Don't ask, don't tell." … The MINI could be used with EPDs for clinical dx. … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … Using the framework for the review agreed upon by the Technical Expert Panel, our judgment was that … Our judgment is that there has not been an explicit consideration of the optimal sensitivity and specificity

1508. Cancer-Ovarian-Contraceptives Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-ovarian-contraceptives_executive.pdf
      June 01, 2013 - given to the potential biases inherent in those study designs when developing a research agenda and clinical … A pair of researchers with complementary clinical and methodological expertise was assigned to abstract … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … To indicate the summary judgment of the quality for the individual studies, we used the summary ratings … We used these data to evaluate the applicability to clinical practice, paying special attention to study

1509. Use of Observational Studies in Systematic Reviews of (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/methodsguidenorris_060420101.pdf
      June 01, 2010 - hDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON. … RCTs may be difficult to implement due to entrenched clinical practice or to active consumer pressure … Second, existing reviews on related topics or consultation with clinical experts may also identify … designs of studies used in pharmacoepidemiology and in device and procedure registries can help inform judgments … Evaluating medication effects outside of clinical trials: new-user designs.

1510. Use of Observational Studies in Systematic Reviews of (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-observational-studies_methods.pdf
      June 01, 2010 - hDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON. … RCTs may be difficult to implement due to entrenched clinical practice or to active consumer pressure … Second, existing reviews on related topics or consultation with clinical experts may also identify … designs of studies used in pharmacoepidemiology and in device and procedure registries can help inform judgments … Evaluating medication effects outside of clinical trials: new-user designs.

1511. Disposition of Comments for CER 208 Treatment for Bipolar Disorder in Adults A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-208-bipolar-adults-disposition-comments.pdf
      August 07, 2018 - The Prevention and Treatment of Missing Data in Clinical Trials. … In our judgment, studies with greater than 50 percent attrition are fatally flawed, unless the outcome … Journal of Clinical Psychiatry 2015; 76:1374–1384. Thank you for the comment. … The judgment of “high risk of bias” is surprising, given that not only was this Government- and not … trials that will differ from routine clinical practice.

1512. Ykjvkfmv5Jf8Bl3Rbx8Bp7 (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/ykjVKfmV5Jf8bL3rBx8BP7
      December 01, 2015 - Screening for abnormal blood glucose and type 2 diabetes mellitus: clinical summary. … American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for devel- … Clinical preventive ser- vice recommendation: diabetes. … recommends selectively offering or providing this service to individual patients based on professional judgment … Read the Clinical Considerations section of the USPSTF Recommendation Statement.

1513. Development of a Primary Care Guie for Implementing Evidence-Based Screening and Counseling for Unhealthy Alcohol Use With Epic-Based Electronic Health Record Tools: A Pilot Dissemination Project (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-research-report-unhealthy-alcohol-use-final.pdf
      September 01, 2018 - 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 … Background Evidence reviews by EPCs are used by groups, such as clinical professional organizations, … healthcare organizations, and Federal agencies, to inform clinical practice guideline development … Division of General Medicine & Clinical Epidemiology.

1514. Stroke-Atrial-Fibrillation Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_executive.pdf
      August 01, 2013 - Clinicians use the prothrombin time and INR as clinical tools to guide anticoagulation therapy. … design, (2) apply predefined criteria for quality and critical appraisal, and (3) arrive at a summary judgment … regarding applicability, with associated signaling questions to help with these bias and applicability judgments … For a clinical prediction rule, we assumed that a c-statistic <0.6 had no clinical value, 0.6–0.7 had … There is also a need for future studies in special populations and clinical scenarios.

1515. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - Learning Objectives At the conclusion of this case, participants should be able to: Identify the clinical … Neurosurg Focus. 2000;9(1):e5. [ Free full text ] Clinical Manifestations Intraoperative durotomy can … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting . … judgment should prevail when deciding whether to perform a VM. … Diverse clinical applications of percutaneous lumboperitoneal shunts.

1516. The Role of Immunotherapy and the Management of Asthma: Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-immunotherapy_research-protocol.pdf
      September 14, 2016 - • Settings All KQs: o Clinical setting o Home setting • Study type KQ1 and KQ3: o … Judgments for each criterion will be reported as “Yes” (low risk of bias), “No” (high risk of bias), … Journal of Allergy and Clinical Immunology. 2007;120(5):1139-45. 8. Noon L. … Clinical practice guideline: Allergic rhinitis. … Journal of Allergy and Clinical Immunology. 2012;129(3):S1-S8. 34. Higgins J, Green S.

1517. Xt2Uhv4Qyluz8O2Hb A4Yq (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/xt2Uhv4qyLUZ8o2HB_a4YQ
      July 01, 2013 - SCREENING FOR HIV CLINICAL SUMMARY OF U.S. … According to the investigators, differences in the rates of serious HIV clinical events were Clinical … However, the clinical sig- nificance of these findings remains unclear. … recommends selectively offering or providing this service to individual patients based on professional judgment … Read the Clinical Considerations section of the USPSTF Recommendation Statement.

1518. Findings and Lessons From the Enabling Quality Measurement Through Health IT Grant Initiative (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/final-eqm-report-6-21-12.pdf
      May 01, 2012 - It is not surprising in this short grant period, and given the difficulty in mapping clinical outcomes … judgment, thereby making measures more comparable across providers. … Researchers subsequently moved this component to the provider section of the electronic clinical note … data processing “pipeline” that combined free-text and coded elements of clinical visits to assess … Six of the grantees pro- vided measurement feedback to clinicians or clinical teams with the aim of

1519. Final Progress Report: Improving Safe Use of Direct Oral Anticoagulants: A Population Health Approach (pdf file)
      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

1520. Relieving Anxiety in Children Undergoing Radiation Therapy through Virtual Preparation - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs021799-cohen-final-report-2018.pdf
      January 01, 2018 - Many of the preparation programs in practice are developed and conducted based on clinical intuition … or judgment rather than the empirical literature. … explanation and instruction by the nursing coordinator, a visit to the radiation unit to meet the clinical … Our project improves scientific knowledge, technical capability, and clinical practice by providing … As is common with clinical studies, there was significant variability within and across participants