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Total Results: 2,223 records

Showing results for "clinical judgment".

1761. Towards Effective and Efficient Health Information Technology Adoption in Home Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
      January 01, 2014 - • Off-Site Nature of Care: Unlike the fixed clinical settings, for HHAs, providing care requires … Patients’ home can be less familiar and less controllable compared to fixed clinical settings. … • Providers: Due to their clinical knowledge, the clinicians from the HHAs were also interviewed. … an increase in organizational productivity and outcomes, this perception is used as the basis for judgment … This research found that integrating health IT into the daily clinical and administrative workflows

1762. 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/

1763. Dementia-Nursing-Home-Characteristics Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/dementia-nursing-home-characteristics_executive.pdf
      October 01, 2012 - impairment and a reduction in at least one other area of cognitive function, such as reasoning, judgment … Data Synthesis To determine whether quantitative analyses were appropriate, we assessed the clinical … Because we determined that quantitative analyses were not appropriate (owing to clinical heterogeneity … In addition, some statistically significant results were relatively small, meaning their clinical importance … Comparative Effectiveness Review Methods: Clinical Heterogeneity.

1764. Final Evidence Summary: Hepatitis C Virus Infection in Adolescents and Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/hepatitis-c-screening
      March 02, 2020 - 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 … Direct evidence on the effects of antiviral therapy on clinical outcomes is limited. … potential clinical effects of DAA therapy. … link between SVR and clinical outcomes with current DAA therapies.

1765. Archived: Evidence Summary: Falls Prevention in Community-Dwelling Older Adults: Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/falls-prevention-in-older-adults-interventions-2018
      April 17, 2018 - 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 … Random-effects model for meta-analysis of clinical trials: an update. … Exercise and vitamin D in fall prevention among older women: a randomized clinical trial. … Clinical review: the effect of vitamin D on falls: a systematic review and meta-analysis.

1766. Technical Brief 13: Gene Expression Profiling for Predicting Outcomes in Stage II Colon Cancer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_technical-brief.pdf
      December 01, 2012 - This report is not intended to be a substitute for the application of clinical judgment. … need to demonstrate clinical validity and clinical utility. … Clinical Utility What is the clinical utility for use of the GEP results? … 28 • Clinical Validity. … Development of evidence on clinical utility requires robust evidence on clinical validity.

1767. Emergency Medical Service/911 Workforce Mental or Behaviorial Health Issues (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ems-911-workforce-topic-development-brief.pdf
      February 01, 2022 - Clinical psychology review. 2009 Dec;29(8):695-706. doi: 10.1016/j.cpr.2009.07.003. … Clinical psychology review. 2012 Jul;32(5):370-80. doi: 10.1016/j.cpr.2012.04.001. … Clinical psychology review. 2016 Mar;44:25-44. doi: 10.1016/j.cpr.2015.12.002. … This report is not intended to be a substitute for the application of clinical judgment. … Incorporates issues around both clinical benefits and potential clinical harms Yes 2e.

1768. 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.

1769. Methods Research Report: Creating Efficiencies in the Extraction of Data From Randomized Trials (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-creating-efficiencies-extraction-data.pdf
      August 01, 2021 - This report is not intended to be a substitute for the application of clinical judgment. … Although human reviewer judgment is imperfect,16 dual independent extraction is recommended by leaders … The findings may also not be generalizable to randomized trials in specific clinical areas. … RobotReviewer: evaluation of a system for automatically assessing bias in clinical trials. … ExaCT: automatic extraction of clinical trial characteristics from journal publications.

1770. JAMA JATS (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Nvjr8BPsZhy4XGc7-rGjAH
      June 18, 2018 - EVIDENCE REVIEW The USPSTF reviewed the evidence on screening for cervical cancer, with a focus on clinical … 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. … Clinical preventive service recommendation: cervical cancer.

1771. Systematic Review Update: Noninvasive Nonpharmacologic Treatment for Chronic Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/nonpharm-treatment-chronic-pain-protocol.pdf
      December 11, 2018 - The clinical relevance of effects classified as small/slight might vary for individual patients depending … quantitative synthesis will depend on trial size, the number and completeness of reported outcomes, and a judgment … As a qualitative assessment, clinical trial registries will be searched for unpublished studies and … Technical Experts Technical Experts constitute a multi-disciplinary group of clinical, content, and … Because of their unique clinical or content expertise, individuals are invited to serve as Technical

1772. Treatment for Restless Legs Syndrome: Future Research Needs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/restless-legs-future_research.pdf
      February 01, 2013 - This report is not intended to be a substitute for the application of scientific judgment. … The condition is defined and diagnosed based solely on clinical criteria. … trial, phase i.pt. (12356) 9 clinical trial, phase ii.pt. (19723) 10 clinical trial, phase iii.pt … . (7155) 11 clinical trial, phase iv.pt. (723) 12 controlled clinical trial.pt. (84651) 13 randomized … 16 exp Clinical Trials as topic/ (258001) 17 (clinical adj trial$).tw. (171675) 18 ((singl$

1773. - (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/crohns-disease-future_research.pdf
      July 01, 2016 - This report is not intended to be a substitute for the application of scientific judgment. … Anyone who makes decisions concerning the provision of clinical care should consider this report in … Trials Registry, and the European Union Clinical Trials Register were searched to identify ongoing … Controversy exists over the clinical relevance of the widely used CDAI as a measure of clinical disease … setting,17 limiting the applicability of the remission findings to clinical practice.

1774. ADHD-Update-protocol-160818 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/adhd-update_research-protocol.pdf
      August 18, 2016 - NEBA is used to provide clinical support but does not replace the clinical evaluation.14 Adverse … Primary care providers often use one or more standardized instruments and clinical judgment to determine … trial[pt] OR “clinical trial”[tiab] OR “clinical trials”[tiab] OR "evaluation studies"[pt] OR "evaluation … trial[pt] OR “clinical trial”[tiab] OR “clinical trials”[tiab] OR "evaluation studies"[pt] OR "evaluation … trial[pt] OR “clinical trial”[tiab] OR “clinical trials”[tiab] OR "evaluation studies"[pt] OR "evaluation

1775. Final Evidence Summary: Tobacco Use in Children and Adolescents: Primary Care Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/other-supporting-document19468/tobacco-and-nicotine-use-prevention-in-children-and-adolescents-primary-care-interventions
      April 28, 2020 - 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 … Study Selection: Primary care–relevant studies; randomized clinical trials and nonrandomized controlled … Results: Twenty-four randomized clinical trials (N = 44,521) met inclusion criteria. … For all key questions, randomized clinical trials and nonrandomized controlled intervention studies of

1776. Archived: Evidence Summary: Iron Deficiency Anemia in Pregnant Women: Screening and Supplementation | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary22/iron-deficiency-anemia-in-pregnant-women-screening-and-supplementation-september-2015
      March 30, 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 … Data Synthesis: No study directly compared clinical outcomes or harms of screening or not screening … Guide to Clinical Preventive Services: Report of the U.S. Preventive Services Task Force. 2nd ed. … Maternal clinical outcomes Limited evidence showing improved clinical outcomes 5 RCTs Outcomes

1777. Pharmacologic and Non-pharmacologic Therapies in Adult Patients with Acute Exacerbation of COPD: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/copd-research-protocol.pdf
      April 11, 2018 - for each comparison and for each outcome: data source, effect size, SOE rating; and rationale for judgments … Clinical outcomes and cost analysis of exacerbations in chronic obstructive pulmonary disease. … Clinical Investigation. 2015 01 Feb;5(2):189-204. doi: http://dx.doi.org/10.4155/cli.14.113. … Chronic obstructive pulmonary disease exacerbations: latest evidence and clinical implications. … Meta-analysis in clinical trials. Controlled clinical trials. 1986 Sep;7(3):177-88.

1778. 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

1779. Archived: Evidence Summary: Carotid Artery Stenosis: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/carotid-artery-stenosis-screening-july-2014
      July 08, 2014 - 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 … Comparative Effectiveness Review Methods: Clinical Heterogeneity. Methods Research Report. … Clinical and operative predictors of outcomes of carotid endarterectomy. … Appropriateness of carotid endarterectomy after the clinical trials. Neurology . 2007;68:187-94.

1780. R18Hs017216-Johnson-Final-Report-2011 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017216-johnson-final-report-2011.pdf
      January 01, 2011 - Medical Center Marvin Palmer (Programmer) Vanderbilt University Medical Center Jill Helmke (Clinical … Andrew Spooner, MD (Co-Investigator) Associate Professor of Clinical Pediatrics Cincinnati Children … We hypothesize that this model can be used to encapsulate and distribute pediatric clinical decision … This technique works well “to correlate informed judgments on a topic spanning a wide range of disciplines