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Showing results for "clinical judgment".

2201. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
      October 27, 2014 - HCUP databases are derived from administrative data and contain encounter- level, clinical, and nonclinical … In these cases judgment was used to estimate the effects of an HAC on mortality and costs. … The CMS Office of the Actuary will use this evaluation and other data to make judgments about the overall … Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-Based Clinical

2202. Snac-Final-Report-Mar2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
      January 01, 2025 - Priority Rank 1=most; 10=least Comments Ensure all healthcare clinicians and clinical trainees across … in complex systems; technologies, policies and regulations should be designed to leverage human judgment

2203. CER 217 Management of Infertility Evidence Summary (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-217-infertility-evidence-summary.pdf
      May 01, 2019 - Based on their clinical and methodological expertise, a pair of researchers were assigned to abstract … Although summary statistics of baseline characteristics may allow some judgment of comparability, there … (NICE Clinical Guidelines, No. 156.) … Live birth is the correct outcome for clinical trials evaluating therapy for the infertile couple. … Comparison of embryological and clinical outcome in GnRH antagonist vs.

2204. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
      July 05, 2011 - In fact, the poorly conducted randomized clinical trial in the United States (100% prematurity, 100% … judgment and decision making. … This physician must be aware the views of the entire clinical team and ensure that their perspectives … If it is the latter,this would mean at the present time there is only one formal "hands on" clinical … The CHOP fellowship is clinical, and reports similar training characteristics.

2205. Future Research Needs for the Comparative Effectiveness of Breathing Exercises and/or Retraining Techniques in the Treatment of Asthma (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-treatment-future_research.pdf
      September 01, 2012 - 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 … A clinical study on effect of breathing exercises on bronchial asthma: a controlled trial. … Clinical effects of yoga on asthmatic patients: a preliminary clinical trial. … • Clinical Patient Care Research Grant (1-2 grants available): $40,000 per year.

2206. Cerebral-Palsy-Feeding Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cerebral-palsy-feeding_executive.pdf
      March 01, 2013 - Though the disorder is nonprogressive, the clinical manifestations may change over time as the brain … The diversity of the clinical features is reflected in multiple classification systems that include … A gastric fundoplication may be included to reduce GER, if needed in the judgment of the surgeon. … Thus, individuals wishing to infer the potential results of clinical practice based on the available … Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North

2207. Disposition of comments for CER 169 Low Back Pain (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/back-pain-treatment_disposition-comments.pdf
      February 29, 2016 - This limits clinical usefulness and a point that needs improvement. … The evidence on exercise and spinal stenosis was limited to a single small trial; in our judgment … Interpreting the clinical importance of group differences in chronic pain clinical trials: IMMPACT … Their work is a systematic review, not a clinical trial. … This NNT is what a provider could expect in clinical practice.

2208. Disposition of Comments for Treatment of Glaucoma: Comparative Effectiveness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/glaucoma-treatment_disposition-comments.pdf
      April 01, 2012 - trials and years of clinical experience. … The characteristics of glaucoma are such that judgment regarding treatment efficacy cannot be entirely … The vast bulk of people in clinical trials do not experience sufficient progression to experience a … Accuracy with this important clinical and population-health language is needed to positively impact … Accuracy with this important clinical and population-health language is needed to positively impact

2209. Evidence Summary: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd
      November 24, 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: English-language randomized clinical trials (RCTs) of behavioral counseling interventions … Comparative effectiveness of weight-loss interventions in clinical practice. … Patient-motivated prevention of lifestyle-related disease in Japan: a randomized, controlled clinical

2210. FRN 22: Future Research Needs for Strategies To Reduce Cesarean Birth in Low-Risk Women (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth_research.pdf
      January 01, 2020 - 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 … Non-clinical interventions for reducing unnecessary caesarean section. … Clinical practice 3. Research 4. … Answers to these questions may have important clinical implications.

2211. Archived: Final Evidence Summary: Breastfeeding: Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary10/breastfeeding-counseling-2008
      October 15, 2008 - Corresponding Author: Mei Chung, MPH, Center for Clinical Evidence Synthesis, Institute for Clinical … This report is intended as a reference and not as a substitute for clinical judgment. … A critical overview of the clinical literature. Diabetes Care 1994;17:13-9. … Meta-analysis in clinical trials. Control Clin Trials 1986;7:177-88. … In: Guide to Clinical Preventive Services 3rd ed.

2212. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-nursing-home-characteristics_research-protocol.pdf
      November 03, 2011 - irreversible decline in mental function, marked by memory impairment and often deficits in reasoning, judgment … To determine whether quantitative analyses are appropriate, we will assess the clinical heterogeneity … Technical Experts Technical Experts comprise a multi-disciplinary group of clinical, content, and … Because of their unique clinical or content expertise, individuals are invited to serve as Technical … Reviewers Peer reviewers are invited to provide written comments on the draft report based on their clinical

2213. nnovative Methods in Stakeholder Engagement: An Environmental Scan (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012-1.pdf
      January 01, 2012 - NICE engages stakeholders in clinical guideline development (Culyer, 2005). … what they need to do and make the right kind of decisions, but that’s not really how people [form] judgments … Clinical Psychology: Science and Practice, 15, 144–148. Cochrane Collaboration. (n.d.). … Fact sheet: Consumer guide for clinical trials. … Clinical Trials Cooperative Group Program.

2214. Medication-Adherence-Interventions Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-adherence-interventions_executive.pdf
      September 01, 2012 - Data Synthesis For KQ 1, results are categorized by clinical condition. … TEP, to collect a comprehensive set of biomarkers and morbidity outcomes rather than make a priori judgments … For KQs 1 and 2, we synthesized the evidence by clinical condition and type of intervention. … Some interventions may be most effective for a particular clinical condition. … The awareness- to-adherence model of the steps to clinical guideline compliance.

2215. ___APS-Def_Public.book (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V23%20Definitions%20Manual.pdf
      August 01, 2006 - Using a strictly statistical approach yields the best predictive performance, while a purely clinical … In addition, based on clinical judgment and statistical analysis, groups of DRGs were consolidated because … they contained patients with similar clinical patterns and resource use. … • By incorporating a uniform clinical structure to represent levels of severity, APS- DRGs® are able … to achieve substantially greater clinical validity and statistical power

2216. Archived: Evidence Summary: Lung Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary4/lung-cancer-screening-december-2013
      July 30, 2013 - 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 … All participants were followed annually with clinical interviews and physical examinations focused on … Survival for clinical stage I lung cancer not surgically treated. … A clinical model to estimate recurrence risk in resected stage I non-small cell lung cancer.

2217. Disposition of Comments for CER 181 Mental Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-health-children_disposition-comments.pdf
      December 19, 2016 - Peer Reviewer 8 Introduction In the Abstract and on p.23 define controlled clinical trial and ecological … The heterogeneity in clinical conditions examined by our included studies is discussed in the Conclusion … of complex interventions in complex settings is possibly one where exclusion criteria derived from clinical … Response Peer Reviewer 1 General The criteria used seem more appropriate for highly controlled clinical … We are evaluating the risk of bias, not the extent of bias, which is, in our view, a judgment of the

2218. Disposition of Comments Report for Treatment of Atrial Fibrillation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation_disposition-comments.pdf
      June 28, 2013 - Peer Reviewer #3 General The questions chosen for this topic are highly relevant to clinical practice … Peer Reviewer #3 General Another common clinical question is whether to attempt cardioversion (DC or … In addition, the document addresses several questions that frequently arise in routine clinical practice … have modified the discussion (in both the Executive Summary and main report) to remove some of these judgments … This is an argument that comes up frequently in clinical settings, but there are no citations that we

2219. Angina-Heart-Attack-Treatments Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/angina-heart-attack-treatments_executive.pdf
      January 01, 2014 - While robust clinical data support the use of clopidogrel in patients with ACS,12-14 several factors … Antiplatelet and anticoagulant therapies for each clinical scenario Drug Category Early Invasive Initial … Based on demographic and other clinical characteristics, are there subgroups of patients for whom the … (2) applying predefined criteria for quality and critical appraisal, and (3) arriving at a summary judgment … We used these data to evaluate the applicability to clinical practice, paying special attention to

2220. Final Progress Report: TOP-MEDS CERT: Tools for Optimizing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert-report.pdf
      January 01, 2024 - drug names, and develop and test methods for preventing and detecting drug name confusion errors in clinical … Effect of Simulation Training on Clinical Outcomes This study examines the effect of simulation training … Using the methods described here, the failure rate of a new device in clinical studies, or in the first … primary reviewers disagreed, a third reviewer adjudicated the disagreement, and the third reviewer’s judgment … Patient outcome measures included medication understanding, adherence, and clinical measures (hemoglobin