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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions2.html
June 01, 2023 - patients’ presenting symptoms and final diagnoses, between admission and discharge diagnoses, and between clinical … They also do not recognize the imperative for emergency care to focus on clinical stabilization and triage … because the language and goals of emergency care (i.e., triage and safe disposition) often differ from clinical … goals in other settings (e.g., diagnostic accuracy), ED clinicians may have different cognitive and clinical … judgment and the patient’s clinical trajectory, diagnostic uncertainty, and outstanding tasks. 22
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - Given her clinical condition, a fall risk armband was applied, and general safety and fall-
prevention … Clinical Risk Factors for Falls and Injuries
The cause of a fall usually is multifactorial and complex … falls and injuries related to falls, as they impact an individual’s orientation, visuospatial skills,
judgment … judgment to
ensure a comprehensive evaluation.23,24,25
Fall Prevention
A systematic review of clinical … medical
condition, increasing the risk for falls due to poor situational and safety awareness and judgment
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-lipid-screening-draft-rec-bulletin.pdf
February 21, 2023 - “In the
absence of this data, healthcare professionals should use their judgment on whether to measure … that works to improve the health of people nationwide by making evidence-based recommendations
about clinical
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - The Commentary This scenario raises many questions regarding the clinical management of complications … The failure to formally restrict this surgeon’s privileges also means that his clinical deficiencies … Data Bank (NPDB).( 2 ) The NPDB was created to protect patients by assuring that concerns regarding clinical … Presbyterian Hospital of Dallas ( 6 ), in which the jury returned a stunning judgment of $366 million … of these suits seem to be fishing expeditions by hopeful plaintiff attorneys, increasing numbers of judgments
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psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - August 10, 2022
Boosting medical diagnostics by pooling independent judgments. … March 23, 2022
Implementing the clinical occurrence reporting and learning system: a
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psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
September 07, 2016 - May 17, 2018
Debiasing health-related judgments and decision making: a systematic review … September 27, 2017
The second victim phenomenon after a clinical error: the design and … evaluation of a website to reduce caregivers' emotional responses after a clinical error.
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psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
November 12, 2014 - November 12, 2014
Implementation of the I-PASS handoff program in diverse clinical environments … November 20, 2013
Information distortion in physicians' diagnostic judgments.
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - There is no question that autonomy within those areas that require clinical experience and judgment ( … The degree of close supervision must be based on an assessment of the skills, knowledge, and clinical … outcomes, focuses on best patient care, and actively addresses the priorities of clinical autonomy, … clinical judgments, and evidence-based medicine. … Improving clinical practice using clinical decision support systems: a systematic review of trials to
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - Had there been no rude behavior, simple lack of knowledge could explain the judgment error. … responsibilities, adhering to ethical principles, and showing respect, compassion, and integrity in clinical … work with patients and members of clinical teams.( 12 ) Physicians' self-monitoring of their physical … In this case, the RN should report the error in judgment and professionalism through the quality improvement … The report can document unprofessional behavior on several levels: (i) failure to respect the judgment
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psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care
August 20, 2018 - Detecting diagnostic uncertainty is an important precursor to identifying clinical situations at high … November 26, 2014
Information distortion in physicians' diagnostic judgments.
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - February 23, 2018
Debiasing health-related judgments and decision making: a systematic … January 13, 2016
Role of cognition in generating and mitigating clinical errors.
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psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
September 24, 2018 - September 29, 2017
Safety measurement and monitoring in healthcare: a framework to guide clinical … July 14, 2018
Debiasing health-related judgments and decision making: a systematic review
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psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine
April 22, 2009 - January 22, 2025
Boosting medical diagnostics by pooling independent judgments. … March 3, 2011
Error tracking in a clinical biochemistry laboratory.
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psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
November 15, 2018 - health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical … November 20, 2013
Information distortion in physicians' diagnostic judgments.
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psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
January 19, 2012 - virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical … November 18, 2013
Information distortion in physicians' diagnostic judgments.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - ● Value judgments: The committee con
sidered the requirements for establish
ing the diagnosis, the … ● Value judgments: The committee mem
bers included the effects of untreated
ADHD when deciding … ● Value judgments: The committee mem
bers included the effects of untreated
ADHD when deciding … ● Value judgments: The committee mem
bers included the effects of untreated
ADHD when deciding … ● Value judgments: The committee mem
bers included the effects of untreated
ADHD when deciding
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psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
February 02, 2022 - July 17, 2024
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning … June 26, 2019
Registered nurses' judgments of the classification and risk level of patient
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psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - August 4, 2021
Registered nurses' judgments of the classification and risk level of patient … December 1, 2011
Implementing the clinical occurrence reporting and learning system:
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www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
January 01, 2024 - this pilot study was to determine the feasibility and practicality
of conducting a large R01-funded clinical … We conclude that it is
feasible and practical to conduct a large R01-funded clinical trial to … These disposition
decisions are based largely on clinical judgment and driven by provider risk tolerance … The rationale for this pilot study was that an instrument that will guide clinical practice and impact … We conclude that it is feasible and practical to conduct a large R01-
funded clinical trial to
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digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
June 16, 2021 - decision-making
(ii) they believe that EBM-generated knowledge is useful and is
commonly used in daily clinical … decision-making – however, not
using EBM does not adversely affect their daily clinical decision-
making … ;
(iii) they have high confidence in their own judgment compared
with low confidence in clinical … iv) journal summaries of the latest
research related to a subject are the most useful resources in
clinical … Establishment of “managerial epidemiology”
Respect for bounded clinical autonomy
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