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Showing results for "clinical judgment".

441. Archived: Published Comment - Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat?: Chronic Obstructive Pulmonary Disease (COPD): Screening | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/published-comment---will-recommendations-against-spirometry-make-chronic-obstructive-pulmonary-disease-harder-to-treat/chronic-obstructive-pulmonary-disease-copd-screening-2008
     November 15, 2008 - Preventive Services Task Force (USPSTF) clinical summary figure, in large bold letters, states: "Do not … This, of course, is not screening but appropriate clinical care. … The resulting deconditioning is a major clinical problem that further compromises performance. … judgment, which is strikingly inaccurate. … Clinical Efficacy Assessment Subcommittee of the American College of Physicians.

442. Code Status vs. Care Status | PSNet
     psnet.ahrq.gov/web-mm/code-status-vs-care-status
     September 30, 2020 - binary heuristics represent attribute substitution, where we substitute a simple automatic intuitive judgment … for a computationally complex or self-aware judgment. 1  According to Shah and Oppenheimer, we employ … Representativeness revisited: Attribute substitution in intuitive judgment. … Heuristics and biases: The psychology of intuitive judgment. 2002 Sep;49:81.  … Are clinicians ever biased in their judgments of the capacity of older adults to make medical decisions

443. Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. | PSNet
     psnet.ahrq.gov/issue/tipping-balance-systematic-review-and-meta-ethnography-unfold-complexity-surgical
     August 04, 2021 - were identified: hierarchy; fear drives action; deprioritized; convention trumps evidence; complex judgments … 2021 Patients' experiences and perspectives of patient-reported outcome measures in clinical

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49672/psn-pdf
     January 01, 2013 - Although most clinicians intuitively estimate the probability of malignancy, validated clinical prediction … However, it may be an error in judgment to select surveillance for a nodule that is likely to be cancerous … placement (~7%).(14) At this point, the choice between these techniques will largely be based on the judgment … Estimate the clinical probability of malignancy by considering both patient risk factors and nodule … Balekian, MD, MSHS Assistant Professor of Clinical Medicine Keck School of Medicine of USC Michael

445. Han (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/han.pdf
     December 26, 2012 - Slide 1: Conceptual, methodological, and ethical problems  in communicating   uncertainty  in clinical … Outcomes Research and Evaluation Maine Medical  Center Slide 2: Communicating  uncertainty in clinical … o Meaning and nature of uncertainty in clinical evidence • Methodological: How should we communicate … o Benefits and harms of communicating uncertainty in clinical practice Slide 5: Uncertainty • Main … Lack of empirical evidence o Effectiveness and validity of ambiguity rating systems o Influence on judgment

446. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/baker.html
     August 01, 2017 - This finding is important because procedures like Failure Mode Event Analysis (FMEA) often rely on the judgment … of clinical experts regarding the characteristics of clinical events. … These data seem to support that experts are in fact capable of making such judgments with fairly high … Future research should test whether such judgments are also valid by comparing such judgments to independent … Finally, our investigation was limited to one clinical domain, L&D.

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33826/psn-pdf
     February 01, 2017 - Then we're left with work that has more thinking, more judgment, more coordinating with other people … Instead, many people—working alone and together—need to use judgment to respond to new situations that … ideas that people will bring to the project, or to the work, instead of inadvertently discouraging judgment … They need to be explicit in communicating that judgment is needed by all. … It's daunting because systems are necessarily complex and if we have to worry about systems not just clinical

448. Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. | PSNet
     psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist
     August 17, 2016 - Resources From the Same Author(s) Boosting medical diagnostics by pooling independent judgments … Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33614/psn-pdf
     June 01, 2005 - The relevant corollary is that any study reporting dramatic improvements in any major clinical outcome … When clinical interventions do work, they tend to bring very modest gains: relative improvements of … the intervention do double duty as the main data source.(7,10) Do the outcomes involve subjective judgments … preventability of such events.(11) It is crucial, therefore, that studies focused on outcomes involving such judgments … Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice.

450. Table 4. Meaningful Use Measures that Assess Care Coordination* | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
     June 01, 2014 - coordination eMeasure specifications available: N/A Stage 1 & 2 Meaningful Use EP Core † Provide Clinical … Summaries for Patients for Each Office Visit g Clinical summaries provided to patients or patient-authorized … Structured Electronic Lab Results to Ambulatory Providers g Hospital labs send structured electronic clinical … This table includes only those that, in our judgment, evaluated a process of care that mapped to at least … index; CCD – Continuity of care document; CEHRT – Certified electronic health record technology; CQM – Clinical

451. U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Screening for Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/ipv-abuse-bulletin.pdf
     November 25, 2024 - “In the absence of evidence, primary care clinicians should use their best judgment when deciding whether … that works to improve the health of people nationwide by making evidence-based recommendations about clinical

452. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. | PSNet
     psnet.ahrq.gov/issue/tragedy-policy-quantitative-study-nurses-attitudes-toward-patient-advocacy-activities
     June 01, 2011 - September 1, 2021 Cognitive and implicit biases in nurses' judgment and decision-making

453. Integrating Bodies of Evidence: Existing Systematic Reviews and Primary Studies (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/integrating-evidence_methods.pdf
     February 01, 2015 - This report is not intended to be a substitute for the application of clinical judgment. … If the new studies would change the conclusions or the SOE judgments or the new studies are in some … Random-effects model for meta-analysis of clinical trials: an update. … Is there a need to complete judgments about strength of evidence again? 3. … Is there a need to complete judgments about strength of evidence again? 4.

454. U.S. Preventive Services Task Force Issues Draft Recommendation on Screening for Skin Cancer (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/skin-cancer-screening-bulletin.pdf
     November 21, 2022 - “In the absence of evidence, we encourage healthcare professionals to use their judgment when deciding … that works to improve the health of people nationwide by making evidence-based recommendations about clinical

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49758/psn-pdf
     April 01, 2016 - For noncritically ill patients, targets are based on clinical experience and judgment, but premeal glucose … judgment combined with ongoing assessment of the patient's clinical status, including changes in glycemic … Having extensive clinical decision support built into the electronic health record order sets is a way … Patricia Juang, MD Assistant Clinical Professor of Medicine Division of Endocrinology, Diabetes, and … Moghissi ES, Korytkowski MT, DiNardo M, et al; American Association of Clinical Endocrinologists and

456. Medication-Therapy-Management Executive (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-therapy-management_executive.pdf
     November 01, 2014 - We evaluated optimal information size criteria to make judgments about precision based on guidance … Studies (N Patients Analyzed) Strength of Evidence Supporting Judgment Findings and Direction of … Studies (N Patients Analyzed) Strength of Evidence Supporting Judgment Findings and Direction of … Studies (N Patients Analyzed) Strength of Evidence Supporting Judgment Findings and Direction of … Clinical skill development for community pharmacists.

457. Improving Antibiotic Use is a Patient Safety Issue
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
     November 01, 2019 - harming patients, necessitating a change in practice, or that a new treatment approach will not worsen clinical … described in this presentation must be applied by health care practitioners in accordance with professional judgment

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33623/psn-pdf
     December 01, 2005 - A strike is considered any malpractice judgment, findings from disciplinary cases, decisions of binding … arbitration finding malpractice, and malpractice judgments from any other state.(7) This has had the … These conditions have, undoubtedly, created the most hostile professional and clinical conditions observed

459. Screening for Depression in Adults: USPSTF Final Recommendation Statement (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/BnHj53HwgSBNXMvnyavxfS
     January 26, 2016 - recommends selectively offering or providing this service to individual patients based on professional judgment … judgment in consideration of risk factors, comorbid conditions, and life events to determine if additional … judgment in consideration of risk factors, comorbid conditions, and life events to determine if additional … staff-assisted depression care supports are in place and selective screening based on professional judgment … Clinical preventive service recommendation: depression.

460. 009-Antibiotic-Stewardship-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
     October 01, 2024 - More than 95% of adverse events associated with antibiotics have clinical ramifications, such as additional … Many units have clinical pharmacists who are already integrated into daily work, but if this is not the … Clinical team members should develop skills and strategies to ensure they can work together effectively … described in this presentation must be applied by healthcare practitioners in accordance with professional judgment