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digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-10192022.pdf
October 19, 2022 - Patient
Judgments about Hypertension Control: The Role of Variability, Trends, and Outliers in Blood … 160
SD 5 SD 15 SD 25
BP Standard Deviation
Effect of Variability on Judgment … of Control
Effect of Variability on Judgment of Control
Smoothing the Data
How Much Does Smoothing … Data Affect Judgment of Control? … What is the Role of Graph Literacy in Judgments of Control?
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psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency-department-claims
May 18, 2022 - Analysis of closed malpractice claims can be used to identify potential safety hazards in a variety of clinical … analysis of closed emergency department malpractice claims indicates that diagnostic errors dominate, and clinical … judgment and documentation categories continue to be associated with a higher likelihood of payout. … October 14, 2020
Deficiencies in provider-reported interpreter use in a clinical trial … See More About The Topic
Emergency Departments
Risk Managers
Emergency Medicine
Clinical
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psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use
March 20, 2024 - Review
Systematic review of clinical debriefing tools: attributes and evidence for … Systematic review of clinical debriefing tools: attributes and evidence for use. … Debriefing after clinical events is an important opportunity for critical learning , process improvement … Systematic review of clinical debriefing tools: attributes and evidence for use. … December 21, 2022
Cognitive and implicit biases in nurses' judgment and decision-making
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psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
November 15, 2023 - Review
A systematic review of the unintended consequences of clinical interventions … A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes … A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes … November 25, 2020
Advancing patient safety through the clinical application of a framework … December 7, 2017
How doctors think: common diagnostic errors in clinical judgment--lessons
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psnet.ahrq.gov/node/73163/psn-pdf
April 21, 2021 - Implicit bias in healthcare: clinical practice, research and
decision making. … Implicit bias in healthcare: clinical practice, research and decision
making. … https://psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making … Provider implicit bias can impact patient safety through clinical misdiagnosis, pain management, and … https://psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
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effectivehealthcare.ahrq.gov/sites/default/files/ijzerman_ahrq-webinar-mcda.pdf
January 01, 2011 - Primary endpoints chosen in clinical trials may not be the most
relevant endpoints for patients … Conjoint analysis methods
Helps to improve judgment
Decomposed
Hierarchical
Low cognitive … Possible to use in N=1 or as
consensus building tool
(group-decision)
Imitates consumers’ judgment … Preference data is to be used in conjunction with clinical data. … They can not replace the original clinical evidence.
18
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixB.pdf
June 02, 2025 - Alarm symptoms or “red flags” (i.e., features in the clinical presentation that are considered to predict … The diagnostic process was affected by incomplete or incorrect clinical information given to the care … The clinical presentation at the initial or subsequent presentation was mostly typical of the final … • Make your judgments about clinicians’ decision making and diagnostic reasoning based on the
information … this stage of the process.
• Prompt 13 asks you to look at the case as a whole and come to a final judgment
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psnet.ahrq.gov/node/47108/psn-pdf
June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy
skepticism among medical students. … Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. … https://psnet.ahrq.gov/issue/cognitive-bias-clinical-practice-nurturing-healthy-skepticism-among-medical … https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review … https://psnet.ahrq.gov/issue/teaching-clinical-reasoning
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psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program
September 30, 2015 - This AHRQ-funded case-control study used physicians' clinical judgment about flagged complications to … that potential quality problems were identified at much higher rates in the flagged cases, but the judgments
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - objective criteria (eg, vital sign abnormalities) for calling the MET, most nurses preferred to use
their clinical … judgment to decide when to summon the team.
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effectivehealthcare.ahrq.gov/sites/default/files/epc-disclosure-policy-form.pdf
March 01, 2023 - defines conflict of interest (COI) as “a set of circumstances that creates a risk that
professional judgment … While both financial and non-financial interests may influence the judgment of an
individual synthesizing … Do you have a primary clinical specialty or
subspecialty?
9. … While both financial and non-financial interests may influence the judgment of an individual synthesizing … Do you have a primary clinical specialty or
subspecialty?
9.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Errors classified as having been related to judgment
and knowledge or to systems issues were included … within the cognition and systems grouping.
4
Judgment and knowledge errors were reported in 129 … activities
Delays in therapy
81 (13.3) 4.88 (2.50 - 9.55)b 5.20 (2.75 - 9.83)b
26 (41.9) Judgment … associated with patient harm that might be less amenable to systematic
intervention, namely, the errors in judgment … were common factors contributing to poor outcomes.20 Our results show that errors in judgment
and
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www.ahrq.gov/talkingquality/translate/compare/categorize.html
December 01, 2022 - test alone does not suffice to categorize providers, in part because the differences may not have much clinical … This judgment-based approach is built into the standard technique for categorizing performance on CAHPS … Some report sponsors worry that if statistical tests or more judgment-based tests of clinical significance … immediately comes to mind, but may be ill-advised, is to use a less stringent test of statistical or clinical
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psnet.ahrq.gov/node/46503/psn-pdf
January 31, 2018 - Clinical decision-making: heuristics and cognitive biases
for the ophthalmologist. … Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. … https://psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist … https://psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist … psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
https://psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
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psnet.ahrq.gov/node/866588/psn-pdf
August 28, 2024 - providers review adverse events,
they should consider the impact of hindsight bias in interpreting clinical … glossary-heading-term-73793
https://psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
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psnet.ahrq.gov/issue/systematic-review-impact-physician-implicit-racial-bias-clinical-decision-making
May 18, 2022 - Review
Systematic review of the impact of physician implicit racial bias on clinical … Systematic review of the impact of physician implicit racial bias on clinical decision making. … Systematic review of the impact of physician implicit racial bias on clinical decision making. … October 16, 2015
Implicit bias in healthcare: clinical practice, research and decision … April 21, 2021
Cognitive and implicit biases in nurses' judgment and decision-making:
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psnet.ahrq.gov/node/47752/psn-pdf
May 29, 2019 - scoring algorithms that calculate risk for deterioration while supplementing
risk scoring with their clinical … judgment from the bedside.
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psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive
November 21, 2021 - Study
The proportion of clinically relevant alarms decreases as patient clinical … The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive … majority of alarms in the intensive care unit were clinically irrelevant, especially for patients whose clinical … The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment
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psnet.ahrq.gov/node/44753/psn-pdf
April 12, 2019 - A vignette study to
assess recognition of cognitive biases in clinical case
workups. … A vignette study to assess
recognition of cognitive biases in clinical case workups. … https://psnet.ahrq.gov/issue/bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical … -
case-workups
Providing eight ambiguous clinical vignettes to generalist physician members of the … implied an incorrect diagnosis, respondents reported twice
as many biases, suggesting that physician judgments
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - always include guidance on the specific category for glycemic control, leaving that instead to clinician judgment … judgment out of the ordering process, a key step in reducing human error as a contributor to medical … A CPOE system like the one described may have helped avert this critical error in judgment by the new … CPOE systems that support clinical judgment rather than rely on it can enhance error prevention. … January 2, 2017
The clinical transformation of Ascension Health: eliminating all preventable