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Showing results for "decision".

1701. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - A natural concern in this case is whether the patient's advanced age somehow influenced the decision … life-limiting illness already (eg, stage IV lung cancer), the results of the biopsy would not impact decision-making … The Figure outlines an approach to such clinical decision-making for elderly patients with cancer. … Cancer screening in elderly patients: a framework for individualized decision making.

1702. On O.R. Off? | PSNet
      psnet.ahrq.gov/web-mm/or
      August 22, 2013 - Shortly after making their decision, the surgeons learned that the stress echocardiogram showed marked … Despite the concerning findings and the decision to pursue cardiac catheterization, the type of communication … The Challenger launch decision: risky technology, culture and deviance at NASA. … February 1, 2023 Usability of a human factors-based clinical decision support in the

1703. Crossed Coverage | PSNet
      psnet.ahrq.gov/web-mm/crossed-coverage
      September 01, 2015 - enforcing institutional dosing policies, and using computerized physician order entry (CPOE) with clinical decision … Although not widespread, many hospitals have implemented CPOE with clinical decision support to aid in … A clinical decision support component of CPOE might have prevented the error if it were designed to respond … anticoagulation service available 24 hours a day, 7 days a week, with or without computer clinical decision

1704. The NSTEMI Curbside Consultation | PSNet
      psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
      August 04, 2021 - addressing cognitive errors by providing physicians with objective information to assist with medical decision-making … In this patient’s case, clinical decision-making may have been further compromised by anchoring bias … If so, both of these decision-making biases could have been the result of insufficient knowledge of gender … The decision to pursue an informal cardiology consultation in this patient’s case produced several challenges … However, the decision to pursue an informal consultation can result in challenges that could contribute

1705. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet
      psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
      July 30, 2020 - Biases in the Diagnostic Process Clinician decision-making often relies on cognitive thought processes—called … However, these same heuristics that support “fast and frugal” decision-making can lead to diagnostic … Use “artificial intelligence” (e.g., computerized clinical decision support system [CDSS] or other … predictive analytics) to provide clinical decision support that estimates the probabilities of alternative … Diagnostic testing and decision-making: beauty is not just in the eye of the beholder.

1706. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - For example, researchers used HFE methods and principles to create a clinical decision support (CDS … Researchers found that the HFE-designed CDS enabled physicians to improve diagnostic decision making … Application of human factors to improve usability of clinical decision support for diagnostic decision-making … Physician perceptions of disposition decision-making for older adults in the emergency department: a … Pascale Carayon: The decision was made based on including a lot of stakeholders, and we had a lot of

1707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37412/psn-pdf
      December 12, 2007 - It goes on to a broader discussion of how checklists and decision support have reduced errors and transformed

1708. Approach to Improving Patient Safety: Communication | PSNet
      psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
      August 31, 2020 - for patients, effective communication is an essential duty of a provider and paramount for shared decision-making … approaches help providers avoid cognitive errors by allowing colleagues to confer during clinical decision-making … Transparent decision-making and continuous communication with the workforce, using all communication

1709. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees | PSNet
      psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
      February 22, 2017 - The decision was made to obtain a brain and spine MRI. … The decision to trust a trainee is driven by characteristics of the learner, risks involved in the task … Cognitive elements in clinical decision-making: toward a cognitive model for medical education and understanding … Entrustment decision making in clinical training. Acad Med. 2016;91:191-198. … September 8, 2010 The effect of computerised decision support alerts tailored to intensive

1710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47197/psn-pdf
      June 20, 2018 - artificial-intelligence-will-improve-medical-treatments Artificial intelligence (AI) can improve the timeliness and accuracy of decision

1711. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
      June 01, 2013 - The decision was made to take the patient to emergency laparotomy. … A multi-method analysis of decision-making in emergency surgery. … mortality is significantly higher in elderly patients. 19 20 Take-Home Points (2) Diagnosis and decision

1712. Renal Failure Due to Benign Prostatic Hyperplasia | PSNet
      psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
      February 01, 2004 - Although other medical options are available ( 6,7 ), the decision to prescribe an alpha-blocker for … Preventive Services Task Force guidelines on early detection of prostate cancer recommend a shared decision-making … A shared decision-making process between clinician and patient can start in the diagnostic phase when … The AUA guideline on BPH emphasizes shared decision-making and a focus on how symptoms affect patients

1713. The Evolution of Patient Safety in Surgery | PSNet
      psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
      August 01, 2017 - The decision by them not to dilate his abdomen was tantamount to gross neglect.… I'm now going to turn … the often complex decision regarding whether to operate. … Continued progress will require that some of the harder questions—particularly those that involve clinician decision-making … Entrustment decision making in clinical training. Acad Med. 2016;91:191-198. [go to PubMed] 4. … What I'd like to see is a bundled approach where we have valid, reliable measures in decision-making,

1714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847730/psn-pdf
      February 26, 2018 - brave-men-and-emotional-women-theory-guided-literature-review-gender-bias- health-care-and Previous research has documented that implicit bias can compromise clinician decision

1715. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - Although computerized provider order entry with clinical decision support has been shown to improve the … Even sophisticated computerized clinical decision support systems, when implemented in isolation and … Computerized physician order entry with clinical decision support in long-term care facilities: costs … Computerized clinical decision support during medication ordering for long-term care residents with renal … Effect of computerized provider order entry with clinical decision support on adverse drug events in

1716. Health Care Worker Presenteeism: A Challenge for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
      November 03, 2015 - (J.E.S., unpublished data, 2015) The decision to come to work when ill is shaped by these perceived … Although the decision to come to work while ill appears at first glance to be an individual choice, it … January 4, 2024 The effect of computerised decision support alerts tailored to

1717. Order Interrupted by Text: Multitasking Mishap | PSNet
      psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
      August 21, 2015 - Table ) bring medical reference information and evidence to the point of care and provide clinical decision … Several studies ( 14,15 ) have concluded the real-time decision support at the bedside is the primary … Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled … Handheld computer-based decision support reduces patient length of stay and antibiotic prescribing in

1718. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
      August 01, 2012 - Although computerized provider order entry with clinical decision support has been shown to improve the … Even sophisticated computerized clinical decision support systems, when implemented in isolation and … Computerized physician order entry with clinical decision support in long-term care facilities: costs … Computerized clinical decision support during medication ordering for long-term care residents with renal … Effect of computerized provider order entry with clinical decision support on adverse drug events in

1719. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - that passive engagement activities, such as finding a doctor or nurse and participating in medical decision … outcomes when we encourage and support the active participation of patients and families in care and decision-making … feel the same way about their degree of involvement and to the extent that they want to be the primary decision … the bedside, with patients and families supported and encouraged to be part of the dialogue and the decision-making … If we include patients and families in all the different key care planning and decision-making times,

1720. Good Night's Sleep Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
      September 01, 2015 - on appropriate use of sleep aids as well as on utilizing electronic health records to guide clinical decision-making … Utilizing electronic provider order entry systems with insomnia orders sets to guide clinical decision-making … Clinical decision-making can be improved through the use of insomnia order sets to prevent inappropriate