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digital.ahrq.gov/sites/default/files/docs/page/TMS_Lifebook_ver2000.mdb
June 16, 2021 - TMS Lifebook 04-01 ver97
ActivityCode AlphaCode MajorCategory MinorCategory
1 A1 Computer - Read Chart … Email
9 A9 Computer - Read Forms
10 A10 Computer - Read Other
11 B1 Computer - Looking For Chart … Writing Emails
23 C4 Computer - Writing Forms
24 C5 Computer - Writing Other
25 D1 Paper - Read Chart … D8 Paper - Read Mail
33 D9 Paper - Read Forms
34 D10 Paper - Read Other
35 E1 Paper - Looking For Chart
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-stream-mapping
January 01, 2023 - Connect the data to corresponding boxes on the chart.
6. … ADD PROCESS AND LEAD TIME DATA to the chart, including things such as delays and set-up time.
7.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018157-hazlehurst-final-report-2013.pdf
January 01, 2013 - Overall, accuracy of the automated
EMR-based measures relative to chart review was good. … (n=456)
%
Chart review
(n=456)
%
Acc. … The most prevalent measure is BMI documentation (M1),
with 24% of charts reviewed at KPNW and 54% at … These measures were rarely detected by chart review. … approach to identify cases that are missed by chart review.
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - needed in use of
generic and brand
names of drugs
Minimize Handoffs:
•Without access to
patient chart … surveys
•Surveys of leaders
•Examples of issues
with inadequate
handoffs:
–Weekend
coverage
–Chart … transfer
to another unit
Design around
precarious
events:
Adverse drug
events
•Retrospective
chart … Surg staff
•Med-Surg caregivers
carry out handoffs,
calls & faxes without
access to the patient
chart
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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support
January 01, 2023 - that only 60 percent of the information directed to patient providers was available and in patient charts
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/lorenzi-nm
January 01, 2023 - "An EHR saves staff time otherwise used searching for charts, entering charges manually, etc.
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digital.ahrq.gov/ahrq-funded-projects/improving-diagnosis-hypertension-children-idhc
January 01, 2023 - criteria for hypertension or elevated blood pressure, with a diagnosis of hypertension recorded in charts
-
digital.ahrq.gov/ahrq-funded-projects/using-electronic-personal-health-record-empower-patients-hypertension/annual-summary/2010
January 01, 2010 - In addition, a total of 355 charts were audited by the end of the 2010. … Data from the chart audits were entered into a database, have under gone preliminary analysis, and will
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lobach-df-et-al-1997
January 01, 1997 - into the study (ie, systems errors: 86.8% of total errors) or from the presence of data in the paper chart … In total, 359 patient charts were studied.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
January 01, 2009 - from outside providers
Confirming insurance or pay status
Detailed flowcharts
Here are two flow charts
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021780-casarett-final-report-2014.pdf
January 01, 2014 - For the #0209 score, overall accuracy compared to a hand review in a sample of 100 charts
was 97%. … The remaining 3 charts were adjudicated and could have been classified as either
correct or incorrect
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digital.ahrq.gov/2020-year-review/research-summary/designing-intelligent-systems-support-cognitive-work-clinical
January 01, 2020 - tasks can be accomplished in a matter of seconds, instead of [the provider] accessing each individual chart … is] up on the board, I can see whose status is changing without having to dive into each individual chart … facilitate a holistic view of the patient and communication between these providers; and a Clinical Timeline Chart
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Transcribes
order into
computer
system, assesses
order
appropriateness
Written order
(chart … Routes phone calls to
pharmacist, brings written
orders (faxed or sent by
pneumatic tube from chart … For example, the physician will
move the chart to the nursing station and turn the chart dial to … There were 42 events for which a contributing factor
was not identified from the chart review, but … Passive forms of communication, such as
documenting in the patient chart, need to be complemented by
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-0
January 01, 2023 - Cycle Time Chart
Description
A cycle time chart portrays, in a graph, the amount of time spent
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/benefits-and-barriers-exercise
January 01, 2023 - TRANSCRIBE THE FLIP CHART PAGES from all groups and compile them with the meeting notes. … Recommended Supplies/Materials
Flip chart
Advantages
Identifies potential obstacles.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
January 01, 2023 - WRITE THE DESIRED CHANGE along the top of a whiteboard or flip chart and draw a vertical line underneath … Recommended Supplies/Materials
Flip chart
Advantages
Fosters communication.
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digital.ahrq.gov/sites/default/files/docs/survey/cccn-online-registry.pdf
June 16, 2021 - a master list of diabetic patients
Diabetic patients are identified on the jacket of their paper chart … and staff only knows when the chart is
pulled for the visit
The doctor identifies diabetic patients … during the visit by reviewing the chart
Other (Please specify):
6) Who prints the worksheet?
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2007
January 01, 2007 - "All of the providers suggested that the ability to see the entire patient chart and information from … noted difficulties finding specific pieces of data among the volumes of information in some patient charts
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digital.ahrq.gov/sites/default/files/docs/nlp-slides-041112.pdf
April 11, 2012 - make possible automated assessment
of care, eliminating sampling, surveying, and manual
review of charts … Chart Review Validation
Most ACQ measures performed relatively well in
the HMO healthcare system … – Measure accuracy (agreement with chart review)
ranged from 63% to 100% and averaged 88% across … Chart Review Validation
The automated ACQ analysis was less accurate
against the SafetyNet health … Review Validation
Chart Review Validation
Overall Results of Asthma Care Quality Measurement
Outcomes
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digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - Is there a team already abstracting charts for information that your team would like to
examine? … Paper Charts
C. Electronic Data Repositories and EMR databases
i. Lab System
ii. … Manual chart reviews are time consuming and expensive, depending on how many charts
you need to review … May need to look in different
places to get this, for example,
paper charts versus EMRs. … require chart review.