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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pert-chart
January 01, 2023 - Program Evaluation and Review Technique Chart
Acronym
PERT
Also Known As … PERT Chart
Description
Program evaluation and review technique (PERT) charts are useful when
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digital.ahrq.gov/ahrq-funded-projects/connecting-healthcare-central-appalachia/annual-summary/2008
January 01, 2008 - Other measurements include turnaround times on chart scanning and indexing, which determines how soon … after discharge the EMR is available to the physician, and chart delinquency rates. … The turnaround for charts after discharge has improved. … With the EMR system in place, clerks make timely rounds of the nursing units to pick up charts of discharged … The charts are then scanned and indexed to assure that all the forms in each chart are electronically
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digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part2.pdf
January 01, 2009 - 1/2
In an effort to bring some standardization and efficiency to the chart-review … , a set of screening criteria identifying the presence
of certain sentinel words or results in the chart … In the second step the ''triggered'' charts are reviewed further to determine whether an
adverse event … occurred and, if so, to obtain additional details from charts, such as preventability
and severity. … Undetermined: Not enough information provided in the patient chart to confidently give a severity level
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
January 01, 2009 - Moving from paper to electronic charts can overwhelm busy clinics, and most physicians, mid-level providers … , and nursing staff concluded that the system will not increase productivity until the charts are more … However, although the users do not view the system as ideal, they would not choose to return to paper charts
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2006
January 01, 2006 - Medical records included both [the EMR] and paper "shadow" charts maintained by and exclusive to the … Using the paper chart, physicians could quickly flip through previous neurological examination forms … The EMR "was designed to be a care management tool and it was anticipated that paper charts would no … Yet in this clinic, [the EMR] is being used primarily as a data repository and shadow charts are still … The shadow chart sometimes, but not always, mitigated this gap."
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/randeree-e-et-al-2007
January 01, 2007 - Cases 1 and 3: because they were unable to immediately incorporate old patient charts into the EMR, they … had to operate with redundant workflows, using the EMR for new patients and paper charts for prior patients
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
January 01, 2023 - Process Decision Program Chart
Acronym
PDPC
Description
The process decision … program chart (PDPC) provides a systematic means of finding errors with a plan while it is being created … Seven new management and planning tools: process decision program chart. 2009 [cited 2009 July 23]; Available
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015302-mullen-final-report-2008.pdf
January 01, 2008 - During a single thirty day period, the primary document for
patient care was reported 12,671 charts … The charts were pulled which gives rise to the potential for the chart
to be unavailable at the point … It also represents a significant cost in labor to continually
pull and return charts.
5
The … was significantly increased by
the routine practice of pulling charts to complete all of the above … Christensen and significant improvement in charts not having
missing information was realized.
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digital.ahrq.gov/principal-investigator/lambert-bruce
January 01, 2023 - Wrong-Patient Errors With Indication Alerts in CPOE Systems
Effect of number of open charts … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs017939-carroll-final-report-2013.pdf
January 01, 2013 - Manual chart abstractions were performed by trained research assistants to assess each
clinic’s developmental … To assess the reliability of chart
abstraction, a random sample of 20% of the charts were abstracted … These charts could be any visit not occurring in the 9, 18, and 30 months visits. … The
agreement on overall chart abstraction was found to be 89%, with a kappa of 0.75. … Because analysis of the data from chart abstractions showed a significant difference in
developmental
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - errors, such as the selection of incorrect medication or the input of data into the wrong patient's chart … participants quickly and nearly automatically [perform] system-related actions such as opening and closing charts … The first arose when they opened a chart by typing a patient's name instead of using his or her unique … In several instances, study participants opened second charts as a result of interruptions; however, … they always closed those charts before returning to their visiting patients."
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digital.ahrq.gov/research-method/time-series
January 01, 2024 - Workflows, Medication Safety Risks, and Patient Outcomes
Effect of number of open charts … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ca2
January 01, 2023 - These included:
Issue management process
Project schedules
Communication charts
A flow chart
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digital.ahrq.gov/technology/computerized-provider-order-entry-system
January 01, 2023 - Wrong-Patient Errors With Indication Alerts in CPOE Systems
Effect of number of open charts … Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department
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digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
June 16, 2021 - • 98 physicians
Project Infocare
• EMR that crosses continuum
• 100% use of CPOE
• No paper charts
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hollingworth
January 01, 2023 - At the time of study initiation, the system included chart notes, laboratory tests and imaging re … "Medical assistants at the e-prescribing sites ... spent significantly more time examining charts and … miscellaneous tasks, most frequently, restocking examination rooms, examining patients, looking for charts
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digital.ahrq.gov/ahrq-funded-projects/louisiana-rural-health-information-technology-partnership
January 01, 2023 - The survey also revealed that the proportion of employees that felt an electronic chart was more complete … over a paper chart increased significantly from four months to one year post-implementation. … emergency department personnel would also be likely to find EMR a more complete patient record than paper charts
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
January 01, 2007 - Yes No
Is chart checked for any needed forms? … What roles could be expanded to facilitate documentation in patients’ charts? … How many days before the visit do you prep charts? _________
5. … How much time is devoted to prepping charts per day? _______ (hrs.)
6. … ( – low priority; – high priority):
• Moving charts offsite ____
• Eliminating chart pulls for visits
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer/annual-summary/2010
January 01, 2010 - Outcome measures, obtained through chart reviews, consist of time intervals between several key steps … This process included a medical chart review of 180 charts at both the VA and non-VA sites to validate … Of the 120 patient charts reviewed, 90 (75 percent) were true trigger positives.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/baron-rj-et-al-2005
January 01, 2005 - had to use new on-screen forms to record telephone messages; pairing electronic messages with paper charts … "Every patient represented a "new patient" to the electronic health record, and the old paper chart had … to be abstracted and data moved into the electronic chart [by the physician]. … Some aspects of chart abstraction could perhaps have been delegated (for example, entering medication … produced automatically by our system) more efficiently to specialists, and spend less time paging through charts