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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/In-officePrescribing-PaperSystem.pdf
January 01, 2010 - ha
rm
ac
y
P
at
ie
nt
Patient sees
provider
Evaluate patient
Staff retrieves
patient’s chart … prescription and/or
renewal
Write out
prescription and/or
refill
Provider passes
patient chart … to
staff
Patient chart filed
Take prescription
and/or refill to
pharmacy
Fill prescription
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/sfhp-ucsf-groups
January 01, 2023 - SFHP/ UCSF Groups
Description
Simple organization chart for a research study. … Document Type
Organizational Chart
Document Source
Harnessing Health Information Technology
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digital.ahrq.gov/sites/default/files/docs/medicaid/ComprehensivePatientScenario.docx
June 16, 2021 - Discuss how the chart can be customized per user
2. … Demonstrate moving from one portion of the chart to another
4. … Generate an H&P for hospital chart (in print form) using info from previous visits
13. … Provide examples of flow diagrams for labs and growth charts
Posting Charges & Payments
1. … Discuss your recommended chart conversion plan
10.
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digital.ahrq.gov/sites/default/files/docs/survey/tamc-provider-questionnaire.pdf
June 16, 2021 - Disease Registry
Tickler Sheet
Flow Chart
Posted Office Chart … Posted Office Chart
Other
Disease Registry
Tickler Sheet … Flow Chart
Posted Office Chart
Other
Disease Registry … Tickler Sheet
Flow Chart
Posted Office Chart
Other … Disease Registry
Tickler Sheet
Flow Chart
Posted Office Chart
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/carayon-p-et
January 01, 2023 - clinical and office staff changed significantly, and included decreases in time spent distributing charts … Clinical staff spent less time on distributing chart/master file/mail (from 6.6% to 0.3%), and performing … functions of office staff also changed significantly: they spent about one-half less time for distributing chart
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015339-aranaydo-final-report-2007.pdf
January 01, 2007 - tailored to the ambulatory care that THP provide could transform a handwritten or typed
paper medical chart … Extraction of Diabetic Audit data elements for annual reporting to the IHS
began with manual chart audits … of randomly selected medical charts. … legacy IHS RPMS system
allows some GPRA data to be abstracted electronically, it still required a paper chart … For the first time the providers have access to a legible up-to-date chart complete with
medications
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - • Shadow ICU nurses in the field to measure
events related to med administration
Trigger-based chart … 11 12 01 02 03 04 05
Pharmacy System EMAR CLIN DOC CPOE
Go-Live Go-Live
Trigger-based Chart … 11 12 01 02 03 04 05
Pharmacy System EMAR CLIN DOC CPOE
Go-Live Go-Live
Trigger-based Chart … Reviews
Prescribing Errors, Medication Errors, ADEs
14
Trigger Tool Chart Reviews
4 patient … = ADEs or med errors
– (prescribing errors in separate study)
• Track efficiency of triggers and chart
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/bloomfield-h-et-al-2005
January 01, 2005 - the relative effectiveness of three different prompts (progress notes, patient letters, or computer chart … the relative effectiveness of three different prompts (progress notes, patient letters, or computer chart … Chart reminders consisted of a short phrase that appeared on the cover page of the patient's computerized … This reminder was visible to the clinician when s/he opened a specific patient chart at the time of the … three groups, each receiving a different type of prompt: progress notes, patient letters, and computer chart
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices/annual-summary/2010
January 01, 2010 - staff, and patient demographics, are collected either through the practice’s application or through the chart … the impact of the interventions on quality, a number of quality measures will be collected through chart … team developed a form, database, and instruction set to collect the clinical data elements from paper charts … Chart review will continue through 2011.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/lamberts-r-2003
January 01, 2003 - "The first major step in making the EHR more than just a repository of chart notes came when the [vendor … "Encounter data is input into the chart via questionnaires filled out by the patient and input by the … "The chart is always available and the patient's medication list is usually accurate. … and using an OCR program to convert them to rich text format, and copying them in to the patients' charts
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digital.ahrq.gov/sample-questions-answers-1
January 01, 2023 - such as looking for charts ? were made easier: 9.4-6.1% (p < 0.001), 27 minutes per day.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017020-singh-final-report-2010.pdf
January 01, 2010 - For each period (baseline and endpoint), research assistants reviewed an
independent sample of 100 charts … Charts identified in this first step as having triggers underwent secondary review (the ‘Review’
step … Patient Characteristics
Table 2 summarizes the demographic characteristics of the patients whose charts … over time.
8
Table 3: ADE’s , pADE’s, and severity in intervention and control sites
Total
charts … The outcome measure used for
ADE’s was based on chart review and therefore is limited.
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digital.ahrq.gov/ahrq-funded-projects/improving-health-care-through-hit-morgan-county
January 01, 2023 - providers from 69.6 to 5.6 minutes; and 4) no apparent time savings in filing information in paper-based charts
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
January 01, 2008 - Although
completely ridding the facilities of paper charts is not possible with just the electronic … Clerks
make timely rounds to the nursing units to pick up charts of discharged patients and take them … After the chart is scanned it is then
indexed to assure that all the forms in the chart are electronically … The corporate standard is 24 hours turn-
around-time for inpatient charts. … Subsequently, the HPF team has
built work queues for Core Measures charts.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs018236-ziemer-final-report-2012.pdf
January 01, 2012 - The chart was correct for 84% of
CORE medications. … Comparing the entire list of core medications by person showed only 38% of charts … In the chart, hypoglycemia questions were unanswered for 26% of subjects. … Standardized review for hypoglycemia shows 38% of CHARTs failed to address hypoglycemia
and had an overall … CHART HYPO question was not
answered 25% of time.
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-verbal-orders-quick-reference-guide.pdf
March 01, 2009 - each accounting
for 38 percent of the orders.5
Source of Data for the Measure:
Preimplementation—chart … A simple chart or graph that displays the
decrease in verbal orders over time is an
effective way to … However, this may require manual chart
reviews, which can be expensive. … Any manual chart
review is resource intensive in terms of space, time,
and costs. … Consider whether these resources are
available before conducting any manual chart review.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec
January 01, 2023 - clerical and clinical staff work burden by improving how they check in and room patients, how they chart … clerical and clinical staff work burden
by improving how they check in and room patients, how they chart
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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety/annual-summary/2010
January 01, 2010 - Rather, copies of the e-mailed PhaST reports are filed in paper charts. … The project will compare chart-documented adverse events to adverse events that have been determined … It is predicted that there will be higher agreement between chart-documented adverse events and examiner-determined
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-l-et-al-2003-how
January 01, 2003 - Participants
Each practice created a registry of their patients with CHD and randomly selected 50 patient charts
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nease-de-et-al-2008
January 01, 2008 - In the 2 practices without electronic scheduling, patient charts were preceded with reminder forms."