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www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 - chart review
M
Manual
Skin dis, but not localization
Wound Class
I
N
Y
… chart review
??
Electronic
?
… chart audit
M
Electronic
0
Hair Removal
II
Y
Y
?
… chart audit
M
Electronic
0
Abx Irrigation
Y
Y
?
… OR chart review
D
Electronic
?
Incision method
?
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-ack.html
May 01, 2014 - Chart Audit Form and Instructions
Tool 3. Clinical Care Observation Guide
Tool 4. … Documenting the Conversation in Your Charts
Tool 8. Sample Community Inventory Form
Tool 9.
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www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
January 01, 2024 - To further automate our prototype EcCk (Electronic Chart Check) physics chart check tool
and to integrate … tools
and algorithms for automatic detection of errors, inconsistencies, and issues in the patient charts … this study is to automatically detect errors, inconsistencies, and potential issues in
the patients’ charts … Inconsistencies in the patients’ charts could also take many
different forms. … detection algorithms were developed in this study to check errors
in radiation therapy patients’ charts
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/submission-form-mw.html
March 01, 2021 - EvidenceNOW: Data Submission Form
Midwest Cooperative
Resource: Chart Review: Submission for … , 2 pages)
This data submission form was used by an EvidenceNOW Cooperative to standardize manual chart … Fields include: measure, time period, reason for chart review, reviewer, and selection method.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - Replace the charts with charts that you create with your data (use the Excel workbook in Tool B.3a) and … Replace the chart and fill in the slide based on the indicator you’ve selected and your hospital’s data … Using the AHRQ Quality Indicators
How to Improve Hospital Quality and Safety
Tool C.3 Slide ‹#›
This chart
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/kidney.html
June 01, 2018 - months prior to initiation of renal replacement therapy, by race and ethnicity, 2005-2013
Left Chart … 30.2
30.5
NHOPI
23.5
25.2
23.9
22.5
24.0
25.4
27.0
27.5
30.1
Right Chart … These charts use data from the newest version of the ESRD Medical Evidence CMS 2278 form. … least 12 months prior to initiation of renal replacement therapy, by sex and age, 2005-2013
Left Chart … Note: These charts use data from the newest version of the ESRD Medical Evidence CMS 2278 form.
-
www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - For example, Ciprofloxacin was prescribed 15% of the time versus 22% of the time during the initial chart … Also, Cefuroxime was prescribed 14% of the time, up from 3% during the initial chart review period. 1 … ( PDF | Word | Excel )
A Data Entry Form: For manually recording culture data from medical charts
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/ncahec.pdf
August 01, 2014 - gap analysis 3
REC practice milestones 3
10
Content area/topic/skill Level
QI data (e.g., run charts … , control charts, etc.) 4
Practice Support Program change package—general approach to improving clinical … , check sheets, cycle time chart, balanced scorecard, etc.) 4
Basic project management 4
Meeting management … , control charts, etc … )
▲ QI tools (e.g., flow charts, check sheets, cycle time chart, balanced scorecard, etc.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
June 01, 2012 - ADHD Chart Review Elements
ADHD Chart Abstraction Tool Template (with example data)
Patient ID Race … Dec 2011 and June 2012 (Yes-1/No -2) Evidence of ADHD diagnostic clinical exam by physician in the chart … (Yes - 1/No - 2) Evidence in the chart of assessment of Core symptomes of ADHD including inattention … hyperactivity and impulsivity through a validated diagnostic tool (Yes - 1/No - 2) Evidence in the chart … of assessment of impairment in 2 settings (Yes - 1/No - 2) Evidence in the chart of assessment of symptoms
-
www.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - The MPSMS methodology to identify adverse events within each chart is identical to prior years. … It had to be reconstructed by requesting charts from available all-payer data. … The current analysis is based in part on a set of charts in which patients with an ICD-9 coded diagnosis … of venous thromboembolism (VTE) are underrepresented and another set of charts in which they are overrepresented … Additional analyses are underway with respect to determining how to align the available 2015 charts into
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/access-slides.html
June 01, 2018 - Image: Charts show people who were unable to get or delayed in getting needed medical care, dental care … Image: Charts show people who were unable to get or delayed in getting needed medical care, dental care … Image: Charts show adults who needed care right away for an illness, injury, or condition in the last … Image: Charts show children who needed care right away for an illness, injury, or condition in the last … Image: Charts show primary care medical residents per 100,000 population, by sex and race/ethnicity,
-
www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
January 01, 2025 - (Their charts were abstracted as an example of complex pediatric patients
for quality scorecard reporting … data sources currently
available in most pediatric primary care setting – these include paper medical charts … Chart Abstraction
Using a standard chart abstraction form, a trained research assistant reviewed
50 … ambulatory patient charts and abstracted information needed to populate the
numerators and denominators … IV Process Chart
9 The primary care team should document in the
chart about community-based services
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/arra/arracer-slides.pptx
October 15, 2013 - Sheet1
Confidence Level
High 41%
Low 59%
To resize chart data range, drag lower right corner of … Sheet1
Confidence Level
High 45%
Low 55%
To resize chart data range, drag lower right corner of … Sheet1
Confidence Level
High 66%
Low 34%
To resize chart data range, drag lower right corner of … Sheet1
Confidence Level
High 57%
Low 43%
To resize chart data range, drag lower right corner of … Sheet1
Confidence Level
High 71%
Low 29%
To resize chart data range, drag lower right corner of
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2019_cg_cahps_chartbook.pdf
January 01, 2019 - Results are presented in the form of bar charts that graphically show the distribution of
responses for … items), individual
question items, provider rating, and the PCMH supplemental composite measure (see Chart … The bar charts are composed of colored segments that show the percentage of responses in each
response … All results presented in these charts are calculated at the respondent level. … CG_About.aspx
CAHPS Clinician & Group Survey Database 2019 Chartbook
6
Adult Survey 3.0 Combined
Chart
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
June 02, 2025 - 32
33
Patient Safety and Quality Issues
In the past 3 months…
“There are way too many places to chart … Patient Safety and Quality Issues
34
In the past 3 months…
“There are way too many places to chart … "I do a lot of chart reviews…and I frequently find wrong
information in [physician] progress notes.” … Quality Issues
37
In the past 3 months…
“Patient information is scanned in [the] wrong patient
chart … We find out because we open the chart and
find new fields, new pages, new requirements.”
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
June 01, 2012 - ADHD Chart Review Elements
ADHD Chart Abstraction Tool Template (with example data)
Patient ID Race … Dec 2011 and June 2012 (Yes-1/No -2) Evidence of ADHD diagnostic clinical exam by physician in the chart … (Yes - 1/No - 2) Evidence in the chart of assessment of Core symptomes of ADHD including inattention … hyperactivity and impulsivity through a validated diagnostic tool (Yes - 1/No - 2) Evidence in the chart … of assessment of impairment in 2 settings (Yes - 1/No - 2) Evidence in the chart of assessment of symptoms
-
www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdf
January 01, 2025 - This situation has led to some challenges in keeping charts up to date. … 11 61 6 33 1 6 0 0
Document the event in the chart? … 11 65 6 35 0 0 0 0
Document the event in the chart? … 6 33 5 28 7 39 0 0
Document the event in the chart? … Charts Existing issues and explanations of charting.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
March 01, 2017 - Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident's chart … The infection preventionist or other designated staff person can review the chart and compare if the … Worksheet is a tool that was created to streamline the surveillance process when reviewing a resident's chart … The infection preventionist can review the chart and determine if the documentation meets or doesn't … The "Notes" column can be used to help document the chart source.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - Abstractor Reliability
In addition, the reliability of the data element abstracted from the medical chart … was assessed by identifying a subset of the charts to be re-abstracted by another trained medical record … Ten charts were chosen for evaluation of inter-rater reliability; the two trained abstractors had 100% … identifying receipt of TCD screening was assessed through comparison to the gold standard of medical charts … predictive value (PPV) of administrative claims for receipt of TCD screening were calculated; the medical charts
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - identify Medicare cases
with adverse occurrences and matched comparison cases, (3) review medical
charts … Nurses performed blinded chart review on Initial Cases and
Initial Controls. … Interrater reliability testing was done on 15 additional
charts. … Based on information in the medical charts, nurses assigned admission and
discharge Rankin scores for … To best discriminate functional status
change and minimize rater bias, we excluded charts if patients