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www.ahrq.gov/ncepcr/tools/obesity/obpcp-obprn.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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psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
September 18, 2019 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdf
January 01, 2007 - Charts
Insurance verification
Who pulls the chart for:
Regular appointments:
Same day … www.ifqhc.org/provider/documents/workflow_assessment.pdf
What is the procedure to create new patient charts … What do you do with the chart (policy vs. what really happens)? … Does MA put anything else in the chart after the patient leaves? … Printout
Verbally
Email
What happens to the chart?
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psnet.ahrq.gov/node/36314/psn-pdf
June 13, 2011 - In this study, researchers reviewed charts of patients discharged from intensive care
units of three
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psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - process flow diagram and how information obtained through interviews adds necessary detail to those flow
charts
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-51-sample-workflow-diagrams
January 01, 2023 - The other step is "Copy to chart," meaning keeping a copy in patient chart. … It then connects to "Return chart," meaning filling the chart back to file storage. … One is a process step "Physician adds note to chart and returns chart to staff," followed by a document … The third step is "Staff deposits message, fax and charts for prescriber approval." … To the right side is "Staff files chart," which connects upward to a document step "Patient chart files
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www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - charts without actual events and
excluded after nurse abstractions. … We abstracted a random
sample of 1,990 screen negative charts. … However, only screen-positive charts were reviewed for the presence of AEs (in
supplemental work, a … In the current study, we reviewed nearly 10,000 medical charts at four
hospitals over the course of … A subset of those patients'
charts were selected and used for manual chart review to identify actual
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psnet.ahrq.gov/node/45872/psn-pdf
April 13, 2017 - diagnostic errors in the primary care setting—enabled improved detection of
diagnostic errors compared to chart … Out
of 214 high-risk patient charts, 26 were found to contain a diagnostic error.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
March 21, 2008 - A study coordinator abstracted
additional information from patients’ charts. … none of the practitioners in the study used an electronic health
record, one did supplement the paper charts … method used in the study—self-observation of medication
management transactions and review of patient charts … that raised the concern and involved staff in multiple roles to
receive the question, pull patient charts … Conclusion
Direct self-observation followed by review of charts and a gap analysis of differences among
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psnet.ahrq.gov/node/36308/psn-pdf
January 05, 2017 - trigger-tool-identify-adverse-events-intensive-care-unit
This study describes the use of a focused chart … Non-physician reviewers at 54 hospitals screened charts for
evidence of 23 clinical events, such as … If any of these triggers were present, the relevant portion of the chart was
reviewed using methodology
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/reporting-instructions-baseline-sw.pdf
June 02, 2025 - audit - using EHR data
Patient-level data: Chart audit - paper health record
*Practices that can … Metric by
metric
Metric by
metric
Metric by
metric
Metric by
metric
Patient-level data: Chart … Metric by
metric
Metric by
metric
Metric by
metric
Metric by
metric
Patient-level data: Chart … For EHR, you generate reports with necessary
data elements & submit to DARTNet’s email
For paper charts … dl=0
https://www.dropbox.com/s/hir4kcc8mmewthw/ENSW-chart-review-form.xlsx?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
November 01, 2019 - Although 200 charts were requested for the target sample, a total of 89 charts were obtained from
provider … Of the 89 medical records received for chart review, 13 records (14.6 percent) were reviewed for
IRR … Children with codes
associated with these claims-based exclusions were removed from the chart review … For this comparison, the medical chart was considered the gold standard. … Among children eligible for the denominator after chart review (n=56), the sensitivity of claims
for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pdf
June 02, 2025 - • Replace the charts with charts that you create
with your data (use the Excel workbook from
Tool
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psnet.ahrq.gov/node/34651/psn-pdf
March 04, 2011 - Using a random sample of records, the study
design required a physician and a nurse to review charts
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psnet.ahrq.gov/node/35580/psn-pdf
May 27, 2011 - investigators report differential rates and severity of
medication errors from physician review of patient charts
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psnet.ahrq.gov/issue/leadership-practices-advance-patient-safety
May 26, 2011 - This article charts one health system's efforts to create a culture of safety through leadership development
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
June 02, 2025 - BMI percentile The percentile ranking based on the BMI-for-age growth charts, which
indicates the relative … BMI Percentile Written documentation of BMI percentile in the chart, documentation of BMI
Documentation … percentile in the chart as calculated by the EHR (electronic health record), or
BMI percentile plotted … on a BMI for age and sex growth chart. … Eligible children with an outpatient care visit and documentation of weight
classification in the chart
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-2.pdf
June 02, 2025 - Section 2: Detailed Measure Specifications, Attachment 2: Chart Abstratcion Algorithm
SNAC Submission … Measure 2: ADHD Behavior Therapy
Section 2: Detailed Measure Specifications
Attachment 2: Chart … Abstraction Algorithm
This algorithm demonstrates how this measure would be calculated from manual chart … II.A Data Source: Electronic Health
Record Process: Manual Chart Abstraction
Create Denominator:
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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/data/visualizations/retail-drugs-covid-19.html
January 01, 2022 - Hover over the charts to access information on conditions associated with outpatient use as reported