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Total Results: 4,639 records

Showing results for "documentation".

121. Evaluating Electronic Health Record Data for Use in Diabetes Quality Reporting - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2012
     January 01, 2012 - enter data in the EHR when diagnosing and treating patients with diabetes and what may motivate their documentation … Achieved) Learn where in the EHR physicians document diagnoses of diabetes and identify motivators of documentation … Third, while clinicians were not specifically asked about organizational influences on their documentation

122. Ventres W et al. 2005 "Clinician style and examination room computers: a video ethnography." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ventres-w-et-al-2005
     January 01, 2005 - "The distinct intervals included ... computer-focused documentation of patients' recent histories, .. … . face-to-face discussions of care, [and entering] post-physical examination documentation." … They "spent less time entering data in front of patients" and "rarely entered computer documentation

123. Improving Accuracy of Electronic Notes Using a Faster, Simpler Approach - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-final-report-2018.pdf
     January 01, 2018 - The transition from paper to electronic documentation yielded many advantages, including making it possible … SCOPE Moving from paper to electronic physician documentation has improved the availability of notes … Assessing the Delay in Communication Regarding Physician Digital Inpatient Documentation. … The future state of clinical data capture and documentation: a report from AMIA's 2011 … Time spent on clinical documentation: a survey of internal medicine residents and program

124. Automated Notification for Follow-Up Testing Recommendations Across Care Settings - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
     January 01, 2017 - Implementation of a discharge module was associated with increased documentation of critical imaging … The primary outcome is the rate of successful documentation of the incidental renal mass … Follow-up documentation remain unchanged from 39% pr e- intervention to 49% post-intervention (p … radiologist recommendation was a statistically significant predictor (p<0.05) for both successful documentations … radiologist recommendation was a statistically significant predictor (p<0.05) for both successful documentations

125. DEVISE: Data Exchange of Vaccine Information between an Immunization Information System and Electronic Health Record - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs022667-stockwell-final-report-2014.pdf
     January 01, 2014 - immunization exchange from a regional IIS to a local EHR system on completeness of documentation … Hypothesis: More complete documentation of immunization coverage will be observed when immunization … New York City Public Health Law requires documentation for all immunizations administered to children … In this aim, we assessed the impact of combining immunization records on completeness of documentation … The main outcome variable was completeness of documentation of up-to-date vaccine coverage with age

126. Health IT Enhanced Family Health History Documentation & Management in Primary Care - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-it-enhanced-family-health-history-documentation-management-primary-care/annual-summary/2011
     January 01, 2011 - Health IT Enhanced Family Health History Documentation & Management in Primary Care - 2011 … Project Name Health Information Technology Enhanced Family Health History Documentation & Management

127. Christensen T et al. 2008 "Instant availability of patient records, but diminished availability of patient information: a multi-method study of GP's use of electronic patient records." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/christensen-t-et-al
     January 01, 2023 - Workflow-Related Findings In documentation, "you don't need to write the headings over and over again … EPR before the encounter began, minimized the use of the EPR during the encounters, and often did the documentation … Some GPs stated that it was both relevant and useful to conduct documentation work while the patient

128. A National Web Conference on Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation - Q&As (pdf file)
     digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-qa-020717.pdf
     February 07, 2017 - on Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation … Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation … QUESTION: For medical documentation NLP research, do you have any recommendations for note annotation … of a speech recognition-generated document by a transcriptionist-like profession, and 3) corrected documentation … Accuracy of EHR Documentation Questions and Answers February 7, 2017 Additional Q&A Addressed

129. Impact of Meaningful Use on Clinical Workflow in Emergency Departments - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs022670-patel-final-report-2019.pdf
     January 01, 2019 - EHRs support several functionalities including (a) documentation of patient care (b) clinical decision … , our assumption was that most, if not all documentation activities occurred here.. … These include Documentation, Navigation Patient Chart Review and Medication Order, for example, time … Across two observed locations, the primary activity for physicians was documentation (58%) followed … Often errors are caught when doctors do the documentation themselves (use of metacognition).

130. Clinical Workflow | Digital Healthcare Research
     digital.ahrq.gov/health-care-theme/clinical-workflow
     January 01, 2023 - Principal Investigator(s) Ahmed, Abdulaziz Ozaydin, Bunyamin Essential Nurse Documentation … COVID-19 (ENDBurden) Description This research aims to examine changes in nursing clinical documentation

131. Tool 7.3: Timeline for IHA EHR Transition | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-73-timeline-iha-ehr-transition
     January 01, 2023 - Assess Charting process Begin chart abstraction process using Internet Chart Abstraction Tool (ICAT) Documentation

132. Evaluating electronic health record data for use in diabetes quality reporting - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-electronic-health-record-data-use-diabetes-quality-reporting/annual-summary/2011
     January 01, 2011 - Ongoing) Learn where in the EHR physicians document diagnoses of diabetes and identify motivators of documentation … To learn where in the EHR physicians document diagnoses of diabetes and identify motivators of documentation … Findings: The most significant finding so far is that organizational factors are a major driver of documentation

133. Slide 1 (ppt file)
     digital.ahrq.gov/sites/default/files/docs/implementation/Porter.ppt
     June 16, 2021 - a knowledge engine and drive guideline-endorsed care Porter et al JAMIA 2004;11:458-467 Parents’ documentation … of asthma-specific medication data superior to documentation of ED physicians and nurses Porter et … a knowledge engine and drive guideline-endorsed care Porter et al JAMIA 2004;11:458-467 Parents’ documentation … of asthma-specific medication data superior to documentation of ED physicians and nurses Porter et

134. Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD) - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2010
     January 01, 2010 - Integration tasks underway during this timeframe included: 1) generating clinical documentation with … Third, templates need to support local configuration of information to guide linkage with clinical documentation … Linkage of clinical documentation generated by ACCORD into the local EHR has shown to be more complicated … To support the care process, the ACCORD documentation should be able to drive updates to the problem

135. ADHD Diagnosis and Assessment Template | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/adhd-diagnosis-and-assessment
     January 01, 2023 - Deficit and Hyperactivity Disorder (ADHD) Diagnosis & Assessment Template was designed to aid in the documentation

136. ParentLink: Better and Safer Emergency Care for Children (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs014947-porter-final-report-2007.pdf
     January 01, 2007 - Clinical providers chart via phone dictation or computerized documentation. … A lack of documentation regarding the medication history was coded as missing. … A lack of documentation regarding the allergy history was coded as missing. … For example, a chart missing documentation about pain assessment for a patient with head trauma was … Parents’ documentation of allergies to medications using ParentLink produced more valid information

137. AMIA Policy Invitational Conference Series Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r13hs023969-fridsma-final-report-2017.pdf
     January 01, 2017 - Payne, MD, University of Washington, Seattle, WA Panel 1: Evolution of Clinical Documentation & Data … The first panel discussed “the evolution of clinical data capture & documentation;” the second panel … Develop and implement a documentation simplification framework 1. … Develop an empirically-based regulatory compliance framework for documentation simplification that: … Pursue documentation- relevant reimbursement redesign 1.

138. Pizziferri L et al. 2005 "Primary care physician time utilization before and after implementation of an electronic health record: a time-motion study." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pizziferri-l-et-al-2005
     January 01, 2005 - survey respondents believed EHR use results in quality improvement, yet only 29% reported that EHR documentation … "Fifteen of the 23 respondents reported that documentation was performed outside of the clinic session … Physicians reported a mean of 9.9 min/established patient to complete documentation post-[implementation

139. Flu Alert: Influenza Vaccine Alerts for Providers in the Electronic Health - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018158-stockwell-final-report-2013.pdf
     January 01, 2013 - We assessed the percent of non-UTD children vaccinated when FluAlert was on vs. off, as well as documentation … In addition, documentation in the EHR of why the vaccine was not ordered was significantly higher. … Automatic Documentation in Provider Note In addition to taking an action on the alert a provider … Impact of Alert on Documentation. … More children seen when the alert was on had documentation of why the vaccine was not given vs. those

140. Communications Tracking to Document Partnership Support (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Joanne_Pohl_IQHIT_Q1_Communications_Tracking_Tool.pdf
     June 16, 2021 - Save documentation of any implementation/timeline/project management/workflow analysis tools supplied