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digital.ahrq.gov/sites/default/files/docs/page/asthma_assessment_final_1_0.pdf
June 16, 2021 - Pediatric Asthma Template
Pediatric Documentation Templates
Pediatric Asthma Template
Executive … Summary
The Partners Pediatric Asthma Template was designed to aid in the documentation of
asthma
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digital.ahrq.gov/sites/default/files/docs/page/Johnson%205-V.ppt
August 18, 2004 - :25
0:00:53
53
7/14/2005
1
A
14:11:25
Enter patient room
14:11:39
0:00:14
14
7/14/2005
1
A
14:11:39
Documentation … Reference / Research
7/14/2005
1
A
14:10:32
Decide to call pharmacy re: Rx; check Rx in paper chart
Documentation … , review chart
Documentation
7/14/2005
1
A
14:11:25
Enter patient room
Enter/exit, patient room
Enter … / exit location
7/14/2005
1
A
14:11:39
Documentation re: Rx, vital signs
Documentation, charting
Documentation … Observed (Aggregate)
Total
Assess patient
30
Assist patient
44
Cleaning / Hygiene
9
Communication
46
Documentation
-
digital.ahrq.gov/sites/default/files/docs/page/Tennessee%204-VI.ppt
August 18, 2004 - :25
0:00:53
53
7/14/2005
1
A
14:11:25
Enter patient room
14:11:39
0:00:14
14
7/14/2005
1
A
14:11:39
Documentation … Reference / Research
7/14/2005
1
A
14:10:32
Decide to call pharmacy re: Rx; check Rx in paper chart
Documentation … , review chart
Documentation
7/14/2005
1
A
14:11:25
Enter patient room
Enter/exit, patient room
Enter … / exit location
7/14/2005
1
A
14:11:39
Documentation re: Rx, vital signs
Documentation, charting
Documentation … Observed (Aggregate)
Total
Assess patient
30
Assist patient
44
Cleaning / Hygiene
9
Communication
46
Documentation
-
digital.ahrq.gov/type-care/ambulatory-care
January 01, 2023 - Principal Investigator(s)
Schilling, Lisa M
Soares, Andrey
Essential Nurse Documentation … COVID-19 (ENDBurden)
Description
This research aims to examine changes in nursing clinical documentation
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digital.ahrq.gov/research-method/case-report
January 01, 2023 - Technology
Interdisciplinary care team adoption of electronic point-of-care documentation … Interdisciplinary care team adoption of electronic point-of-care documentation systems: an unrealized
-
digital.ahrq.gov/principal-investigator/bell-douglas
January 01, 2023 - of electronic prescribing struggle to make meaningful use of formulary checks and medication history documentation … of electronic prescribing struggle to make meaningful use of formulary checks and medication history documentation
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017205-davidson-final-report-2010.pdf
January 01, 2010 - ● Do the templates allow documentation of “exclusions”, where
relevant for certain quality measures … Evidence- Address benefits and ● Does use allow codified documentation of patient refusals or
based … Evidence-
based
Guideline/
Template Use
Define the workflow for
template/documentation
● Who enters … ● Is clinical documentation in the template efficient? … The goals were to
support provider care and documentation , enhance provision of guideline concordant
-
digital.ahrq.gov/ahrq-funded-projects/optimizing-electronic-health-record-cardiac-care
January 01, 2023 - have been implemented at health care delivery sites, clinicians have found that they have increased documentation … function of the left screen was for review and validation of data, while the right was primarily for documentation … This format allowed clinicians to keep key data available for review and reference as documentation was
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2011
January 01, 2011 - the PrU program will also inform the development of an On-Time Fall Prevention Module, which will use documentation … A yearlong process of workgroup meetings has already informed the standardization of fall documentation … implementation effort using an approach similar to the On-Time PrU prevention, including standardized documentation
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digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2011
January 01, 2011 - touch-screen CAMPII method is more sensitive for detecting and recording hypoglycemia than provider documentation … in the medical chart or patient documentation on the paper forms. … CAMPII computer-assisted self-interview is better for detecting hypoglycemia than chart documentation
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2007
January 01, 2007 - Providers also frequently completed EMR documentation during their lunch hour and at other free times … such as the binder maintained by nursing staff [describing] individual provider preferences [for paper documentation … The existing informatics tools may meet the institutional need to gather patient documentation in a single
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - More advanced users typed data into templates (electronic forms) that included physical exam and documentation … More advanced use of documentation templates led to greater opportunities for improving quality of care … improved the
availability, timeliness, and accuracy of messages and increased completeness of documentation
-
digital.ahrq.gov/location/usa-la-napoleonville
January 01, 2023 - Description
Implemented a Complete Medical Record (a computerized emergency department communication, documentation
-
digital.ahrq.gov/organization/assumption-community-hospital
January 01, 2023 - Description
Implemented a Complete Medical Record (a computerized emergency department communication, documentation
-
digital.ahrq.gov/principal-investigator/salles-paul
January 01, 2023 - Description
Implemented a Complete Medical Record (a computerized emergency department communication, documentation
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digital.ahrq.gov/topics-az/c
January 01, 2023 - Disease Management
Clinical Decision Making
Clinical Decision Support System
Clinical Documentation
-
digital.ahrq.gov/medical-condition/coronary-artery-disease-cad
January 01, 2024 - Information Technology Self-Management Program for Chronic Disease
Effects of documentation-based … Effects of documentation-based decision support on chronic disease management.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-cancer-screening-excellence-report-colonoscopy/annual-summary/2010
January 01, 2010 - All measures depend upon adequate documentation and there is a wide variation between endoscopists in … their rate of documentation. … possible that those clinicians who did not document in CORI are collecting this information in other documentation … This same variability in completeness of documentation was seen with all measures.
-
digital.ahrq.gov/ahrq-funded-projects/discovery-and-visualization-new-information-clinical-reports-electronic-health/citation/application
January 01, 2023 - New Information from Clinical Reports in the Electronic Health Record
Technology
Clinical Documentation
-
digital.ahrq.gov/sites/default/files/docs/page/adhd_dx_assessment_final_1.pdf
June 16, 2021 - Pediatric Documentation Templates
ADHD Diagnosis & Assessment Template
Executive … Deficit and Hyperactivity Disorder (ADHD) Diagnosis & Assessment
Template was designed to aid in the documentation