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digital.ahrq.gov/sites/default/files/docs/resource/Logan_TheExcellenceReport_FAQs.pdf
January 01, 2007 - Detailed information on these measures, including how you can
improve documentation in CORI, is available … The CO-RADS (1)
paper describes best practices for documentation of colonoscopy procedures.
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digital.ahrq.gov/ahrq-funded-projects/surveillance-adverse-drug-events-ambulatory-pediatrics/annual%20summary/2010
January 01, 2010 - McKesson Corporation’s Certification Commission for Health Information Technology-certified Horizon Expert Documentation … informatics extraction system for textual data, to automatically scan laboratory, pharmacy, demographic, documentation
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care/annual-summary/2008
January 01, 2008 - this implementation, the health system introduced Web-based health IT tools in 2004 to assist with documentation … health IT system and clinical data quality, including the timeliness of data and the thoroughness of documentation
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
January 01, 2008 - Assist nurses during handoffs by emphasizing continuity of care. ( Achieved )
Develop electronic documentation … Chapter 49, Documentation and the nurse care planning process.
Keenan G, Yakel E, Marriott D.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
January 01, 2010 - Providers found some documentation tasks within the
EHR to be easier while other data entry processes … This study describes the reliability of
automated quality measurement and challenges in documentation … For example, for smoking cessation
intervention, documentation of a patient’s smoking status for the … • Documentation for assigning the primary care provider (PCP) or primary care giver
(PCG). … However, there are substantial documentation
differences for breast cancer screening, hemoglobin A1c
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digital.ahrq.gov/national-webinars/integrating-patient-reported-outcomes-practice-benefits-challenges-recommendations
February 27, 2024 - Integrating PRO into clinical encounters, workflows, and documentation within the patient’s electronic
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017042-forrest-final-report-2011.pdf
January 01, 2011 - The possible types of
recommendations are Diagnosis, Antibiotic, Referral, Analgesic, and Documentation … Adequate diagnostic documentation
2. Antibiotic appropriately not prescribed
3. … Adequate diagnostic documentation
2. … 4.0% 6.2%
AOM High Dose Amoxicillin
Prescribed -4.2% 15.3% 10.7% 9.9%
OME Adequate Diagnostic
Documentation … A primary compliant was that the CDS required “double documentation.”
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022666-weckmann-final-report-2016.pdf
January 01, 2016 - Key words: delirium; delirium prediction model; electronic medical record; delirium
documentation … The hope is that increased recognition and documentation will lead to
improved healthcare outcomes for … Aim 3: Use the EMR to improve documentation of delirium in the problem list. … Aim 3: Use the EMR to improve documentation of delirium in the problem list. … Modest increase in delirium documentation in the EMR problem list.
4.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028511-held-final-report-2024.pdf
January 01, 2024 - and relationships within data, enabling them to uncover
indirect evidence of HIV risk from clinical documentation … documented HIV risk-related information, while the other half comprised
encounters lacking such documentation … The classifier made predictions based on clinical
documentation created within the first twenty-four … Encouraging consistent, timely, and thorough
documentation practices among healthcare providers is … Temporal Changes in Clinical Practice: Changes in clinical practices and documentation standards
over
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - Uses
For troubleshooting, emergency response, and documentation of procedures that are rare, intricate
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digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement/annual-summary/2011
January 01, 2011 - workflow, and assess whether this intervention increases provision of recommended therapies and tests and documentation … during the intervention year were due to a combination of more patients satisfying the measures and documentation
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/morrow-j-2004-davies
January 01, 2004 - completeness of patient charts, due in part to the setting of mandatory fields, and facilitates more complete documentation … The data then is fed directly into the EMR, enabling physicians at North Fulton to have 10 percent of documentation
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/JobTaskDiary.pdf
January 01, 2010 - 11:00
11:30
12:00
12:30
13:00
Activity
A1----Absent
A2----Caring for Patient
A3----Documentation
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/dhr-impact-reach
January 01, 2023 - into Clinical Workflows: Desiderata and Application for Lung Cancer Screening Variability in Nursing Documentation … Health Care Provider User-Centered Design Exploratory Phase Theories Integration to Understand Nursing Documentation
-
digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/weight-and-nutritional-counseling
January 01, 2023 - Weight and Nutritional Counseling Template
Executive Summary
The Partners Pediatric Weight & Nutritional Counseling Template was designed to aid clinicians in documenting delivery of exercise/nutritional counseling, and to improve adherence to recommendations for assessing risks and behavi…
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digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
September 01, 2005 - PeopleSoft and Lawson
Clinical Systems
Clinician Order
Management
Results Reporting
ADEs
Clinical
Documentation … (Cerner/Millenium)
Power Chart - Orders and results
Clin Doc - Clinical documentation … CPOE
Electronic Record
- Clinical functions by pt. type
- Current clinical
documentation … MedSeries4
HBOC STAR
HBOC STAR
Results Reporting
In-house/3M
CWS
CWS
Cerner
In-House
ADEs
Clinical
Documentation
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digital.ahrq.gov/document-type/interview-guide
January 01, 2023 - Document Source
Health Information Technology Enhanced Family Health History Documentation & Management
-
digital.ahrq.gov/medical-condition/dermatologic-skin-disease
January 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-amia-poster-2017.pdf
January 01, 2017 - The VGEENS approach has potential to directly address physician
concerns with excessive documentation … Computerized provider
documentation: findings and implications of a multisite study of clinicians and
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Visit documentation
MD
MA
Does MA put anything else in the chart after the patient … Add additional questions here:
End of visit
When is the visit documentation completed?