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Total Results: 4,639 records

Showing results for "documentation".

41. Middleton, Blackford | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/middleton-blackford
    January 01, 2023 - Middleton, Blackford Effects of documentation-based decision support … Effects of documentation-based decision support on chronic disease management. … Method of electronic health record documentation and quality of primary care. … Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory … User interface accelerators for clinical documentation in Smart Form.

42. Zhou, Li | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/zhou-li
    January 01, 2024 - Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical … Dynamic reaction picklist for improving allergy reaction documentation: A usability study. … Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical … Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical … Expanding the reaction picklist in electronic health records improves allergy documentation.

43. Yen, Po-Yin | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/yen-po-yin
    January 01, 2023 - Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation … Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation burden: Novel application … Principal Investigator Rossetti, Sarah Collins Yen, Po-Yin Project Name Essential Nurse Documentation … Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation … : Studying EHR Burden During COVID-19 (ENDBurden) Essential Nurse Documentation

44. Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record (EHR) - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
    January 01, 2022 - Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record (EHR) - … Final Report Title of Project: Improving Allergy Documentation and Clinical Decision … Many EHRs have limitations in allergy documentation and alerting. … Strategic interventions will enhance allergy documentation quality and related care. … Quality of documentation of contrast agent allergies in electronic health records.

45. Barriers and Facilitators to Implementation and Adoption of EHR in Home Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care
    January 01, 2023 - Quantitative data on EHR usage, patient outcomes, clinical documentation completion, reimbursement, and … Its use did significantly improve clinician’s time-to-completion of documentation and timing for submission … Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems … Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and … Interdisciplinary care team adoption of electronic point-of-care documentation systems: an unrealized

46. Standardization and Automatic Extraction of Quality Measures in an Ambulatory Electronic Medical Record (EMR) | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/standardization-and-automatic-extraction-quality-measures-ambulatory-electronic
    January 01, 2023 - CMH standardized and integrated data capture for quality-of-care measurement into the normal documentation … The standardization efforts include both tools and processes for physician documentation, medication … in an ambulatory EMR can be captured in data elements readily available for automated extraction if documentation … In addition, automated data extraction relied heavily on documentation queries, and without incentives … and feedback, providers may not use the documentation queries that are needed for accurate quality measurement

47. Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation | Digital Healthcare Research
    digital.ahrq.gov/national-webinars/improving-health-it-safety-through-use-natural-language-processing
    January 01, 2023 - Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation … development of innovative tools and methods designed to advance health IT safety through improved EHR documentation

48. NLP to Improve Accuracy and Quality of Dictated Medical Documents | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
    January 01, 2023 - Project Dates 09/30/2015 - 09/29/2019 Technology Artificial Intelligence Clinical Documentation … All participants interviewed agreed that SR increases efficiency and accuracy of documentation. … Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation … Speech recognition for clinical documentation from 1990 to 2018: a systematic review. … A clinician survey of using speech recognition for clinical documentation in the electronic health record

49. The Excellence Report: Quality Measures for Colonoscopy (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportQMs.pdf
    June 16, 2021 - Value measured: Number of cases with documentation of an anticoagulation plan for patients currently … Although current use is generally defined as being use in the last 7 days, the documentation of use … were used, this is considered an error in documentation and will be reported. … • Documentation will be considered to be present if o "Were there any unplanned events?" … CORI is working to improve documentation of these measures in CORI v4.

50. Lessons Learned, Successes, and Barriers | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/lessons-learned-successes-and
    January 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation … Delivery Medical Condition Dermatologic (Skin) Disease Technology Clinical Documentation

51. Turchin, Alexander | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/turchin-alexander
    October 14, 2020 - and Hyperlipidemia Following the money: copy-paste of lifestyle counseling documentation … Following the money: copy-paste of lifestyle counseling documentation and provider billing. … Intensification of Treatment for Hyperglycemia and Hyperlipidemia Electronic documentation … Electronic documentation of lifestyle counseling and glycemic control in patients with diabetes. … Prevalence and factors affecting home blood pressure documentation in routine clinical care: a retrospective

52. Nursing Home IT: Optimal Medication and Care Delivery (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
    January 01, 2008 - to nurse documentation). … MDI – e-charting for RN and care team documentation and eMAR Clinical documentation: RNs and LPNs … documentation built in CareTracker to support RN and CNA documentation. … MDS nurses focused on documentation accuracy, in particular the behavior and ADL documentation. … Close monitoring of CNA documentation resulted in more accurate documentation; monitoring and documentation

53. Standardization and Automatic Extraction of Quality Measures in an Ambulatory Electronic Medical Record - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/standardization-and-automatic-extraction-quality-measures-ambulatory-electronic/annual-summary/2009
    January 01, 2009 - Standardization covered provider documentation templates, electronic prescribing, and documentation of … Sixty-two quality measures were built into the documentation and workflow in the 15 clinics studied. … Without incentives and feedback, providers may not use the documentation queries that are needed for … Use of quality measures that require new documentation queries has, so far, been low among providers … EMR documentation to capture all PQRI data elements was implemented during this project.

54. Utah Health Information Network (UHIN) HealthInsight Return on Investment Worksheet: Document Processing | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/utah-health-information-network-uhin
    January 01, 2023 - The tool includes questions to assess the current state of clinical documentation. … Administrator Care Setting Across the Health Care System Technology Clinical Documentation

55. Automating Assessment of Asthma Care Quality - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017022-hazlehurst-final-report-2010.pdf
    January 01, 2010 - Documentation of chest exam AE KPNW 1067/2301 0 46.4% 12. … Documentation of chest exam AE OCHIN 141/407 0 34.6% 15. … Documentation of chest exam AE KPNW 41/42 97.6% 12. … Documentation of chest exam AE OCHIN 84/87 96.6% 15. … Documentation that patient was queried about tobacco use PA KPNW 353/443 79.7% *Documentation

56. Health Information Technology and Provider Communication | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/health-information
    January 01, 2023 - includes questions to assess the current state of health information technology including clinical documentation … Hospital Perioperative/Operative Technology Clinical Decision Support System Clinical Documentation

57. Evaluating Smart Forms and Quality Dashboards in an EHR - 2009 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/annual-summary/2009
    January 01, 2009 - The first intervention focused on the impact of a forms-based, clinical documentation approach to decision … ; and 2) Do these interventions improve the quality of clinical documentation, capture of key clinical … Specific Aims: Design and implement an integrated documentation-based CDS and physician feedback … CDS tool and physician feedback with respect to documentation and the clinical management of patients … Impact and Findings: A documentation-based CDS tool and a physician feedback system can be designed

58. The Excellence Report: Quality Measures for Colonoscopy (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportExample.pdf
    March 15, 2009 - of management plan 0 ( 0 %) 21.71 % *Includes procedures with documentation of NO current anticoagulant … use Procedures with documentation of sedation medications … of dosage 470 (98.74%) 85.32 % Number of procedures with medication documentation errors 1 (0.62 … %) 0.04 % *Includes procedures with documentation that no medications were given, of residual sedation … of pathology results 0 (0 % ) 3.96 % Of these, number with documentation of screen interval 0 (- %

59. Standardization and Automatic Extraction of Quality Measures in an Ambulatory EHR (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017094-mccolm-final-report-2009.pdf
    January 01, 2009 - Standardization included provider documentation templates, electronic prescribing and documentation … Documentation queries in the CMH EHR system are data fields with a label. … CMH created documentation queries to capture additional data within provider documentation templates … CMH developed a new approach to template documentation for the organization. … Use of the quality measures documentation that requires the use of new documentation queries has, so

60. Quality Measures for Colonoscopy (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Fields_v4.pdf
    December 12, 2008 - Of these, number (%) with recommendation > 10 years, = 10 years, < 10 years, or no documentation of … Proportion of cases with documentation of ASA class COUNT total procedures in time period; of these … POLYP DOCUMENTATION. 9 a. Details of polyps are documented. 9 b. … Note: For CORI v4, this is 100% since documentation of removal includes documentation of completion … POLYP DOCUMENTATION #10. ADENOMA DETECTION RATE #11. COMPLICATIONS #12. FOLLOWUP #13.