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Showing results for "documentation".

  1. digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information
    January 01, 2023 - Type: Journal Publication Research Method: Randomized Controlled Trial (RCT) Technology: Clinical Documentation … Type: Journal Publication Research Method: Randomized Controlled Trial (RCT) Technology: Clinical Documentation … Information Document Type: Journal Publication Research Method: Prospective Technology: Clinical Documentation … Value of Technology to Transfer Discharge Information Document Type: Report Technology: Clinical Documentation … Information Document Type: Journal Publication Research Method: Descriptive Technology: Clinical Documentation
  2. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
    January 01, 1999 - Provision of eight information management services and effects on guideline adherence, documentation, … Nine systems allowed interactive documentation, and 17 produced paper-based output. … Documentation improved in 4 of 4 studies." … explanation functionality including rationale for recommendations and literature citations; prompts for documentation … "Four studies looked at documentation and found improvement in each case.
  3. digital.ahrq.gov/sites/default/files/docs/clinical-care-qas-10142020.pdf
    October 14, 2020 - the clinical teams on documentation? … the clinical teams on documentation? … the clinical teams on documentation? … the clinical teams on documentation? … the clinical teams on documentation?
  4. digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
    January 01, 2008 - All 15 NHs implemented health IT for CNA documentation and clinical reports to summarize CNA information … All 15 nursing homes implemented health IT for various components of nursing documentation. … Facilities experienced positive impact on workflow and staff morale including improved documentation … IT solution in NHs that will improve clinical practices and health outcomes through electronic CNA documentation … skin assessment, behavior management, and restorative care best practices; and electronic medication documentation
  5. digital.ahrq.gov/ahrq-funded-projects/using-electronic-medical-record-identify-and-screen-patients-risk-delirium
    January 01, 2023 - Iowa City Iowa Project Dates 09/03/2013 - 11/30/2015 Technology Clinical Documentation … Use the EMR to improve documentation of delirium in the problem list.  … EMR to allow for real-time screening of at-risk patients and included clinician prompts to improve documentation … the problem list found that, while not statistically significant, there was an overall increase in documentation … Journal Publication Research Method: Chart Review , Mixed Methods , Survey Technology: Clinical Documentation
  6. digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
    December 01, 2009 - During Phase I (October 2007 through September 2008), the project team standardized the documentation … systems and processes within the EHR (e.g., documentation templates, electronic prescribing, and documentationDocumentation queries provided a large part of the data needed to evaluate PQRI compliance, such as … Physicians, midlevel providers, and nurses were trained on the new documentation templates, tools, and … A number of strategies can be used to improve physicians’ documentation within the EHR system.
  7. digital.ahrq.gov/ahrq-funded-projects/guiding-safe-and-effective-integration-ambient-digital-scribes-primary-care
    September 30, 2024 - electronic health records (EHRs) has significantly contributed to primary care provider (PCP) burnout, with documentation … PCPs spend over half their workday on EHR tasks, including 1.4 hours after clinical hours, making documentation … recognition and natural language processing to create structured clinical notes, potentially reducing documentation … Addressing the high burnout rates among PCPs linked to documentation burdens, the study will advance
  8. digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
    December 12, 2008 - Documentation of reason for not following guidelines is not available at this time. #2. … The numerator for this measure is the number of procedures with documentation of ASA classification. … The numerator for this quality measure is documentation of the type and extent of bleeding. … POLYP DOCUMENTATION. 9 a. Details of polyps are documented. 9 b. … POLYP DOCUMENTATION #10. ADENOMA DETECTION RATE #11. COMPLICATIONS #12. FOLLOWUP #13.
  9. digital.ahrq.gov/research-method/time-and-motion
    January 01, 2023 - Departments Impact of homecare electronic health record on timeliness of clinical documentation … Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and … Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation … Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems
  10. digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
    January 01, 2023 - using an approach similar to the On-Time Pressure Ulcer Prevention program, including standardized documentation … On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention module, which uses documentation … A year-long process of meetings informed the standardization of fall documentation and the development
  11. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
    January 01, 2008 - Patient Care Documentation was initially scheduled to launch in the second grant year. … Nurses were asked about their expectations for the Patient Care Documentation module. … TDH leaders were disheartened with the roll-out of electronic Patient Care Documentation. … Patient Care Documentation Follow-Up Survey. Keane D, Spetz J. … Patient Care Documentation Training Survey. Keane D, Spetz J.
  12. digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
    January 01, 2014 - We collected quantitative data including EHR usage, patient outcomes, clinical documentation completion … Hypothesis 1.2: Clinical documentation. … Hypothesis 1.2: Clinical documentation. … Hypothesis 1.2: Clinical documentation. … Clinicians were satisfied with documentation timeliness and team communication.
  13. digital.ahrq.gov/population/home-health-worker
    January 01, 2023 - Individuals Impact of homecare electronic health record on timeliness of clinical documentation … Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and … Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation … Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems
  14. digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-enabling-quality-measurement-through-health
    January 01, 2023 - 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.
  15. digital.ahrq.gov/ahrq-funded-projects/improving-accuracy-electronic-notes-using-faster-simpler-approach
    January 01, 2023 - Project Dates 09/30/2014 - 09/29/2016 Technology Artificial Intelligence Clinical Documentation … Moving from paper to electronic physician documentation improved the availability of notes in electronic … 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 … Name: Improving Accuracy of Electronic Notes Using a Faster, Simpler Approach Technology: Clinical Documentation
  16. digital.ahrq.gov/sites/default/files/docs/page/final-logan-story-7-2-12.pdf
    June 16, 2021 - task forces that provided recommendations for colonoscopy clinical quality measures in the areas of documentation … These measures covered areas such as— • Quality of bowel preparation (Documentation quality measure … ). • Documentation of recommended followup interval (Documentation quality measure). • Examination … Analysis of the data in the quality reports found wide variation in the documentation of colonoscopy … measurement record after the fact; this was not commonly done, as it would be outside the usual clinical documentation
  17. digital.ahrq.gov/ahrq-funded-projects/discovery-and-visualization-new-information-clinical-reports-electronic-health
    January 01, 2023 - Project Dates 07/01/2013 - 09/29/2018 Technology Artificial Intelligence Clinical Documentation … usability studies around navigators and clinical note organization to improve the efficiency of provider documentation … Methods , Think Aloud Protocol/Cognitive Task Analysis , Usability Assessment Technology: Clinical Documentation … Publication Research Method: Mixed Methods , Observational Study , Survey Technology: Clinical Documentation … Health Record Document Type: Journal Publication Research Method: Quantitative Technology: Clinical Documentation
  18. digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
    February 07, 2017 - Improving Health IT Safety Through the Use of 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 … 30 use usual documentation 1. … Note quality, measured by Physicians Documentation Quality Instrument 3. … 30 use usual documentation Physicians Documentation Quality Instrument. .
  19. digital.ahrq.gov/sites/default/files/docs/page/2_DimensionsofBusinessPractices_1.pdf
    June 16, 2021 - management and associated authentication  Current business practices—user authentication  Legal documentation … Paper environment: – Records reported to contain documentation on an adverse event or other incident … software, lack of software audit log creation capability, etc)  Appropriate retention of audit documentation … – Any nonemergent health information exchange that includes documentation of HIV requires a special … use and disclosure policies, procedures, and practices between entities and individuals  Legal documentation
  20. digital.ahrq.gov/sites/default/files/docs/page/2_DimensionsofBusinessPractices_0.pdf
    June 16, 2021 - management and associated authentication Current business practices—user authentication Legal documentation … validation methodology Audit controls to monitor access and appropriate use of authorization Legal documentation … integrity processes, policies, and procedures (within and between entities or individuals) Legal documentation … Paper environment: – Records reported to contain documentation on an adverse event or other incident … – Any nonemergent health information exchange that includes documentation of HIV requires a special

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