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Showing results for "documentation".

81. Operational Redesign Through Workflow Analysis (pdf file)
    digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
    January 01, 2007 - PAGE 13 OF 42 Point of Care Documentation Introduction Most documentation in a practice … These documentation procedures have evolved over time, and they work well. … documentation “culture” at the practice. … What roles could be expanded to facilitate documentation in patients’ charts? … POINT OF CARE DOCUMENTATION PAGE 17 OF 42 Vision and Goals Before we set goals for POC documentation

82. Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
    January 01, 2009 - Procedures with documentation of ASA class. b. … Procedures with documentation of sedation medications (Includes procedures with documentation that no … Procedures with documentation of depth of insertion. b. … Of these, number with documentation of followup interval. c. … Of these, number with documentation of followup interval. c.

83. Evaluating Smart Forms and Quality Dashboards in an EHR (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
    January 01, 2009 - To design and implement an integrated documentation-based clinical decision support and physician feedback … Scope: Smart Forms integrate decision support into clinical documentation templates, thus facilitating … To determine the effectiveness of documentation-based CDSS and physician feedback on documentation and … A documentation-based CDSS “smart form” will increase the documentation of important clinical data in … User Interface Accelerators for Clinical Documentation in Smart Form [poster].

84. The Effect of Health Information Technology on Healthcare Provider Communication | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication
    January 01, 2023 - Arbor Michigan Project Dates 09/30/2014 - 04/30/2019 Technology Clinical Documentation … Research Method: Focus Group , Interview , Observational Study , Qualitative Technology: Clinical Documentation … Descriptive , Focus Group , Mixed Methods , Observational Study , Survey Technology: Clinical Documentation … includes questions to assess the current state of health information technology including clinical documentation … Setting: Hospital , Perioperative/Operative Technology: Clinical Decision Support System , Clinical Documentation

85. Monitoring Intensification of Treatment for Hyperglycemia and Hyperlipidemia | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia
    January 01, 2023 - × Disclaimer Disclaimer details Close Electronic documentation … Electronic documentation of lifestyle counseling and glycemic control in patients with diabetes. … Electronic Medical Record Population: Adults Following the money: copy-paste of lifestyle counseling documentation … Following the money: copy-paste of lifestyle counseling documentation and provider billing. … Prevalence and factors affecting home blood pressure documentation in routine clinical care: a retrospective

86. Birmingham E, Catallozzi M, Findley SE, et al. "FluAlert: a qualitative evaluation of providers' desired characteristics and concerns regarding computerized influenza vaccination alerts." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/birmingham-e-catallozzi
    January 01, 2023 - sources of immunization information, 3) facilitating vaccine ordering, and 4) generating appropriate documentation … well-integrated, accurate alert that streamlines assessment of vaccination eligibility, ordering and documentation … Participants were strongly opposed to alerts that interrupted workflow or forced an action before continuing documentation

87. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok
    January 01, 2023 - Documentation of completed mammograms increased from 22.1 to 57.1 percent; documentation of colonoscopy … increased from 31.7 to 53.8 percent; documentation of pneumococcal immunization increased from 39.1 … to 50.6 percent; and influenza immunization documentation increased from 22.7 to 41.7 percent.

88. Detecting Med (Medication) Errors in Rural Hospitals Using Technology | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/detecting-med-medication-errors-rural-hospitals-using-technology
    January 01, 2023 - Medication) Errors in Rural Hospitals Using Technology Document Type: Report Technology: Clinical Documentation … Technology Document Type: Journal Publication Research Method: Descriptive Technology: Clinical Documentation … Technology Document Type: Report Research Method: Randomized Controlled Trial (RCT) Technology: Clinical Documentation … Technology Document Type: Journal Publication Research Method: Pre-Post Study Technology: Clinical Documentation

89. Automating Assessment of Obesity Care Quality - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018157-hazlehurst-final-report-2013.pdf
    January 01, 2013 - OCHIN indicating documentation of BMI.1 Prevalences of documentation related to a diet plan (M5) and … patients for whom documentation exists. … Documentation of activity diary education, n (%) 19 (0.1%) 39 (0.0%) 58 (0.1%) 9, Documentation of … Documentation of waist circumference † † † † † 3. … Documentation of activity diary education -0.006 0.016 0.702 -0.037 0.025 9, Documentation of follow-up

90. Improving Pediatric Safety and Quality with Healthcare Information Technology - 2008 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
    January 01, 2008 - dosing, 2) reminders for preventive and chronic illness care, 3) electronic results management, and 4) documentation … The project then measured outcomes—including dosing errors, guideline adherence, and quality of documentation—related … was found to significantly improve medication safety, practice efficiency, guideline adherence, and documentation … Provided content for the Pediatric Rules, Reminders, and Documentation Templates as part of the National … Pediatric Documentation Templates .

91. Impact of Health IT on Nurses’ Time Spent on Direct Patient Care (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/impact-of-hit-on-nurses-quick-reference-guide.pdf
    May 01, 2009 - and total patient care tasks.5 They found that the percentage of time spent on documentation decreased … Almost half of the time saved on documentation was instead spent on patient assessment, a direct patient­care … Intensive care information system reduces documentation time of the nurses after cardiothoracic surgery … A randomized evaluation of a computer­based nursing documentation system. … The impact of computerized documentation on nurses' use of time.

92. Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support
    January 01, 2023 - to answer these questions and to understand, develop, and test EHR elements to improve the delivery, documentation … ended in 2012, the project team is continuing to develop and test EHR elements to improve the delivery, documentation

93. NLP to Improve Accuracy and Quality of Dictated Medical Documents - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs024264-zhou-final-report-2019.pdf
    January 01, 2019 - We conducted the largest systematic review of SR for clinical documentation to date. … Key Words: speech recognition, dictation, documentation quality, electronic health records … Most existing efforts to identify and/or correct errors in free-text documentation are designed for … Improving Health IT Through Use of NLP/AI in Documentation. … Speech recognition for clinical documentation from 1990 to 2018: a systematic review.

94. Improved Accuracy of Coding (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/improved-accuracy-of-coding-quick-reference-guide.pdf
    September 01, 2009 - technology (health IT) improves coding accuracy and completeness by providing decision support for documentation … In general, the more highly compensated encounters require the most rigorous documentation. … Health IT could improve coding accuracy through better documentation and coding-decision support to … document the level of care by recommending the appropriate evaluation and management code based on the documentation … A comparison of medical record documentation with actual billing in community family practice.

95. Integrating Health Information Technology with Clinical Practice: Documenting Tobacco Cessation Interventions (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/2006Lamer_052411comp.pdf
    January 01, 2006 - Radiology Case Management CHR Surgery Indian Health Service Office of Information Technology Documentation … Tools • Use of the Electronic Health Record enables the documentation and data capture of tobacco … Standardized tools enable local and national level targeting of tobacco cessation efforts through documentation … Information Technology with Clinical Practice Indian Health Service Resource Patient Management System Documentation

96. O'Connell RT et al. 2004 "Take note(s): differential EHR satisfaction with two implementations under one roof." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/oconnell-rt-et-al-2004
    January 01, 2004 - Medicine subjects were less likely to believe template-based documentation improved their efficiency … Type of Health IT Functions "As implemented..., the electronic record is used principally for documentation … , and all clinical documentation currently is electronic. … Of five survey items pertaining to structured documentation, all indicated a more favorable perception … Furthermore, medicine residents were much more likely to prefer documentation of scheduled health maintenance

97. Comprehensive Information Technology Solution for Quality and Patient Safety - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
    January 01, 2008 - Nursing & Ancillary Documentation (May 2007) 4. Physician Documentation (Aug 2007) 5. … • Documentation of patient lines and drains to allow visit specific assessment documentation as … well as continued documentation across multiple visits … • Organization of documentation to match clinician workflow by sequencing various documentation … The clinical documentation team tested prototypes of documentation by shadowing staff and documenting

98. Tulare District Hospital Rural Health Electronic Medical Record Consortium - 2008 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium/annual-summary/2008
    January 01, 2008 - summer 2007 assessed the current charting methods and staff expectations for the planned Patient Care Documentation … Finally, in summer 2008 staff were asked about their experience with the recently installed Patient Care Documentation … In fact, there is some indication that the disruption caused by the Patient Care Documentation system … Patient Care Documentation Follow-Up Survey. Keane D, Spetz J. … Patient Care Documentation Training Survey. Keane D, Spetz J.

99. Nursing Home Information Technology (IT): Optimal Medication and Care Delivery | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
    January 01, 2023 - practice via user-friendly technology coupled with intensive workflow analysis and redesign, comprehensive documentation … This review pertains to a project that standardized pressure ulcer data elements and electronic documentation … partnerships to establish best treatment practices that improve clinical outcomes Streamline clinical documentation … processes with standardized data points Standardize electronic documentation, databases, and user … Horn and her team have given frontline workers a voice and an opportunity to design clinical documentation

100. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok/annual-summary/2012
     January 01, 2012 - Documentation of completed mammograms increased from 22.1 to 57.1 percent; documentation of colonoscopy … increased from 31.7 to 53.8 percent; documentation of pneumococcal immunization increased from 39.1 … to 50.6 percent; and influenza immunization documentation increased from 22.7 to 41.7 percent.