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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/hrccdocumentationhandout_0.pdf
June 02, 2025 - Preventable Hospital and
Emergency Department Visits: Electronic Reports
High-Risk Change in Condition and Documentation … Elements
Documentation Element
CHF/Chest
Pain/MI
Pneumonia/
Bronchitis
Mental
Status … Inattention or lack of focus or
withdrawn or distracted or not attending
activities
1
Documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdf
January 01, 2016 - Is there documentation that a central line insertion cart was used for insertion? … Is there documentation that consent was obtained prior to insertion? … Is there documentation that a timeout was performed prior to insertion? … Is there documentation of a followup x-ray completed to verify placement? … Is there documentation of a central line insertion checklist used for insertion?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
January 01, 2016 - Is there documentation that a central line insertion cart was used for insertion? … Is there documentation that consent was obtained prior to insertion? … Is there documentation that a timeout was performed prior to insertion? … Is there documentation of a followup x-ray completed to verify placement? … Is there documentation of a central line insertion checklist used for insertion?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.docx
January 01, 2016 - Is there documentation that a central line insertion cart was used for insertion? … Is there documentation that consent was obtained prior to insertion? … Is there documentation that a timeout was performed prior to insertion? … Is there documentation of a followup x-ray completed to verify placement? … Is there documentation of a central line insertion checklist used for insertion?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - Internal nutritional review; MDS assessment documentation
7. … MDS assessment documentation
8. … MDS assessment documentation
6. … MDS assessment documentation
5. Nurse/rehab weekly huddle
6. … MDS assessment documentation
5.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
June 01, 2018 - Documentation of Heart Rate During Fluid Resuscitation for Children With Severe Sepsis or Septic Shock … 1
Documentation of Heart Rate During Fluid
Resuscitation for Children with Severe Sepsis or
Septic … Measure Name
Documentation of Heart Rate During Fluid Resuscitation for Children with Severe Sepsis … These changes are reflected in the final documentation.
Section 11. … We noted that often there was no documentation of resolution of severe sepsis or septic shock.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
December 01, 2017 - Care Plan Meetings
X
Dietary Department Internal Review
X
MDS Assessment Documentation … Care Plan Meetings
X
Dietary Department Internal Review
X
MDS Assessment Documentation … Care Plan Meetings
X
Dietary Department Internal Review
X
MDS Assessment Documentation … Care Plan Meetings
X
Dietary Department Internal Review
X
MDS Assessment Documentation … You may need the staff educator on the team if nursing assistant documentation is not sufficiently complete
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care
Documentation … We are conducting a study designed to examine the completeness of discharge summary
documentation in … Definitions were created using common terms
found in medical documentation (Table 2):
1. … “Patient’s discharge condition” was defined as any documentation that gives a sense for how
the patient … With minimal documentation,
it is simple for a practitioner to meet the Joint Commission component standards
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www.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
November 01, 2018 - The contractor will provide system documentation to the Agency for all proposed hardware, software, … The documentation is to be delivered to the Federal project officer for review and approval for each … All documentation will be baselined with each system release. … Sample documents and templates for the required documentation artifacts are available as guidance to … The following documents as mentioned in Table 1, "Documentation Deliverables," are required by AHRQ.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-2-tech-specs.pdf
June 02, 2025 - asthma
of any severity, who are prescribed and dispensed a new medication delivery device and have
documentation … regardless of severity, who are prescribed and dispensed a
new medication delivery device, who have documentation … Education in the Documentation of verbal instruction, education and/or demonstration. … regardless of severity, who are prescribed and
dispensed a new medication delivery device, and have documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
April 01, 2016 - nurse documentation, physician orders). … All documentation is captured from electronic nurse aide documentation except "new or worsening pressure … Documentation is captured from weekly wound assessment documentation. … orders, and other documentation in the EMR. … It verifies nursing assistant documentation to confirm that the documentation is complete enough to run
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/about.html
July 01, 2021 - Both the level of discharge documentation and content of discharge instructions to families/caregivers … They are based on medical records documentation and focus on the content of discharge instructions provided … Measure Specifications and Reporting
Children/adolescents admitted to the hospital should have documentation
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www.ahrq.gov/gam/summaries/inclusion-criteria/index.html
October 01, 2018 - In addition to the guideline, developers needed to provide NGC with documentation of the underlying systematic … The clinical practice guideline is based on a systematic review of evidence as demonstrated by documentation … Corroborating documentation can be produced and verified that a systematic literature search and review … The submitter must provide English-language documentation that is available upon request in print or … Data source(s) for the measure
Documentation of evidence supporting the measure and the criterion of
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.html
December 01, 2017 - True
False
Worsening Pressure Ulcer information is captured from weekly wound assessment documentation … True
False
Resident behavior information may be captured from nursing assistant daily documentation … or nurse documentation. … True
False
The Risk Change Report displays residents with changes in documentation of urinary … How many residents appear to have incomplete CNA documentation in at least one area?
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www.ahrq.gov/news/newsletters/e-newsletter/969.html
August 01, 2025 - Methods Emerge for Evaluating AI Documentation Tools . Register for Upcoming Webinars . … Methods Emerge for Evaluating AI Documentation Tools AI-powered ambient digital scribing (ADS) tools … can reduce documentation burdens and give clinicians more time to focus on patient care.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - for documenting medications patient takes prior to admission (e.g., quantity of medication history documentation … Tracks percent of nursing and/or pharmacist adherence, by unit, for completing medication reconciliation documentation … medications the patient was taking prior to admission (e.g., quality of medication history verification and documentation
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
July 01, 2022 - for documenting medications patient takes prior to admission (e.g., quantity of medication history documentation … Tracks percent of nursing and/or pharmacist adherence, by unit, for completing medication reconciliation documentation … medications the patient was taking prior to admission (e.g., quality of medication history verification and documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
December 01, 2014 - These triggers are derived primarily from electronic CNA documentation. … All documentation is captured from electronic CNA documentation except "new or worsening pressure ulcer … The shift-detail view displays documentation completeness for each shift. … The report provides nursing home staff with a mechanism to audit the completeness of CNA documentation … The Completeness Report displays weekly documentation percentages for the documentation elements required
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www.ahrq.gov/sdoh/data-analytics/sdoh-data.html
June 01, 2023 - The database includes data files and codebooks by year at three levels of geography, as well as a documentation … Users should refer to the data source documentation and codebooks, as well as the original data sources … Download Data and Documentation
Data Source Documentation ( PDF, 6 MB) contains information for researchers
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - Measures: In addition to the composite measures, single item measures included assess:
• Near-Miss Documentation … Response to Mistakes 86%
Staff Training 82%
Staffing, Work Pressure, & Pace 74%
27
Near-Miss Documentation … Center (ASC) Results
Respondent Demographics
Composite Measure Results
Item Results
Near-Miss Documentation … Comparative Results
Composite Measure
Results
Item Results
Near-Miss Documentation
Overall Rating … Comparative Results by
Staff Position
Composite Measure
Results
Item Results
Near-Miss Documentation