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Showing results for "documentation".

  1. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
    December 01, 2017 - Is this a documentation issue or was something going on with the resident? Resident J. … Nurse weekly documentation Physician orders MDS assessment None of the above What value … True False Meal documentation for a resident must be at least 75% complete for the resident to … True False A resident will not display on the Nutrition Reports if meal documentation for the … ( Choose all that apply. ) NPO Refused meal Unavailable for meal or LOA Missing documentation
  2. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
    September 08, 2015 - Practices in both States grappled with clinical documentation limitations and worse-than-expected … Before systems or practices could measure improvement, they first had to improve documentation and … convey the importance of improved documentation to all relevant staff. … Physicians who paid proper clinical attention to a matter were displeased when documentation did not … Finally, staff articulated what they need to sustain improvement—EHRs that facilitate documentation
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
    December 01, 2017 - Nurse documentation of wound assessments each week. … The following CNA documentation elements must have 75 percent of the documentation completed to perform … for specific CNA documentation sections. … CNA Documentation Completeness Rules Any Report Column That Includes Determine Documentation … Resident bladder documentation For each resident, count the number of shifts a bladder entry was
  4. Weight Summary (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
    February 10, 2014 - The following CNA documentation elements must have 75 percent of the documentation completed to perform … for specific CNA documentation sections. … CNA Documentation Completeness Rules Any Report Column That Includes Determine Documentation Completeness … Resident bowel documentation 1. … Resident bladder documentation 1.
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-6-table-9.pdf
    June 02, 2025 - Section 6, Tables 7-9 Table 9: Documentation of Heart Rate for Children with Severe Sepsis or Septic
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I.pdf
    January 01, 2023 - Item Results on Near-Miss Documentation – 2023 SOPS ASC Database................25 Table 6-4. … Example of Computing Percent Positive for Near-Miss Documentation and Overall Patient Safety Rating … Item Results Average Percentage Response on Near-Miss Documentation - 2023 SOPS ASC Database ...... … documentation. … Table 6-3 presents statistics for near-miss documentation.
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
    January 01, 2023 - Item Results on Near-Miss Documentation – 2023 SOPS ASC Database................25 Table 6-4. … Example of Computing Percent Positive for Near-Miss Documentation and Overall Patient Safety Rating … Item Results Average Percentage Response on Near-Miss Documentation - 2023 SOPS ASC Database ...... … documentation. … Table 6-3 presents statistics for near-miss documentation.
  8. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
    January 01, 2019 - Health Systems, 2016, Technical Documentation-Appendix E Comparative Health System Performance Initiative … Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality … Health Systems, 2016, Technical Documentation Appendix E.
  9. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appb.pdf
    January 01, 2019 - Health Systems, 2016, Technical Documentation-Appendix B Comparative Health System Performance Initiative … Health Systems, 2016, Technical Documentation Prepared for: Agency for Healthcare Research and Quality … Health Systems, 2016, Technical Documentation Appendix B.
  10. www.ahrq.gov/cahps/about-cahps/index.html
    June 01, 2025 - overview of CAHPS surveys:  Understanding CAHPS Surveys (PDF, 117 KB) All CAHPS surveys and related documentation … Glossary— The CAHPS glossary explains terminology that is frequently used in documentation about CAHPS
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-full-report.pdf
    February 01, 2020 - Clinical or Other Rationale Supporting the Focus of the Measure (optional) Provide documentation of … Agreement was assessed for three measure variables: documentation of communication of weight status, … documentation of height, and documentation of weight (necessary to calculate BMI). … Agreement for documentation of height and documentation of weight were both 100 percent, with Kappa … A higher percentage of documentation of BMI percentile indicates better performance.
  12. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/aspirin-narrative.pdf
    December 31, 2018 - an active diagnosis of ischemic vascular disease (IVD) during the measurement period, and who had documentation … Exclusions None Denominator The eligible population Numerator The number of patients who have documentation
  13. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-coping-staff-challenges.pdf
    September 16, 2020 - to additional responsibilities among staff, it may be useful to allow staff time to complete their documentation … responsibilities among staff, Stacey strives to ensure that everyone has enough time to complete their documentation … Although this was one more task for staff, it has actually streamlined documentation in the long run … Meanwhile, due to the additional documentation burden, she has reduced staff-patient ratios.
  14. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
    March 01, 2019 - regardless of severity, who are prescribed and dispensed a new medication delivery device and have documentation … For the purposes of this measure, education in proper use is defined as documentation of verbal instruction … Clinical or Other Rationale Supporting the Focus of the Measure (optional) Provide documentation of … A total of 28 (24.1 percent) children had documentation of either the child or caregiver(s) receiving … Review of clinical documentation was required to ensure that the numerator was appropriately captured
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
    September 01, 2015 - Meeting with physicians quarterly to emphasize this as a priority for leadership 64 64 Near-Miss Documentation … Surgery/Procedure Room Changes Implemented Communication Openness Change Implemented Near-Miss Documentation
  16. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
    October 01, 2017 - Ask: Does your facility have standardized prevention procedures and documentation for medical devices … Ask: How do you review or audit documentation now? … The failure to have clear admission documentation led to an increase in the documentation of hospital-acquired … Having a colleague evaluate the assessment provides immediate feedback and lowers documentation errors … Computer documentation that ties assessment directly to the care plan saves time.
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
    December 01, 2017 - MDS Assessment Documentation   X 4. Nurse Shift Change Report X   5. … MDS Assessment Documentation   X 4. Risk Management Meetings X Quarterly   5. … MDS Assessment Documentation   X 4. Rehab Department Internal Review   X 5. … MDS Assessment Documentation   X 5. Nurse Shift Change Report X   6. … review of resident records and aids MDS assessment documentation.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
    January 01, 2012 - Recommended Practice Details of Recommended Practice Skin Assessment at Admission and Daily, With Documentation … sacral skin, heels and skin adjacent to external devices.5 Include in the medical record complete documentation … Recommended Practice: Skin Assessment at Admission and Daily, With Documentation of Lesions • Determine … prominences and skin adjacent to external devices.1,5-9 o Include a visual cue on each admission documentation … Introduction: Essential First Steps Recommended Practice: Skin Assessment at Admission and Daily, With Documentation
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/saworksheet.html
    December 01, 2017 - Documentation requirements ___ ___ d.  … ___ Medical record ___ Nursing assistant documentation ___ Skin assessment form ___ Other (specify … Documentation—meal and fluid intake CNAs   g.  … Documentation—positioning CNAs   Section 4: Investigations/Root Cause Analysis of Pressure
  20. www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Toolkit Updated content to partially address the transition from ICD-9 to ICD-10, including updated documentation … Includes: software instructions to calculate the QI rates and tips for coding and documentation. … Documentation and Coding for AHRQ Quality Indicators Includes strategies for addressing documentation

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