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Showing results for "documentation".

241. Measure: Attention Deficit Hyperactivity Disorder (ADHD) - Measure of Chronic Care Followup (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p005-3-ef.pdf
     October 01, 2015 - (1) Documentation of medical reason(s) for not providing followup care (e.g., patient with multiple … psychiatric conditions referred to other provider), (2) Documentation of system reason(s) for not … including long continuous coverage requirements, lack of sufficient clinical detail, and incomplete documentation

242. CAHPS Home Health Care Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/home/index.html
     November 01, 2023 - Survey and Administrative Guidance To access this survey, supplemental questions, and all supporting documentation … No documentation for this survey is available on AHRQ's website.

243. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
     January 01, 2018 - of administrations (Leapfrog 2018) • Also, we know there can be unintended consequences – Clinical documentation … Interference with face to face patient care – Inefficient and less fulfilling work – Degradation of clinical documentation

244. 054-Sample-Adherence-Report (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/054-sample-adherence-report.docx
     April 01, 2025 - Electronic medical record – Generate reports based upon documentation from a routine shift query. … The following two tables are examples of daily adherence reports generated from an electronic documentation

245. Final Progress Report: Shared Online Health Records for Patient Safety and Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
     January 01, 2024 - patient medication safety, health goal adherence and outcomes for preventive screening and diabetes, documentation … Secondary process outcomes included a change in the completeness and correctness of physician documentation … Table 1: Study Outcomes Clinical outcomes EMR documentation Patient knowledge Satisfaction Preventable … rates for diabetes care Documentation rates for preventive care Presence of family Medication knowledge … using the VBJ, b) from patient to the provider using the LMR, and c) from provider to the EHR using documentation

246. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
     March 12, 2008 - Key components included updated standing orders, easy-to-use documentation tools, interactive learning … Most medical assistants completed their assigned three stations (airway, AED, policy/documentation) … • Posters of documentation tools and protocols. … Assure appropriate documentation of assessments & interventions. 7 Figure 2. … • New documentation forms and standing orders were piloted during scenarios.

247. Measure: Behavior Therapy as First-Line Treatment for Preschool-Aged Children with ADHD (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
     October 01, 2014 - Denominator exclusions include: – Documentation of medical reason(s) for not prescribing behavior … – Documentation of system reason(s) for not prescribing behavior therapy as first-line treatment … ● Documentation required for this measure, including behavior therapy prescription and exclusions … ● Locations and contexts for documentation of ADHD care in the medical record varied across test sites

248. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
     December 01, 2021 - Item Results on Near-Miss Documentation – 2021 SOPS ASC Database ............... 24 Table 6-4. … Item Results Average Percentage Response on Near-Miss Documentation - 2021 SOPS ASC Database ....... … Near-Miss Documentation Chart 5-3 shows results from the item that asks respondents about near-miss … documentation. … Table 6-3 presents statistics for near-miss documentation.

249. Ambulatory Surgery Center SOPS: What You Need to Know Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
     July 22, 2019 - Management Support for Patient Safety • Near-Miss Documentation • Overall Rating on Patient Safety … Work Pressure, & Pace We feel rushed when taking care of patients 58% Teamwork 20 Near Miss Documentation … Survey Pilot Test ASC Composite Results Top Performing Items Bottom Performing Items Near Miss Documentation

250. Data Measures Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
     January 01, 2017 - follows: In the given time period, the SAT contraindication rate was 4 percent Target Accurate documentation … follows: In the given time period, the SBT contraindication rate was 10 percent Target Accurate documentation … Denominator Total number of patient-days with SBT being “C” (Contraindication) Target Accurate documentation … scores recorded, 50% of the time patients were in an anxious or agitated state Target Accurate documentation … scores recorded, 30% of the time patients were in a state of normal wakefulness Target Accurate documentation

251. Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
     March 01, 2017 - The infection preventionist or other designated staff person can review the chart and compare if the documentation … The infection preventionist can review the chart and determine if the documentation meets or doesn’t

252. CHIPRA 230: Section 5, Table 5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-5-table-5.pdf
     January 01, 2010 - CHIPRA 230: Section 5, Table 5 1 Table 5: Evidence for Documentation of BMI Percentile and Weight … . 186) The committee further recommends the use of the clinical terms overweight and obesity for documentation … 2010; 125(2):361-367 Observational study In a study of 1,216 children, Dilley et al. found that documentation

253. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
     May 20, 2016 - Incorporate all components of the criteria/early warning signs into a tool designed to provide standardized documentation … technicians, certified nursing assistants, etc.) in the use of the early warning signs criteria, required documentation … Items Track compliance with elements of the established protocol by using checklists, appropriate • documentation

254. IQI, PSI, and PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS Guidance for Using the SAS Programs and an Example of Output for One Hospital (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2a_combo_ratesgenbysas.pdf
     March 01, 2016 - The SAS programs provided by AHRQ for calculation of the IQIs, PSIs, and PDIs, as well as documentation … The documentation is provided in a guide for the IQIs, PSIs, and PDIs. … Notes for Analysts and Programmers The documentation provides guidance on how to set up the files and … Format and structure your dataset so that it matches the structure specified in the documentation. … Specific directions are listed in the IQI documentation (Section 5.3).

255. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - Episode documentation elements . … Such aids help teams have a shared mental model and efficient approach for management and documentation … Episode documentation elements. … Slide 28: Sample Checklist: Cord Prolapse Say: A sample cord prolapse management and documentation … Review the sample checklists and modify or build content to fit with existing documentation systems.

256. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
     June 02, 2025 - or within the 180 days following neurosurgical intervention (IMG10) o Exclusions based on clinical documentation … atraumatic seizure  Neurological surgery • Numerator Exclusions o Exclusions based on clinical documentation

257. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Each HRCC receives a score based on the number of documentation elements noted in the medical record … Documentation Elements and High-Risk Change in Condition Documentation Element CHF/Chest Pain/MI Pneumonia … Elements and High-Risk Change in Condition Documentation Element CHF/Chest Pain/MI Pneumonia/Bronchitis … This resident’s record contains three elements of documentation indicating a sign or symptom of UTI. … Displays information pulled from the On-Time Transfer Note, Intake Note, and other EMR documentation

258. Improving Patient Safety with the Military Electronic Health Record (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
     January 24, 2004 - has transformed health care delivery in its use of information technology to automate patient data documentation … The CPOE system provides electronic documentation of 32 million appointments, 52 million prescriptions … Since ordering and documentation are not two separate processes, the EHR initiates and documents the … Outpatient clinical documentation (ambulatory care) 2. Dental documentation 3. … Inpatient documentation The “start small and build on success” approach emphasizes the need to learn

259. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=5
     November 01, 2017 - Health Systems, 2016, Technical Documentation Compendium of U.S. … Health Systems, 2016, Technical Documentation summarizes the approach taken to create the list of U.S

260. Fiscal Year 2011 Research on Child and Adolescent Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/factsheets/children/new-starts/2011.html
     October 01, 2014 - Implementation of Electronic Medical Records for Documentation: Implications for Efficiency and Safety … Electronic medical record (EMR) documentation systems are expected to increase the quality, safety, effectiveness … to electronic nursing documentation in April 2011. … Findings from this study will be used to create standards for nursing documentation, enhance and refine … the design of electronic nursing documentation systems, and identify hardware devices that integrate