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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - event.
· Such aids help teams have a shared mental model and efficient approach for management and documentation … for safe care during an episode of shoulder dystocia, and can also foster accurate and comprehensive documentation … improve team response to cord prolapse.54-57
Slide 27
SAY:
A sample cord prolapse management and documentation … It can also foster accurate and comprehensive documentation, which can be critical for a medical liability … Review the sample checklists and modify or build content to fit with existing documentation systems.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Challenges to CVC removal10-12
Lack of awareness/unnecessary use
Half of central venous catheters have no documentation … of central venous catheters
Reinforce daily assessment for line removal opportunities with rounds or documentation … CAUTI
15
Take-Home Points
Reinforce daily assessment for line removal opportunities with rounds or documentation … Information needs and the use of documentation to support collaborative decision-making: implications
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/central-venous-access-device-dressing-change-procedure.pdf
December 01, 2006 - DOCUMENTATION 2
V. SUPPORTIVE INFORMATION 2
I. … DOCUMENTATION
Document dressing change and site assessment in medical record and/or flowsheet.
V.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/pc-workflowdiagrams.pdf
January 01, 2018 - CURB-65)
are available here.
3 Confusion is clinically assessed by provider
and entered into EHR documentation … the CURB-65) are available here.
3 Confusion is clinically assessed by provider and entered
into EHR documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
September 01, 2022 - tolerate beta-lactam antibiotics—penicillins and
cephalosporins.1
• Inaccurate penicillin allergy documentation … Consider obtaining a consultation with an allergist for skin testing.1
Reaction Documentation Next
-
www.ahrq.gov/data/innovations/hfmd.html
August 01, 2024 - Documentation AHRQ Hospital Financial Measures Database Methodology Report (PDF, 2 MB) List of Financial
-
www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
November 07, 2023 - Contract Documentation. … The Contractor shall provide a written copy of the validation documentation to the
COR.
v. … For all acquired cloud services, the SA&A package must contain the following
documentation. … All documentation shall be made available to
the CO and/or COR upon request.
C. … System Documentation.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
October 01, 2024 - · Collaborate with pharmacy and supply chain staff to ensure the best method for documentation and … · Electronic process: Patients who meet criteria are automatically identified based on documentation … · Mixed electronic/manual process: Patients who meet criteria are automatically identified based on documentation
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - e.g., team education sessions with invited speakers) and take up new challenges (e.g., revise online documentation … (e.g., the calculation of incidence and prevalence rates depends on completion of the monthly skin documentation … Consider giving a small framed certificate or other acknowledgement to unit staff the first time the skin documentation … certificates to the units turning in reports on time and slowly raise the bar to awards for 100 percent documentation
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - e.g., team education sessions with invited speakers) and take up new challenges (e.g., revise online documentation … (e.g., the calculation of incidence and prevalence rates depends on completion of the monthly skin documentation … Consider giving a small framed certificate or other acknowledgement to unit staff the first time the skin documentation … certificates to the units turning in reports on time and slowly raise the bar to awards for 100 percent documentation
-
www.ahrq.gov/cahps/surveys-guidance/cg/cahps-mips.html
July 01, 2022 - No documentation for this survey is available on AHRQ's Web site.
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Care plans and documentation in the medical record will need to address this difference. … Documentation of care planning is essential to ensure continuity of care and staff knowledge of what … the patient population may mean the staff's time must be spent at the bedside and the development and documentation … Computer documentation that ties assessment directly to the care plan is time saving for staff and facilitates … Documentation should reflect the increased risk protocols.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Care plans and documentation in the medical record will need to address this difference. … Documentation of care planning is essential to ensure continuity of care and staff knowledge of what … the patient population may mean the staff's time must be spent at the bedside and the development and documentation … Computer documentation that ties assessment directly to the care plan is time saving for staff and facilitates … Documentation should reflect the increased risk protocols.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-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.6 Include in the medical record
complete documentation … phrases to ensure completion.12
Recommended Practice: Skin Assessment at Admission and Daily, With Documentation … , larger children, the sacral area is most at
risk.1,12
o Include a visual cue on each admission documentation … Introduction: Essential First Steps
Recommended Practice: Skin Assessment at Admission and Daily, With Documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
June 02, 2025 - Documentation requirements
d. Communication to care team
3. … a. Medical record
b. Nursing assistant documentation
c. Skin assessment form
d. Other … Documentation—meal and fluid intake CNAs
g. … Documentation—positioning CNAs
Agency for Healthcare Research and Quality On-Time Quality
-
www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
January 01, 2024 - The EHR can be a
valuable data source if it contains nursing plan of care (POC) documentation coded … staffing variables collected at the point of care that have not previously been
available in nursing documentations … Setting
The HANDS is an electronic documentation tool with standardized nursing terminologies (SNTs … We also measured gaps in
documentation, defined as missing care plans within a patient care episode, … Historically, use of nursing POC documentation
in medical records for research inquiries would have
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-088-fullreport.pdf
January 05, 2017 - Clinical or Other Rationale Supporting the Focus of the Measure
(optional)
Provide documentation of … Documentation of the use of specific validated tools could be
21
indicated in the notes sections … Sinai Paper records are used for
mental health
documentation
No Paper records are used for
mental … health documentation
23
Administrative Claims Data
Although there is a code for conducting … The adoption of EHRs has enabled the standardization of documentation of clinical information.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
June 01, 2017 - ii
Data used to populate certain components of the electronic reports come from a standard set of documentation … may generate the reports as long as the required data elements are available in the EMR from other documentation
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide45.html
October 01, 2014 - reminder systems such as chart stickers or computer prompts are essential for the consistent assessment, documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-2-tech-specs.pdf
June 02, 2025 - and adolescents 1–17 years of age who had a new prescription for an
antipsychotic medication and had documentation … Numerator Documentation of psychosocial care (Psychosocial Care Value Set) with or without
a telehealth