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www.ahrq.gov/sdoh/data-analytics/sdoh-beta-database.html
July 01, 2022 - Download Data
The SDOH Data Source Documentation (PDF, 1.5 MB) file contains information for researchers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist2-parenteral-med-prep.pdf
June 02, 2025 - verification of accuracy of
medication administration (i.e. order verification, patient identification, documentation
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
August 01, 2022 - Enhanced documentation/communication.
Redundancy.
Weaker Actions
Double checks.
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www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - Participants
performed a similar ranking exercise for the types of documentation that may be required … 1) safe design activities in the predesign and design/construction
stages as well as required PSRA documentation … Table 4 lists tools and documentation identified by
attendees. … Tools and documentation recommended by seminar attendees
Design phase Tools Documentation
Predesign … of EBD and safety design
elements
• Construction documents
• Risk matrix
• Safety plan
• POE documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts.html
April 01, 2016 - Return to Contents
Sample Completeness Report: Facility Level
Documentation Section
5/29 … 91.0
Return to Contents
Sample Completeness Report By Shift
Day Shift
Documentation … Behaviors
53.1
69.9
87.1
91.0
Return to Contents
Evening Shift
Documentation … 86.9
Behaviors
53.1
69.9
87.1
91.0
Return to Contents
Night Shift
Documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2a_pdi_ratesgenbysas.pdf
March 01, 2016 - The SAS programs provided by AHRQ for calculation of the PDIs, as well as documentation on
how to use … The documentation is provided in a guide for the PDIs. … How To Improve Hospital Quality and Safety
2 Tool B.2a
Notes for Analysts and Programmers
The documentation … Format and structure your dataset so that it matches the structure specified in the
documentation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
March 01, 2016 - the Windows Software
The Windows software provided by AHRQ for calculation of the PDIs, as well as documentation … How To Improve Hospital Quality and Safety
2 Tool B.2b
Notes for Analysts and Programmers
The documentation … Format and structure your dataset so that it matches the structure specified in the
documentation. … One year empirical rates for indicators that are not risk adjusted may be
found in the QI documentation
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www.ahrq.gov/cahps/surveys-guidance/hospice/index.html
December 01, 2023 - Get the CAHPS Hospice Survey and Administrative Guidance
To access this survey and all supporting documentation … No documentation for this survey is available on AHRQ's website.
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www.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
February 01, 2024 - The incident reporting system captured fall event documentation and was reviewed daily by Risk Management … department to provide education at the April 2023 Patient Fall Prevention Committee meeting regarding proper documentation
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - What documentation is needed and to whom is it submitted? … Practice Insights
Building electronic documentation systems
Quality improvement teams at several … sites collaborated with IT to build documentation of pressure ulcer risk and care planning into their … Features that were added to electronic documentation systems included:
Automatic consults to wound … Documentation that is needed and people to whom it is submitted.
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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.pdf
May 01, 2017 - Recording the time of dystocia
identification, and the time of
maneuvers as performed
• Episode documentation … – Such aids help teams have a
shared mental model and efficient
approach for management and
documentation … safe care during an episode of
shoulder dystocia, and can also foster
accurate and comprehensive 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
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - What documentation is needed and to whom is it submitted? … Practice Insights
Building electronic documentation systems
Quality improvement teams at several … sites collaborated with IT to build documentation of pressure ulcer risk and care planning into their … Features that were added to electronic documentation systems included:
Automatic consults to wound … Documentation that is needed and people to whom it is submitted.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - Using Peer Review for Self-Audits of Medical Record Documentation
https://www.aafp.org/fpm/2000/0400 … Academy of Family Physicians provides information on
using peer review in self-audits of medical record documentation … This guide describes how to assess
an office testing process, assess patient experience and documentation … Engaging Patients To Improve Diagnostic Safety
Using Peer Review for Self-Audits of Medical Record Documentation … Using Peer Review for Self-Audits of Medical Record Documentation
Composite Measure 2.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
April 01, 2022 - Finally, staff can encourage daily assessments for line removal as well as documentation of line necessity … Finally, staff can reinforce daily assessment for line removal and documentation of line necessity during … Points•Reinforce daily assessment for line removal opportunities with rounds or documentation•Educate … Information Needs and the Use of Documentation to Support Collaborative Decision-Making: Implications … Information Needs and the Use of Documentation to Support Collaborative Decision-Making: Implications
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - Slide 20: Documentation Elements and High-Risk Change in Condition
Say:
The HRCC section of the … Slide 21: Documentation Elements and High-Risk Change in Condition
Do:
Use the Documentation Elements … are captured during routine electronic documentation and stored in the EMR. … High-Risk Change in Condition and Documentation Elements
Documentation Element
CHF/Chest … This resident’s record contains documentation of three different signs and symptoms of a potential UTI
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - Resolving unintended discrepancies with supporting documentation. … care plan for that particular patient and, if so, subsequent orders can be written with supporting documentation … It is important for physicians to provide clear documentation and communication regarding medication
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - Resolving unintended discrepancies with supporting documentation. … care plan for that particular patient and, if so, subsequent orders can be written with supporting documentation … It is important for physicians to provide clear documentation and communication regarding medication
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Ensure all documentation is signed and dated by a licensed practitioner. … Documentation must contain information specifying why the COVID-19
vaccines are clinically contraindicated … Documentation
must include a statement by the authenticating practitioner recommending
the staff member
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
June 02, 2025 - health record (EHR) and the possibility of building pressure injury prevention into the electronic documentation … Additional suggestions for building pressure injury prevention into electronic documentation systems … representative) speak to the possibility of building pressure injury prevention into the electronic documentation … found a 50 percent variance in scoring and inappropriate intervention selection and only 20 percent documentation … However, there continued to be documentation issues that needed to be addressed.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ginsberg-highlights.pdf
June 02, 2025 - of patient narratives to inform improvement efforts for healthcare
organizations
► Evaluation and documentation