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Showing results for "documentation".

  1. 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
  2. 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
  3. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
    August 01, 2022 - Enhanced documentation/communication. Redundancy.  Weaker Actions Double checks.
  4. 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
  5. 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
  6. 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.
  7. 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
  8. 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.
  9. 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
  10. 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.
  11. 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
  12. 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.
  13. 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.
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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.
  20. 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

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