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Showing results for "documentation".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-handouts.pdfMarch 22, 2014 - On-Time Pressure Ulcer Prevention Facilitator Training Sample Completeness Report: Facility Level Documentation … 61.7 78.2 86.9 Behaviors 53.1 69.9 87.1 91.0 Sample Completeness Report: By Shift Day Shift Documentation … 87.6 84.9 96.2 98.3 Bladder 54.8 61.7 78.2 86.9 Behaviors 53.1 69.9 87.1 91.0 Evening Shift Documentation … 97.6 94.9 96.2 98.3 Bladder 54.8 61.7 78.2 86.9 Behaviors 53.1 69.9 87.1 91.0 Night Shift Documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.htmlDecember 01, 2017 - Documentation of neurologic signs since the resident was found on floor. … Sample of initial nurses note using SOAP and occurrence based documentation methods 4/1/04 11 pm … Sample of documentation q shift X 72 hours or until stable using both SOAP and occurrence based documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptxMarch 01, 2017 - and rely on assessments made by other staff 67% of antibiotics were ordered over the phone Limited documentation … of the assessments and rationale for antibiotic use 43% of LTC-initiated antibiotic courses have no documentation … Also, documentation about why antibiotics are used in long-term care is spotty. … Improving documentation for the rationale for antibiotic use is an important step toward more effective
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/chlorhexidine-bathing.pdfApril 01, 2022 - bathing: o Tracking product use per number of patients per day in the ICU o Examining electronic documentation … We examined the documentation of a daily CHG bath and found it to be 70 percent. … Evaluation of the amount of product used based on the daily patient census found that the documentation
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.htmlSeptember 01, 2015 - Furthermore, incomplete or inconsistent documentation in EHRs and paper charts means that practices first … have to improve documentation before they can improve measure reporting.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1516-p003-ef.pdfMarch 01, 2016 - Committee for Quality Assurance Numerator Denominator Exclusions Data Source(s) Adolescent patients with documentation … reliability between manual reviewers of medical records was high for most data elements, including documentation
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdfOctober 01, 2016 - Required documentation signed by nursing home management authorized to approve the intervention 7. … [Identify who will implement the procedure] Procedures [Add details specific to nursing home] Documentation
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions5.htmlJune 01, 2023 - Most of these interventions focus on improved discharge processes and documentation, improved verbal … focused on designing and implementing enhanced discharge summary templates to focus on reducing redundant documentation
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Supplemental Document No. 1 (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdfSeptember 01, 2014 - Supplemental Document No. 1 The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). No statement in this report should be construed as an official positio… -
Supplemental Document 2 (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdfSeptember 01, 2014 - Supplemental Document 2 The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). No statement in this report should be construed as an official position of… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdfMarch 01, 2016 - Software The Windows software provided by AHRQ for calculation of the IQIs, PSIs, and 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 … 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/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_ha.pdfFebruary 05, 2015 - • Submit the appropriate documentation to receive credit. … a depression screen being performed 5 patients with documentation / 10 total patients = 0.50 … ., a 10% or greater differential in documentation rates of smoking status versus physical activity) … • List at least 2 health assessment documentation goals. … We want to improve our depression screening documentation rates by 20% from baseline.
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HHCEB Presentation (ppt file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.pptMay 20, 2012 - Mandatory risk assessment with CPOE hard-stop Clinical decision support to drive clinical practice Required documentation -
www.ahrq.gov/hai/quality/tools/cauti-ltc/methods-to-deploy.htmlMarch 01, 2017 - Consider customizing it with your facility policy and procedure, and documentation forms.
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Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR (pdf file)
www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdfJanuary 01, 2024 - NorthShore University HealthSystem (NorthShore) built into its commercial EMR structured clinical documentation … The smart data elements (structured fields and variables) built into the shared EMR tools (documentation … Generally, this required documentation of the visit type (initial, interval, annual), the final diagnosis … PMID: 26576324 Structured clinical documentation in the electronic medical record to improve quality … PMID: 28856120 Structured Clinical Documentation to Improve Quality and Support Practice-Based Research -
Final Progress Report: Risk Assessment of the Testing Processes of Access Community Health Network (pdf file)
www.ahrq.gov/sites/default/files/2024-12/eder-report.pdfJanuary 01, 2024 - Documentation Failures in Patient Medical Records n=2008 tests Test result not in chart 14% No provider … signature on test result 6% Test result signed but not dated 27% No documentation of provider response … 13% No documentation that patient was notified 36% No documentation that patient acknowledged the … Number of cases in which there was one or more documentation Test Type failures Testing … intersection of test management with other office system problems, such as delayed physician documentation -
www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.htmlFebruary 01, 2016 - The degree of rigor in documentation to correct errors should be influenced by the amount of trust that … exists (or must be built), the intended uses of the reports, and the costs of documentation. … used solely to support good patient care and quality improvement may require little or no supporting documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.htmlDecember 01, 2017 - Section A includes basic resident information, methods for documentation in the medical record and notification … Documentation of the immediate response on the medical record is important. … Missing documentation leaves staff open to negative consequences through survey or litigation. 6.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdfAugust 01, 2015 - Adoption of electronic screening methods for developmental delay and autism helped improve efficient documentation … • Documentation of screening improved. … More accurate documentation at the practice level translates to more reliable data for the State Medicaid
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/overview.htmlJuly 01, 2021 - audiences for this toolkit include providers, hospitals, and medical staff who are involved in discharge documentation
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