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Showing results for "documentation".
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/letter-emergency-contact.docxJune 02, 2025 - _________________________ Email: ____________________________________ Please provide us with any documentation
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www.ahrq.gov/evidencenow/tools/keydrivers/description.htmlOctober 01, 2020 - Responsibilities can include making changes to documentation in EHRs, developing auditing tools, designing … Involve care teams in refining documentation workflows to minimize burden Clinicians and other team … Furthermore, documentation procedures developed by partnering with care teams are more likely to be followed … Collaborating with care team members on data documentation not only improves the accuracy of data, it … Since data are only as good as the documentation in the information systems, QI teams can address some
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdfDecember 17, 2019 - Clinical or Other Rationale Supporting the Focus of the Measure (optional) Provide documentation of … There were 65 charts (31.9 percent) with clinical documentation of trauma occurring within 24 hours … Was there documentation of increased intracranial pressure? … Was there documentation of altered mental status including comments such as “not acting like himself … Of the 204 charts reviewed, one (0.5 percent) had clinical documentation of suspected child abuse or
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Can an Academic Health Care System Overcome Barriers to Clinical Guideline Implementation? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdfJanuary 01, 2004 - Documentation As a chart review study, our observations and conclusions are limited to the information … did not receive beta-blocker prophylaxis despite having cardiovascular risk factors usually had no documentation … Inferring from the lack of documentation, it would seem that beta-blocker prophylaxis is underprescribed … The use of these standardized forms also addressed the problem of poor documentation of patient’s baseline … The separation of inpatient and outpatient medical records also contributed to documentation errors -
Penicillin Allergy – Discussion Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-discussion-guide.docxSeptember 01, 2022 - conversation among staff members to determine how the practice can collectively improve the assessment for and documentation -
How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety -Ginsberg (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdfJanuary 01, 2021 - Management Support for Patient Safety Near-Miss Documentation Overall Rating on Patient Safety (Excellent -
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.htmlOctober 01, 2017 - 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 … found a 50 percent variance in scoring and inappropriate intervention selection and only 20 percent documentation … To improve competency of assessment scoring, care plan intervention selection, and documentation, a comprehensive … However, there continued to be documentation issues that needed to be addressed.
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Chipra202-Materials Viiia (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIIIA.pdfJune 02, 2025 - of the developmental screen by a primary care clinician on the same day of the screening visit Documentation … 2 How are faxes and other paper documentation connected to the original order? … screen by age; children without screen by age results discussed with parents/caregiver: simple documentation … visit OR discussion choices appear when screen done documented rates of discussion occurring: documentation … received/reviewed response AND referral response not received/reviewed, by chosen time intervals * documentation -
Chipra204-Materials Viiia (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIIA.pdfJune 02, 2025 - of the developmental screen by a primary care clinician on the same day of the screening visit Documentation … 2 How are faxes and other paper documentation connected to the original order? … screen by age; children without screen by age results discussed with parents/caregiver: simple documentation … visit OR discussion choices appear when screen done documented rates of discussion occurring: documentation … received/reviewed response AND referral response not received/reviewed, by chosen time intervals * documentation -
Chipra205-Materials Viiia (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIIA.pdfJune 02, 2025 - of the developmental screen by a primary care clinician on the same day of the screening visit Documentation … 2 How are faxes and other paper documentation connected to the original order? … screen by age; children without screen by age results discussed with parents/caregiver: simple documentation … visit OR discussion choices appear when screen done documented rates of discussion occurring: documentation … received/reviewed response AND referral response not received/reviewed, by chosen time intervals * documentation -
Slide 1 (ppt file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.pptJanuary 01, 2013 - database Mandatory Selections Risk Factors Contraindications Prophylaxis Recommendation Documentation -
www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.htmlOctober 01, 2015 - Slide 127 Documentation Organized Data Collecting organized data will help turn the concept of … additional staff for non-catheterized patients for more frequent linen changes, toileting needs, or documentation … Data Drive Change Collaboratively developed protocols and standardized documentation for communications … Slide 135 Protocols/standardized documentation help to remove assumptions from the decision making
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdfJanuary 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
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www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdfJanuary 01, 2024 - usage data in the inpatient medication cycle (i.e., prescription, dispensing, administration, and documentation … usage data in the inpatient medication cycle (i.e., prescription, dispensing, administration, and documentation … the medication administration workflow, including tasks during planning, dispensing, administration, documentation … During the administration and documentation stages, nurses are in the salient window of opportunity for … Do you use any tools during medication preparation (e.g., e-documentation tools, paper tools,
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Measure: Accurate ADHD Diagnosis (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_fs_14-p005-1-ef.pdfOctober 01, 2014 - ● Documentation of the ADHD assessment method is not done systematically in electronic health records … ● Locations and contexts for documentation of ADHD care in the medical record varied across test sites … children and adolescents: percentage of patients newly diagnosed with ADHD whose medical record contains documentation -
www.ahrq.gov/sites/default/files/2025-02/holl-report.pdfJanuary 01, 2025 - assessments, using a Failure Modes Effects and Criticality Analysis (FMECA), of the communication, documentation … To condense the results of these FMECAS into a single set of specific communication, documentation, … To create a standardized process and tools to address communication, documentation, and coordination … about patient’s medical histories impact patient safety in the ED5,6 and are likely to influence the documentation … Each receiving hospital had its own “Transport Form” that serves primarily as the documentation by
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58-Frontline-Presentation-Template (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docxJune 01, 2023 - Mobility Process for early and consistent mobility Documentation strategy Diet Process for diet advancement … Mobility Process for early and consistent mobility Documentation strategy Diet Process for diet advancement -
How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdfJanuary 01, 2021 - trained to do (B3) 53% We do not feel rushed when taking care of patients (A10) 28 Near-Miss Documentation … DatabaseComposite Measure Results Highest Composite Measure Items Lowest Composite Measure Items Near-Miss Documentation -
www.ahrq.gov/policymakers/chipra/cpcf-form5.htmlDecember 01, 2013 - Clinical or Other Rationale Supporting the Focus of the Measure (optional) Provide documentation of the
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/whats-available.pdfMarch 20, 2017 - To find the Adult Hospital Survey and all supporting documentation for survey administration, please … visit CMS’s Web site for the CAHPS Hospital Survey; no documentation for the Adult Survey is included
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