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381. Appendix B. Example Data Collection Tools (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-b-pt2.html
     October 01, 2015 - multiple methods used to estimate the costs for each category, please provide: Comments or supporting documentation … multiple methods used to estimate the costs for each category, please provide: Comments or supporting documentation

382. Appendix S. Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
     April 01, 2018 - emergency surgery should be considered separately from those of elective surgery; and (5) heterogeneous documentation … stratification, as follows: Surgeons track many variables; unclear which contribute to development of SSI, Documentation

383. Pediatric Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
     December 01, 2017 - Documentation and Coding for PDIs Includes strategies for addressing documentation and coding issues

384. Appendix B. Example Data Collection Tools (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools2.html
     February 01, 2017 - multiple methods used to estimate the costs for each category, please provide: Comments or supporting documentation … multiple methods used to estimate the costs for each category, please provide: Comments or supporting documentation

385. Hlthy_Hrts_MsrmntHndout (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/measure-handout-mw.pdf
     June 02, 2025 - Aspirin or Another Antithrombotic Domain: Clinical Process/Effectiveness Patients who have documentation

386. Labor and Delivery Unit Safety: Umbilical Cord Prolapse | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
     July 01, 2023 - Episode documentation elements. … aids such as checklists, algorithms, or protocols to guide a systematic approach to management and documentation … Use of cognitive aids (e.g., checklists, protocols) for guiding clinical management and documentation

387. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
     April 01, 2025 - Process Documentation ............................................................................... … Table 5 compares documenting screening results via paper versus EHR documentation. … (Pre-Appointment) EHR Documentation (Pre-Appointment) EHR Documentation (During Appointment) Benefits … What tools or questionnaires exist to help streamline the documentation process? … fields and can help ensure consisten- cy in documentation across providers.

388. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/table-3.html
     July 01, 2022 - Discrepancy Discrepancies exist and require clarification of intent because there is no supporting documentation

389. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/table-1.html
     July 01, 2022 - Discrepancy Discrepancies exist and require clarification of intent because there is no supporting documentation

390. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/table-3.html
     July 01, 2022 - Discrepancy Discrepancies exist and require clarification of intent because there is no supporting documentation

391. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/table-1.html
     July 01, 2022 - Discrepancy Discrepancies exist and require clarification of intent because there is no supporting documentation

392. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
     January 01, 2018 - guide (PDF, 4.48 MB) tells you how to: Assess your office testing process, patient experience, and documentation

393. How To Implement the Pressure Injury Prevention Program in Your Organization
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
     June 02, 2025 - e.g., lectures and interactive presentations). 32 Practice Insight Problem: assessment/care plan/documentation … Continued issue with documentation. 33 Group Activity: Assess Staff Education Assess current staff

394. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
     June 02, 2025 - patient safety problems don’t happen again. 1 2 3 4 5 9 2 SECTION D: Near-Miss Documentation … Teamwork and Training SECTION C: Organizational Learning/Response to Mistakes SECTION D: Near-Miss Documentation

395. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
     November 01, 2017 - The MDS assessment includes documentation that a cane/crutch or walker was used. … The facility specifies whether they will use nurse documentation or another documentation source for … Nursing assistant documentation will serve as the source for this rule. … The nursing assistant documentation of self-performance is the source for this item. … The correct answer to question #3 is “c,” Nursing assistant documentation.

396. Improving Your Laboratory Testing Process Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
     December 01, 2017 - Good documentation makes information readily available. … This tool will help you collect data on: o Documentation. o The time it takes to move through tasks … Is there documentation in the chart that the patient was notified of the test result? … Is there documentation that the patient was notified of the follow-up plan? yes q q no 6. … Is there documentation that the patient acted on the follow-up plan?

397. Part One: Traditional Practice and Recommendations for Change (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
     October 01, 2015 - admission Chart review for presence of physician’s order for placement Chart review for presence of documentation … , Chart review for presence of physician’s order for placement 52.20%, Chart review for presence of documentation … Is there documentation of continued need upon admission?

398. I. Subcommittee Template: Developing a National Standard Set of Spoken Language Categories and Coding | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapi.html
     September 01, 2018 - information systems." 2 The subcommittee list began with the Census Bureau's summary file 3 (SF3) technical documentation … Census 2000 Summary File 3-Technical documentation. Appendix G language code list. … Census 2000 summary file : Technical documentation.

399. AHRQ Step Up App Challenge Frequently Asked Questions (FAQs) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/stepup_Challenge/step-up-app-challenge-faq.pdf
     June 02, 2025 - Function 10a (PDF) • Request PROMIS® short forms • Register for credentials to use the API • Documentation

400. Final Progress Report: Cardio-HIT Phase II (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/kmetik-otoole-report.pdf
     January 01, 2024 - A key question is whether the system of exception reporting─and its implicit documentation requirements … The participating physicians prospectively recorded data on exceptions (i.e., documentation of exceptions … illustration, short of interviewing patients, there is no way to independently validate physician documentation … CI: 94.6%, 100.0%) had a reported exception found to be in agreement with the exception in the EHR documentation … CI: 90.3%, 100.0%) had a reported exception found to be in agreement with the exception in the EHR documentation