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Showing results for "documentation".

  1. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA116-Materials-II.pdf
    June 02, 2025 - Documentation that temperature was recorded v. Temperature and units of measurement vi. … Documentation child was eligible for and received therapeutic hypothermia (when appropriate).
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    June 02, 2025 - 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. … Nursing assistant documentation d.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-2.pdf
    May 01, 2016 - . ■ Team documentation to allow the provider to spend more time in direct patient contact. ■ Co-location
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
    March 01, 2022 - patients with the medical devices of interest are automatically identified based on nursing device documentation … process – Adult patients with medical devices of interest are automatically identified based on nursing documentation … We recommend that you ask the following questions and request written documentation of compatibility
  5. www.ahrq.gov/cahps/surveys-guidance/ed-cahps/index.html
    December 01, 2023 - No documentation for this survey is available on AHRQ's website.
  6. www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
    January 01, 2024 - We collected information regarding documentation in the medical record. … Of note, clinician documentation of clinical assessments, orders, and disposition plan may be inconsistently … Because of this, missing data (or lack of documentation) will be considered equivalent to data that … experts who review medical records, including those from The Joint Commission, who consider lack of documentation
  7. www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
    January 01, 2024 - system designed to accomplish CPOE, automated safety checks, pharmacy dispensing, and electronic documentation … at SJCRH (handwritten orders, transcription into pharmacy information system, handwritten documentation … integrated with the pharmacy information system and electronic medication administration documentation … CPOE integrated with a pharmacy information system and electronic medication administration documentation … Start clinical documentation.
  8. www.ahrq.gov/cahps/surveys-guidance/helpful-resources/translating/index.html
    March 01, 2025 - Census Bureau Guideline for the Translation of Data Collection Instruments and Supporting Materials: Documentation
  9. www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/tracking-returned-questionnaires.html
    August 01, 2024 - The documentation for specific surveys lists the key and reportable items in that survey.
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
    June 16, 2016 -  Hospitals with computerized systems that allow electronic clinical documentation. … Some evidence exists that electronic documentation may be associated with improved patient outcomes … Hospitals with computerized systems that allow electronic clinical documentation, by component, 2011 … Hospitals with computerized systems that allow electronic clinical documentation, by component, 2011 … Use of electronic clinical documentation: time spent and team interactions.
  11. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-3txt.html
    July 01, 2022 - Standardizes physician documentation regarding ordering decisions to identify intended versus unintended
  12. www.ahrq.gov/patient-safety/settings/hospital/match/figure-3txt.html
    July 01, 2022 - Standardizes physician documentation regarding ordering decisions to identify intended versus unintended
  13. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/other-resources.html
    July 01, 2021 - “principal diagnosis” on a patient’s discharge report and how to designate it in the medical record documentation
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
    January 01, 2020 - Item Average Percentages for Near-Miss Documentation by Number of Operating/Procedure Rooms – 2020 SOPS … Item Average Percentages for Near-Miss Documentation by Geographic Region – 2020 SOPS ASC Database . … Item Average Percentages for Near-Miss Documentation by Staff Position – 2020 SOPS ASC Database .... … Item Average Percentages for Near-Miss Documentation by Hours Worked Per Week – 2020 SOPS ASC Database … Item Average Percentages for Near-Miss Documentation by Geographic Region – 2020 SOPS ASC Database
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
    December 01, 2021 - Item Average Percentages for Near-Miss Documentation by Number of Operating/Procedure Rooms – 2021 SOPS … Item Average Percentages for Near-Miss Documentation by Geographic Region – 2021 SOPS ASC Database . … Item Average Percentages for Near-Miss Documentation by Staff Position – 2021 SOPS ASC Database .... … Item Average Percentages for Near-Miss Documentation by Hours Worked Per Week – 2021 SOPS ASC Database … Item Average Percentages for Near-Miss Documentation by Geographic Region – 2021 SOPS ASC Database
  16. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/keydriver-vtcollaborative.pdf
    January 24, 2018 - Key Drivers Interventions/Secondary Drivers I - Increase documentation of completion of spirometry
  17. www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet5.html
    October 01, 2014 - The PCC incorporated goal-setting data elements into its new EMR to facilitate the documentation of patients
  18. www.ahrq.gov/hai/cusp/clabsi-final-companion/index.html
    January 01, 2013 - This companion guide provides supporting documentation for the final report.
  19. www.ahrq.gov/research/findings/final-reports/ptflow/section3.html
    April 01, 2020 - fibrinolytic therapy received within 30 minutes of emergency department (ED) arrival, aspirin at arrival) and documentation … One staff member needed "a 5-minute phone call" to learn how to access the nursing documentation system
  20. www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Debriefs include: Accurate recounting and documentation of key events.

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