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Showing results for "documentation".
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1416-p009-7-ef-3.pdfMay 01, 2013 - No patient records sampled had both BMI value recorded and documentation on receipt of counseling on … ● Use of this measure is limited to sites that use EHRs for clinical documentation.
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Staff Presentation Template PowerPoint- Pediatric Toolkit for Using the AHRQ Quality Indicators (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pdfJuly 01, 2004 - . – Talk with staff to determine whether documentation and coding related to [Chosen PDI] need to … • We will review documentation and coding by [date]. -
Cerner-Q-A-Final-Deck (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-final-deck.pdfJune 02, 2025 - provider must select one of the choices Completed Communication Power Form 14 14 Completed Documentation -
Experiences From the Frontline: Case Studies (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdfMay 01, 2015 - This facilitated the incorporation and documentation of new practices and procedures in the unit’s … This improved the documentation of deliveries complicated by shoulder dystocia. … She attended meetings with the clinical team to help address any issues related to documentation and … By integrating the quality reporting component with the documentation of clinical practices, the Carle … The data coordinator worked with clinical staff so that the documentation of clinical practices could -
www.ahrq.gov/npsd/how-does-npsd-work/index.htmlFebruary 01, 2024 - Select for the complete documentation on all current versions of AHRQ's Common Formats .
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Section 8-A, Data Feasibility Tool (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdfJune 02, 2025 - Documented time of occurrence for red cell transfusion N/A 4 Appropriateness of Red Cell Transfusions Documentation … of hemoglobin level (Occurrence C) Patient has documentation that he/she received an Hgb (hemoglobin … must be within PICU admission and discharge times N/A 4 Appropriateness of Red Cell Transfusions Documentation -
Section 8-A, EHR Data Feasibility Tool (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdfJune 02, 2025 - Documented time of occurrence for red cell transfusion N/A 4 Appropriateness of Red Cell Transfusions Documentation … of hemoglobin level (Occurrence C) Patient has documentation that he/she received an Hgb (hemoglobin … must be within PICU admission and discharge times N/A 4 Appropriateness of Red Cell Transfusions Documentation -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.htmlSeptember 01, 2017 - Transfer And Intake Notes Transfer And Intake Notes Slide 5: Transfer and Intake Notes Provide documentation … Slide 20: Documentation Elements and High-Risk Change in Condition Each HRCC category may be linked … Slide 21: Documentation Elements and High-Risk Change in Condition Documentation Element … Displays information pulled from the On-Time Transfer Note, Intake Note, and other EMR documentation.
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www.ahrq.gov/patient-safety/reports/engage/findings.htmlMarch 01, 2017 - Allow team documentation and followup. … Allow team documentation. … 205 , 230–239 Strategies to improve team-based care within primary care settings include: Team documentation … medication safety in primary care include: Patient-focused applications for medication lists, Team documentation … increased medical adherence through simple interventions such as check-ins with a family member or daily documentation
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.htmlDecember 01, 2017 - Tool B.3b) is a template for sharing AHRQ QI results and discussion of data analysis Slide 36 Documentation … and Coding for Quality Indicators (Tool B.4) Designed to facilitate improvements to documentation … coding processes to ensure QI rates are accurate Describes procedures to address problems with documentation … Skin Assessment at Admission and Daily, with documentation of lesions. … Include in the medical record complete documentation of any pressure ulcer found.
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Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
www.ahrq.gov/sites/default/files/publications/files/match.pdfAugust 01, 2012 - ■ No prompts were in place to cross-reference information or documentation. … ■ No prompts to cross-reference documentation, which may be conflicting. … ■ Resolving unintended discrepancies with supporting documentation. … Where is the documentation that reconciliation took place? 6. … ■ No prompts to cross-reference documentation, which may be conflicting. -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/findref.htmlMarch 01, 2017 - Research Data Assistance Center (ResDAC) Medicare Data Documentation.
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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdfJanuary 01, 2024 - this project, we developed innovative solutions to address major challenges associated with allergy documentation … Proper documentation and exchange of patients’ allergy information within electronic health record ( … Contrast Allergen Documentation in the EHR We systematically identified medical imaging drugs and class … Continued EHR enhancements and training are needed to support contrast allergy documentation to facilitate … Quality of documentation of contrast agent allergies in electronic health records.
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www.ahrq.gov/sites/default/files/2024-01/muller-report.pdfJanuary 01, 2024 - In addition, although we utilize an EMR for much of the nursing documentation, physicians still utilize … a paper chart for ordering and documentation, creating a hybrid patient record. … If it was not, whether there was documentation of why the medication was held was noted. … If that documentation was not easily found, a discrepancy was coded. … To ensure accurate documentation, two copies of each list print when the list is requested.
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IVD Aspirin Use Measure Flow Chart (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/aspirin-flowchart.pdfJune 02, 2025 - PATIENT NOT INCLUDED IN DATA SUBMISSION No No PATIENT INCLUDED IN DENOMINATOR Was there documentation -
Pressure Ulcer Prevention Toolkit (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docxJanuary 01, 1995 - prevalence and incidence audits Unit based team RN · Conducts or supervises accurate assessment and documentation … skin problems · Educates patient/family about risk factors LPN · Conducts accurate assessment and documentation … Does the education include staff training on documentation methods related to pressure ulcers (e.g., -
www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.htmlDecember 01, 2017 - physicians AND improve the way antibiotics are used Slide 34 Three Effective Interventions Documentation … Hospital #1 79% 53% Hospital #2 65% 52% * p<0.05 Slide 42 Incentivize Improved Documentation … Image: Bar graph showing antibiotic documentation compliance with increased post-intervention.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.htmlDecember 01, 2017 - direct care staff's input but remember that they are ultimately accountable for the investigation and documentation … Licensed staff should be reminded of the crucial role of documentation during state surveys, litigation … should also be given to the primary care providers to familiarize them with the correspondence and documentation
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AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docxMay 01, 2017 - interventions performed · designating role of staff (e.g., recorder, patient/family communicator) · episode documentation … aids such as checklists, algorithms, or protocols to guide a systematic approach to management and documentation … quickly, · use of cognitive aids (e.g., checklists, protocols) for guiding clinical management and documentation -
www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdfApril 10, 2025 - The three NCQA items included in the measure rely on provider documentation in electronic data systems … Moreover, this type of measurement adds documentation time, and clinicians need to see the value of … Documenting PCCP also takes time, and this documentation might not happen during the visit. … One way to minimize documentation burden would be to design a PCCP tool in EHRs where the completion … documentation seamless.
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