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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
October 01, 2020 - Adoption of electronic screening methods for developmental delay and autism helped improve efficient documentation … Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation … Adoption of electronic screening methods for developmental delay and autism helped improve efficient documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
March 01, 2021 - notifications of
admission and discharge with appropriate followup care; collaboration in discharge
documentation … • Confirm that the discharge summary and any other relevant discharge documentation is
available;
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp1.html
January 01, 2013 - This companion guide provides supporting documentation for the On the CUSP: Stop BSI Final Report.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-data-research-abstract-form.docx
January 01, 2024 - Documentation of cleaning that was done is provided with the data files.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Limited documentation of the assessments and rationale for antibiotic use
43% of LTC-initiated antibiotic … courses have no documentation of infection.
6.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - improvement, we will:
Examine best practices related to [Chosen QI]
Talk with staff to determine whether documentation … We will review documentation and coding by [date].
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
February 16, 2011 - Does the education include staff training on documentation methods related to pressure ulcers (e.g., … Documentation of daily skin inspection
b. Documentation of risk assessment daily
9. … Determine whether there is any documentation of a skin examination. … Calculate the percentage having any documentation of skin assessment as well as having a comprehensive … Determine whether there is any documentation of the completion of the standardized risk assessment.
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - asthma patients (e.g., asthma control assessment, completion of asthma action plans, and severity documentation
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - After documentation, this list is confirmed with the patient, or additional resources if needed, to help
-
www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - After documentation, this list is confirmed with the patient, or additional resources if needed, to help
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - data sources, including
physician orders, medication records, Minimum Data Set (MDS),
and nursing documentation … Table 2 lists documentation elements potentially associated with
each high-risk condition; these elements … are captured during
routine electronic documentation and stored in the EMR. … High-Risk Change in Condition and Documentation Elements
Documentation
Element
CHF/
Chest … This resident’s record contains documentation of three c.
-
www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
January 01, 2025 - Scope: Medical errors in the testing process (ordering, tracking, documentation, patient
notification … • Documentation is when physicians and/or staff note in the medical record that the result
has been … Having
two or more standardized results management steps did not significantly improve documentation … There was inter-office variability in the successful
documentation of results management steps, but … In conclusion, there was greater documentation of results managed by an EMR, but all
offices fell short
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/tobacco-narrative.pdf
December 31, 2018 - Denominator Exception
Documentation of medical reason(s) for not screening for tobacco use (Limited
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-10.html
November 01, 2014 - Gap analysis: Conducts a multistep gap analysis beginning with a G emba walk cc followed by documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - DOCUMENTATION 14
VIII. … When indicated, confirms documentation of procedures performed successfully for
medical or affiliate … staff who insert central VADs , via the e-Value program, or other
acceptable documentation as defined … This can be done via the e-Value program, or other acceptable documentation
as defined by each residency … DOCUMENTATION
A. The following require a written order per an authorized prescriber:
1.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Assure accurate documentation of clinical information necessary for quality monitoring
Next Steps … Use one or more strategies to streamline documentation such as scribing, non- physician order entry, … Tool 2.3 Optimize Clinical Information
Accurate clinical documentation is essential for identifying … This tool provides a set of recommended strategies for optimizing clinical documentation. … Implement data integrity checks and protocols to ensure documentation compliance
17.
-
www.ahrq.gov/data/apcd/backgroundrpt/conclusion.html
April 01, 2017 - Aside from measure analyses, the continued efforts to improve documentation will provide a record of
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/index.html
June 01, 2010 - The measure scan was AHRQ's first step in fulfilling the directive, through documentation of the available
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - You could, for example, integrate them into your documentation system or use this sheet for staff training … incidence audits
Unit based team
RN
Conducts or supervises accurate assessment and documentation … 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/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - You could, for example, integrate them into your documentation system or use this sheet for staff training … incidence audits
Unit based team
RN
Conducts or supervises accurate assessment and documentation … 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.,