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Showing results for "documentation".
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Just Culture Webcast Presentation (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdfMay 01, 2007 - • Two Nurse Managers • Pediatrician • Anesthesiologist The Collaborative • Prework – RCA Event documentation … – Employee Corrective Action Reports – Patient Safety Activity Documentation – Policies; Corrective … Culture Algorithm • Mandatory training for new managers • Visibility to all staff • Requirements for documentation … The algorithm – can be found displayed in most managers’ offices The Algorithm Requirements for Documentation … Corrective Action policy • Incorporating Just Culture Principles into Counseling/Corrective action documentation -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/5.htmlDecember 01, 2017 - Wt Loss ≥7.5% in Prior 90 Days (Point-to-Point) Vital Signs or Weight documentation For each static … Wt Loss ≥10% in Prior 180 Days (Point-to-Point) Vital Signs or Weight documentation For each static … Weekly Meal Intake Average <50% CNA documentation of meal intake For each static week: Count … Daily Urine Incontinence CNA documentation of resident bladder habits For each static week: … >3 Days Bowel Incontinence CNA documentation of resident bowel habits For each static
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdfJune 02, 2025 - medication prescribed Note, or medication history Follow-up report about behavioral therapy 11 Documentation … provider), or patient determined to be at risk for harming themselves or others) Note Prescription documentation … or medication list 12 Documentation of system reason(s) for not prescribing behavior therapy as
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www.ahrq.gov/chsp/data-resources/compendium-2016.htmlMarch 01, 2021 - Excel (2.7 MB) CSV file (3.9 MB) Technical Documentation Technical Documentation Report … Data Dictionary (PDF, 329 KB) Compendium Hospital Linkage File, Technical Documentation (PDF, … Data Dictionary – Hospital Linkage File (PDF, 191 KB) Group Practice Linkage File, Technical Documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.htmlDecember 01, 2017 - Weight 90 Days Prior Vital Signs or Weight documentation The weight of the resident approximately … Weight 30 Days Prior Vital Signs or Weight documentation The weight of the resident approximately … Weight Change (lbs) Vital Signs or Weight documentation Change in weight (lbs) from the previous … ≥2% Weight Loss (From Previous Week) Vital Signs or Weight documentation Displays the … ≥5 lb Weight Loss in Prior 30 Days Vital Signs or Weight documentation Displays the value
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.htmlDecember 01, 2017 - Nursing assistant documentation. Therapy records. Physician/NP/PA orders. … Bowel and bladder documentation. Activities of daily living. … , vital signs, lab results, physician orders, and other documentation in the EMR. … Count the number of shifts for which documentation is available. … What areas of documentation need some followup investigation?
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On-Time - Menu of Implementation Strategies (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/pruprev-menu.pdfJune 02, 2025 - Internal nutritional review; MDS assessment documentation 7. … MDS assessment documentation 8. Root cause analysis for new pressure ulcer development 9. … MDS assessment documentation 6. Root cause analysis for new pressure ulcer development 7. … MDS assessment documentation 5. Nurse/rehab weekly huddle 6. … MDS assessment documentation 5. Root cause analysis for new pressure ulcer development 6. -
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/CHSP_2016_GPLF_tech_Dec2020.pdfJanuary 01, 2016 - Group Practice Linkage File Technical Documentation 7 I. … /md-ppas/data-documentation Group Practice Linkage File Technical Documentation 9 For each physician … Group Practice Linkage File Technical Documentation 10 B. … Group Practice Linkage File Technical Documentation 20 4. … Group Practice Linkage File Technical Documentation 26 4.
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IMPLEMENT California Asthma QI Collaborative (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sfmeasures.pdfJune 02, 2025 - If persistent, documentation of: mild, moderate, or severe. … Inclusions: Includes documentation of severity within the past 6 months, or more often if needed … Information sheet for additional clarification/information. 4 Asthma Action Plan Updated Definition: Documentation … Documentation that they saw a pulmonologist or allergist specific to their asthma also counts. -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs3.htmlDecember 01, 2017 - Electronic daily documentation by CNA staff is required for the following: Meal intake. … Meal intake is recorded for 3 meals each day for each resident; thus, documentation of 21 meals is required … Average Meal Intake % Week CNA documentation of meal intake Calculate meal averages for residents … having at least 75% meal intake documentation completed. … Most Recent Ulcer Assessment Date Nurse documentation of pressure ulcer assessment If nurses are
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Overuse of Imaging (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdfJanuary 01, 2016 - ) or basilar skull fracture (based on clinical documentation). … Documentation of trauma ☐Yes ☐No 2b. … If yes – Was there clinical documentation of trauma (per Item 2a)? … Was there documentation of signs of basilar skull fracture? … Was there documentation of a neurologic examination? -
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appa.pdfJanuary 01, 2018 - Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix A Comparative Health … Health Systems, 2018, Hospital Linkage File, Technical Documentation Prepared for: Agency for Healthcare … HEALTH SYSTEMS, 2018, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION 13 Appendix A. … Health Systems, 2018, Hospital Linkage File, Technical Documentation Appendix A.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.htmlJuly 01, 2022 - Where is documentation found in the medical record that reconciliation took place? … Where is the documentation located within the patient's medical record indicating that discrepancies … Where is the documentation that reconciliation took place? … Where is the documentation located within the patient's medical record indicating that discrepancies … Where is documentation located within the patient's medical record indicating that discrepancies were
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.htmlJuly 01, 2022 - Where is documentation found in the medical record that reconciliation took place? … Where is the documentation located within the patient's medical record indicating that discrepancies … Where is the documentation that reconciliation took place? … Where is the documentation located within the patient's medical record indicating that discrepancies … Where is documentation located within the patient's medical record indicating that discrepancies were
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www.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.htmlNovember 01, 2018 - 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 … 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
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-2-tech-specs.pdfJune 02, 2025 - percentage of children aged 2 through 17 years with an outpatient care visit and BMI ≥85 percentile who had documentation … requires medical record data and is calculated as follows: The percentage of eligible children who had documentation … Numerator Eligible children with an outpatient care visit, BMI ≥85 percentile, and documentation of
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TO (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docxJanuary 01, 2016 - Is there documentation that a central line insertion cart was used for insertion? … Is there documentation that consent was obtained prior to insertion? … Is there documentation that a timeout was performed prior to insertion? … Is there documentation of a followup x-ray completed to verify placement? … Is there documentation of a central line insertion checklist used for insertion? -
www.ahrq.gov/data/innovations/syh-dr.htmlOctober 01, 2024 - Go to data documentation for a complete listing of synthetic, masked, and retained data elements. … analytically valid, researchers should be aware of the recommendations and limitations described in the data documentation … SyH-DR Requests and Documentation Data Request AHRQ approval is required for access to SyH-DR. … Documentation SyH-DR Sampling, Weighting, and Synthetization Methodologies (PDF, 868 KB) SyH-DR Codebook
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www.ahrq.gov/topics/sepsis.htmlReveals Its Alarming Human Toll Best Practices in the Diagnosis and Treatment of Sepsis Documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/erepguide_slides.pptxDecember 01, 2014 - be blank The daily urinary incontinence column will show a dash (-) A resident having incomplete documentation … Behaviors ≥3” will be blank The resident will not display on the Risk Change Report when any report documentation … , vital signs, lab results, physician orders, and other documentation in the EMR Report information is … is available Divide the number of actual documentation entries by the total number of possible entries … What areas of documentation need some followup investigation?
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