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Showing results for "documentation".

161. National Collaborative for Innovation in Quality Measurement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Pop.pdf
     June 02, 2025 - Definitions Documentation of sexual activity status can include any documentation that the adolescent … is abstinent, any documentation that the adolescent is or has been engaged in sexual activity (including … Numerator Documentation of any of the following during the measurement year or the six months prior … /contraception with indication for pregnancy prevention Current or past diagnosis of pregnancy Documentation

162. National Collaborative for Innovation in Quality Measurement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Prov.pdf
     June 02, 2025 - Definitions Documentation of sexual activity status can include any documentation that the adolescent … is abstinent, any documentation that the adolescent is or has been engaged in sexual activity (including … Numerator Documentation of any of the following during the measurement year or the six months … contraception with indication for pregnancy prevention Current or past diagnosis of pregnancy Documentation

163. Documentation of drug allergy on drug chart in patients presenting for surgery. | PSNet
     psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
     August 20, 2018 - Study Documentation of drug allergy on drug chart in patients presenting for surgery … Documentation of drug allergy on drug chart in patients presenting for surgery. … Nearly one in three patients presenting for elective surgery did not have adequate documentation of drug … Documentation of drug allergy on drug chart in patients presenting for surgery.

164. Compendium of U.S. Health Systems, 2016, Hospital Linkage File, Technical Documentation-Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc-appb.pdf
     October 01, 2018 - Health Systems, 2016, Hospital Linkage File, Technical Documentation-Appendix B Comparative Health … Health Systems, 2016, Hospital Linkage File, Technical Documentation Prepared for: Agency … Health Systems, Hospital Linkage File, Technical Documentation 15 Appendix B. … Health Systems, 2016, Hospital Linkage File, Technical Documentation Appendix B.

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60707/psn-pdf
     July 22, 2020 - The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes … The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes … https://psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration … The authors conducted a sociotechnical investigation to describe the implementation of a closed-loop documentation … These types of closed-loop systems automate steps in the documentation of medication administration.

166. Compendium of U.S. Health Systems, 2023 | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/data-resources/compendium-2023.html
     November 01, 2024 - Excel  (42.2 MB) Technical Documentation Technical Documentation  (PDF, 1 MB) Compendium Hospital Linkage … File, Technical Documentation  (PDF, 585 KB) Compendium Outpatient Linkage File, Technical Documentation

167. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/6.html
     December 01, 2017 - If there is incomplete CNA documentation of meal intake, then display a dash). … If there is incomplete CNA documentation of meal intake, then display a dash. … CNA documentation options/abbreviations: Use self-performance responses. … ADL Decline: Transfer CNA documentation of ADLs Repeat steps as above for Bed Mobility. … Example sources: nurse change in condition documentation or 24 hour report.

168. A clinician survey of using speech recognition for clinical documentation in the electronic health record. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents/citation/survey
     January 01, 2023 - A clinician survey of using speech recognition for clinical documentation in the electronic health record … A clinician survey of using speech recognition for clinical documentation in the electronic health record

169. Compendium of U.S. Health Systems, 2018 | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/data-resources/compendium-2018.html
     March 01, 2021 - Refer to the compendium technical documentation for more details. … Excel (2.6 MB) CSV file (3.7 MB) Technical Documentation Technical Documentation Report …  (updated January 2021; PDF, 4.2 MB) Compendium Hospital Linkage File, Technical Documentation  (PDF … Data Dictionary – Hospital Linkage File  (PDF, 203 KB) Group Practice Linkage File, Technical Documentation

170. Allergy Disease | Digital Healthcare Research
     digital.ahrq.gov/medical-condition/allergy
     January 01, 2024 - Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical … Dynamic reaction picklist for improving allergy reaction documentation: A usability study. … Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical … Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical … Expanding the reaction picklist in electronic health records improves allergy documentation.

171. Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. | PSNet
     psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
     May 11, 2022 - Compared to paper charts, electronic health records offer safety benefits for physician documentation … However, electronic documentation introduces new concerns, such as copy-and-paste practices (which … This study compared physical exam documentation in initial physician progress notes before and after … Trainee physicians' documentation had fewer errors in both paper and electronic formats. … The authors recommend that hospitals discourage copied notes and encourage accurate documentation at

172. Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet
     psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2
     January 16, 2008 - with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation … with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation … on part 1 , this article describes how to apply human factors concepts to the design of clinical documentation … with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation

173. Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trauma patients. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-orthopedic-surgery-evaluation-resident-documentation-neurovascular
     December 31, 2014 - Study Diagnostic errors in orthopedic surgery: evaluation of resident documentation … Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations … This finding raises concerns regarding careful physical examinations and documentation in such patients … Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations

174. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. | PSNet
     psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
     March 02, 2011 - Study Survey of medication documentation at hospital discharge: implications for … Survey of medication documentation at hospital discharge: implications for patient safety and continuity … patients discharged from an inpatient cardiology service had at least one discrepancy in their medication documentation … Survey of medication documentation at hospital discharge: implications for patient safety and continuity

175. Hypertension Screening for Children Who Are Overweight or Obese: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-technicalspecs.pdf
     June 02, 2025 - The percentage of children who had documentation of systolic blood pressure percentile (systolic numerator … The percentage of children who had documentation of diastolic blood pressure percentile (diastolic … Numerators Eligible children with an outpatient care visit and BMI ≥85th percentile who… Systolic …had documentation … Diastolic …had documentation of diastolic blood pressure percentile as determined by medical record … Documentation in medical record must include, at a minimum, a note containing the date on which each

176. Evaluating Smart Forms and Quality Dashboards in an Electronic Health Record (EHR) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr
     January 01, 2023 - Method of electronic health record documentation and quality of primary care. … Effects of documentation-based decision support on chronic disease management. … Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory … Improving management of chronic diseases with documentation-based clinical decision support: results … User interface accelerators for clinical documentation in Smart Form.

177. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
     January 01, 2018 - HEALTH SYSTEMS, 2018, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION 1 I. … HEALTH SYSTEMS, 2018, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION 3 II. … HEALTH SYSTEMS, 2018, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION 5 III. … HEALTH SYSTEMS, 2018, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION 9 IV. … HEALTH SYSTEMS, 2018, HOSPITAL LINKAGE FILE, TECHNICAL DOCUMENTATION 11 V.

178. Middleton, Blackford | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/middleton-blackford
     January 01, 2023 - Middleton, Blackford Effects of documentation-based decision support … Effects of documentation-based decision support on chronic disease management. … Method of electronic health record documentation and quality of primary care. … Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory … User interface accelerators for clinical documentation in Smart Form.

179. Downloading Information
     hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/surgeryflagssvc_proc_downloading.jsp
     June 18, 2025 - Year 2025 The ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation … Procedures, v2025.1 (ZIP file, 408 KB) released 06/18/2025 For convenience, the user documentation … Year 2024 The ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation … Procedures, v2024.1 (ZIP file, 328 KB) released 07/24/2024 For convenience, the user documentation … Year 2023 The ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation

180. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact.html
     July 01, 2024 - Exploring the Impact of Electronic Health Records on Diagnostic Safety Introduction on Diagnostic Documentation … History of EHR Documentation Legislation Challenges and Opportunities for Improvement in Diagnostic … Documentation The Future of Diagnostic Documentation Conclusion References Issue