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Showing results for "documentation".
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42014/psn-pdfFebruary 06, 2013 - Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations … Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations … https://psnet.ahrq.gov/issue/diagnostic-errors-orthopedic-surgery-evaluation-resident-documentation- … This finding raises concerns regarding careful physical examinations and documentation in such patients … https://psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40620/psn-pdfJuly 22, 2011 - The role of documents and documentation in communication failure across the perioperative pathway. … The role of documents and documentation in communication failure across the perioperative pathway. … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across- perioperative-pathway … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway … https://psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery -
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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digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documentsJanuary 01, 2023 - Project Dates 09/30/2015 - 09/29/2019 Technology Artificial Intelligence Clinical Documentation … All participants interviewed agreed that SR increases efficiency and accuracy of documentation. … Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation … Speech recognition for clinical documentation from 1990 to 2018: a systematic review. … A clinician survey of using speech recognition for clinical documentation in the electronic health record
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportQMs.pdfJune 16, 2021 - Value measured: Number of cases with documentation of an anticoagulation plan for patients currently … Although current use is generally defined as being use in the last 7 days, the documentation of use … were used, this is considered an error in documentation and will be reported. … • Documentation will be considered to be present if o "Were there any unplanned events?" … CORI is working to improve documentation of these measures in CORI v4.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46847/psn-pdfMarch 28, 2018 - Advance care planning documentation practices and accessibility in the electronic health record: implications … Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications … https://psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic … - health-record This study found that electronic health record documentation of patients' preferences … Only half of participants had documented preferences available, and the documentation was often difficult -
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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cds.ahrq.gov/cdsconnect/artifact/neurology-traumatic-brain-injury-tbi-screening-documentation-templateApril 03, 2018 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74699/psn-pdfJanuary 26, 2022 - Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation. … https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation Problem lists, while … https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation https://psnet.ahrq.gov -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72470/psn-pdfJanuary 01, 2021 - safe-use-ehr-medical-scribes-qualitative-study The use of medical scribes for electronic health record (EHR) documentation … is one strategy to shift the burden of documentation away from clinicians. … significant patient safety risks with scribes and highlighted the positive effects scribes have on documentation … rise-medical-scribe-industry-implications-advancement-electronic-health-records https://psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health -
digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/lessons-learned-successes-andJanuary 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation … Delivery Medical Condition Dermatologic (Skin) Disease Technology Clinical Documentation
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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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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-recordApril 13, 2022 - Charting diagnostic safety: exploring patient-provider discordance in medical record documentation … Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. … Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. … 2022 Comparison of a focused family cancer history questionnaire to family history documentation
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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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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44141/psn-pdfNovember 06, 2015 - Failures in communication through documents and documentation across the perioperative pathway. … Failures in communication through documents and documentation across the perioperative pathway. … https://psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across- perioperative-pathway … qualitative study of communication among providers in perioperative care revealed a reliance on written documentation … https://psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
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