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Showing results for "documentation".
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37733/psn-pdfJune 13, 2011 - Survey of medication documentation at hospital discharge: implications for patient safety and continuity … Survey of medication documentation at hospital discharge: implications for patient safety and continuity … https://psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient- … discharged from an inpatient cardiology service had at least one discrepancy in their medication documentation … https://psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity -
digital.ahrq.gov/principal-investigator/turchin-alexanderOctober 14, 2020 - and Hyperlipidemia Following the money: copy-paste of lifestyle counseling documentation … Following the money: copy-paste of lifestyle counseling documentation and provider billing. … Intensification of Treatment for Hyperglycemia and Hyperlipidemia Electronic documentation … Electronic documentation of lifestyle counseling and glycemic control in patients with diabetes. … Prevalence and factors affecting home blood pressure documentation in routine clinical care: a retrospective
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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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Hrccdocumentationhandout 0 (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/hrccdocumentationhandout_0.pdfJune 02, 2025 - Preventable Hospital and Emergency Department Visits: Electronic Reports High-Risk Change in Condition and Documentation … Elements Documentation Element CHF/Chest Pain/MI Pneumonia/ Bronchitis Mental Status … Inattention or lack of focus or withdrawn or distracted or not attending activities 1 Documentation -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39054/psn-pdfFebruary 20, 2010 - Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication … Accuracy of medication documentation in hospital discharge summaries: A retrospective analysis of medication … https://psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries- retrospective-analysis … https://psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis … https://psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis -
Implementation Measurement (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdfJanuary 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? -
Implementation Measurement (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdfJanuary 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? -
TO (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_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? -
psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-recordMay 26, 2021 - Finally, structured information can be reformatted into coherent clinical documentation. … Documentation dynamics: note composition, burden, and physician efficiency. … Interdisciplinary Optimization of Admission Documentation: Reducing the Bloat. … Two Years After Coding Changes Sought to Decrease Documentation, Notes Remain ‘Bloated’. … Use of electronic clinical documentation: time spent and team interactions.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45197/psn-pdfMarch 20, 2017 - When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation … psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions- documentation … Approximately one-fourth of patients identified a possible documentation error in their records, illustrating … //psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46532/psn-pdfJuly 30, 2018 - Efficiency and safety of speech recognition for documentation in the electronic health record. … Efficiency and safety of speech recognition for documentation in the electronic health record. … https://psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health … - record Electronic documentation burden can contribute to physician burnout. … https://psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record -
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdfJanuary 01, 2008 - to nurse documentation). … MDI – e-charting for RN and care team documentation and eMAR Clinical documentation: RNs and LPNs … documentation built in CareTracker to support RN and CNA documentation. … MDS nurses focused on documentation accuracy, in particular the behavior and ADL documentation. … Close monitoring of CNA documentation resulted in more accurate documentation; monitoring and documentation
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digital.ahrq.gov/ahrq-funded-projects/standardization-and-automatic-extraction-quality-measures-ambulatory-electronic/annual-summary/2009January 01, 2009 - Standardization covered provider documentation templates, electronic prescribing, and documentation of … Sixty-two quality measures were built into the documentation and workflow in the 15 clinics studied. … Without incentives and feedback, providers may not use the documentation queries that are needed for … Use of quality measures that require new documentation queries has, so far, been low among providers … EMR documentation to capture all PQRI data elements was implemented during this project.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37882/psn-pdfJuly 31, 2008 - Documentation of drug allergy on drug chart in patients presenting for surgery. … Documentation of drug allergy on drug chart in patients presenting for surgery. … https://psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery Nearly … one in three patients presenting for elective surgery did not have adequate documentation of drug allergies … https://psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.htmlDecember 01, 2017 - Internal nutritional review; MDS assessment documentation 7. … MDS assessment documentation 8. … MDS assessment documentation 6. … MDS assessment documentation 5. Nurse/rehab weekly huddle 6. … MDS assessment documentation 5.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdfJune 01, 2018 - Documentation of Heart Rate During Fluid Resuscitation for Children With Severe Sepsis or Septic Shock … 1 Documentation of Heart Rate During Fluid Resuscitation for Children with Severe Sepsis or Septic … Measure Name Documentation of Heart Rate During Fluid Resuscitation for Children with Severe Sepsis … These changes are reflected in the final documentation. Section 11. … We noted that often there was no documentation of resolution of severe sepsis or septic shock.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/utah-health-information-network-uhinJanuary 01, 2023 - The tool includes questions to assess the current state of clinical documentation. … Administrator Care Setting Across the Health Care System Technology Clinical Documentation
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psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentationJune 26, 2024 - Developing a medical emergency team running sheet to improve clinical handoff and documentation … Developing a medical emergency team running sheet to improve clinical handoff and documentation. … Developing a medical emergency team running sheet to improve clinical handoff and documentation.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37959/psn-pdfJanuary 11, 2017 - Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation … Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation … https://psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities … discharged from hospitals on anticoagulant medications (including warfarin and heparin) lacked adequate documentation … https://psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.htmlDecember 01, 2017 - Care Plan Meetings X Dietary Department Internal Review X MDS Assessment Documentation … Care Plan Meetings X Dietary Department Internal Review X MDS Assessment Documentation … Care Plan Meetings X Dietary Department Internal Review X MDS Assessment Documentation … Care Plan Meetings X Dietary Department Internal Review X MDS Assessment Documentation … You may need the staff educator on the team if nursing assistant documentation is not sufficiently complete
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