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Showing results for "documentation".

  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Kind_31.pdf
    March 31, 2008 - Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care Documentation … We are conducting a study designed to examine the completeness of discharge summary documentation in … Definitions were created using common terms found in medical documentation (Table 2): 1. … “Patient’s discharge condition” was defined as any documentation that gives a sense for how the patient … With minimal documentation, it is simple for a practitioner to meet the Joint Commission component standards
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38013/psn-pdf
    March 09, 2009 - Agreement between patient-reported symptoms and their documentation in the medical record. … Agreement between patient-reported symptoms and their documentation in the medical record. … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation- medical-record … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39393/psn-pdf
    March 24, 2010 - Lack of emergency medical services documentation is associated with poor patient outcomes: a validation … Lack of emergency medical services documentation is associated with poor patient outcomes: a validation … https://psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient- … https://psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation … https://psnet.ahrq.gov/issue/lack-emergency-medical-services-documentation-associated-poor-patient-outcomes-validation
  4. psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
    November 09, 2022 - Study Agreement between patient-reported symptoms and their documentation in the … Agreement between patient-reported symptoms and their documentation in the medical record. … Agreement between patient-reported symptoms and their documentation in the medical record.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42782/psn-pdf
    January 19, 2014 - 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. … psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff- and-documentation … //psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation … //psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43615/psn-pdf
    January 22, 2016 - The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric … The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric … https://psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events- pediatric-intensive-care … https://psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care … https://psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
  7. www.ahrq.gov/research/publications/pubcomguide/pcguide2apa.html
    November 01, 2018 - The contractor will provide system documentation to the Agency for all proposed hardware, software, … The documentation is to be delivered to the Federal project officer for review and approval for each … All documentation will be baselined with each system release. … Sample documents and templates for the required documentation artifacts are available as guidance to … The following documents as mentioned in Table 1, "Documentation Deliverables," are required by AHRQ.
  8. psnet.ahrq.gov/perspective/conversation-susan-smith-md
    August 01, 2019 - It's the documentation and in-basket work that put people over the edge. … in ambulatory they have to do the documentation on their own. … But the documentation burden is so different than it was before the EHR became ubiquitous. … As a result, scribes possess varying levels of documentation skills and clinical knowledge. … Documentation Assistance Provided by Scribes. Washington, DC: Joint Commission; 2018.
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-2-tech-specs.pdf
    June 02, 2025 - asthma of any severity, who are prescribed and dispensed a new medication delivery device and have documentation … regardless of severity, who are prescribed and dispensed a new medication delivery device, who have documentation … Education in the Documentation of verbal instruction, education and/or demonstration. … regardless of severity, who are prescribed and dispensed a new medication delivery device, and have documentation
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50368/psn-pdf
    September 25, 2019 - OpenNotes enables patients and their designated caregivers to access medical records and provider documentation … improve medication adherence and patient engagement, and that patients may be able to identify errors in documentation … effects of implementing a system for patients and families to report mistakes they saw in outpatient documentation … //psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation
  11. digital.ahrq.gov/sites/default/files/docs/publication/r18hs017022-hazlehurst-final-report-2010.pdf
    January 01, 2010 - Documentation of chest exam AE KPNW 1067/2301 0 46.4% 12. … Documentation of chest exam AE OCHIN 141/407 0 34.6% 15. … Documentation of chest exam AE KPNW 41/42 97.6% 12. … Documentation of chest exam AE OCHIN 84/87 96.6% 15. … Documentation that patient was queried about tobacco use PA KPNW 353/443 79.7% *Documentation
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40894/psn-pdf
    December 10, 2014 - High incidence of medication documentation errors in a Swiss university hospital due to the handwritten … High incidence of medication documentation errors in a Swiss university hospital due to the handwritten … https://psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due … https://psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten … https://psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40270/psn-pdf
    March 09, 2011 - Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery … Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery … https://psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn- … https://psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery … https://psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46264/psn-pdf
    August 09, 2017 - Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence- documentation-errors … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors … https://psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
    April 01, 2016 - nurse documentation, physician orders). … All documentation is captured from electronic nurse aide documentation except "new or worsening pressure … Documentation is captured from weekly wound assessment documentation. … orders, and other documentation in the EMR. … It verifies nursing assistant documentation to confirm that the documentation is complete enough to run
  16. psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-study
    February 01, 2023 - 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
  17. psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
    July 01, 2020 - OpenNotes provides patients with access to their health care provider’s documentation. … This study found that patient access to such documentation may have the potential to improve medication … When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation
  18. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/about.html
    July 01, 2021 - Both the level of discharge documentation and content of discharge instructions to families/caregivers … They are based on medical records documentation and focus on the content of discharge instructions provided … Measure Specifications and Reporting Children/adolescents admitted to the hospital should have documentation
  19. www.ahrq.gov/gam/summaries/inclusion-criteria/index.html
    October 01, 2018 - In addition to the guideline, developers needed to provide NGC with documentation of the underlying systematic … The clinical practice guideline is based on a systematic review of evidence as demonstrated by documentation … Corroborating documentation can be produced and verified that a systematic literature search and review … The submitter must provide English-language documentation that is available upon request in print or … Data source(s) for the measure Documentation of evidence supporting the measure and the criterion of
  20. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/health-information
    January 01, 2023 - includes questions to assess the current state of health information technology including clinical documentation … Hospital Perioperative/Operative Technology Clinical Decision Support System Clinical Documentation