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Showing results for "documentation".
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises2.htmlDecember 01, 2017 - True False Worsening Pressure Ulcer information is captured from weekly wound assessment documentation … True False Resident behavior information may be captured from nursing assistant daily documentation … or nurse documentation. … True False The Risk Change Report displays residents with changes in documentation of urinary … How many residents appear to have incomplete CNA documentation in at least one area?
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/annual-summary/2009January 01, 2009 - The first intervention focused on the impact of a forms-based, clinical documentation approach to decision … ; and 2) Do these interventions improve the quality of clinical documentation, capture of key clinical … Specific Aims: Design and implement an integrated documentation-based CDS and physician feedback … CDS tool and physician feedback with respect to documentation and the clinical management of patients … Impact and Findings: A documentation-based CDS tool and a physician feedback system can be designed
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psnet.ahrq.gov/perspective/medical-scribes-and-patient-safetyAugust 01, 2019 - As a result, scribes possess varying levels of documentation skills and clinical knowledge. … Documentation Assistance Provided by Scribes. Washington, DC: Joint Commission; 2018. … 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.
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_ExcellenceReportExample.pdfMarch 15, 2009 - of management plan 0 ( 0 %) 21.71 % *Includes procedures with documentation of NO current anticoagulant … use Procedures with documentation of sedation medications … of dosage 470 (98.74%) 85.32 % Number of procedures with medication documentation errors 1 (0.62 … %) 0.04 % *Includes procedures with documentation that no medications were given, of residual sedation … of pathology results 0 (0 % ) 3.96 % Of these, number with documentation of screen interval 0 (- %
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hcup-us.ahrq.gov/db/vars/pay1_n/nisnote.jspSeptember 01, 2008 - No documentation was available about which payer type(s) were used for Title V. … No documentation was available about which payer type(s) were used for Title V. … No documentation was available about which payer type(s) were used for Title V. … No documentation was available about which payer type(s) were used for Title V. … The source documentation indicates that No Charge is included in Other (PAY1_N = 12).
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854259/psn-pdfJanuary 01, 2024 - psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission Accurate and complete clinical documentation … atrial fibrillation (phone encounter) and documented a brief note regarding the encounter afterwards (documentation … The study found that written documentation following a clinical encounter included more important clinical -
www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.htmlJuly 01, 2022 - for documenting medications patient takes prior to admission (e.g., quantity of medication history documentation … Tracks percent of nursing and/or pharmacist adherence, by unit, for completing medication reconciliation documentation … medications the patient was taking prior to admission (e.g., quality of medication history verification and documentation
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.htmlJuly 01, 2022 - for documenting medications patient takes prior to admission (e.g., quantity of medication history documentation … Tracks percent of nursing and/or pharmacist adherence, by unit, for completing medication reconciliation documentation … medications the patient was taking prior to admission (e.g., quality of medication history verification and documentation
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60819/psn-pdfAugust 19, 2020 - the 82,353 incidents occurring between 2007 and 2016 result from inadequate, missing, or incorrect documentation … , underscoring the need for standardized documentation platforms and care processes. … register-based-research-adverse-events-revealing-incomplete-records-threatening-patient https://psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39399/psn-pdfFebruary 17, 2011 - Can electronic clinical documentation help prevent diagnostic errors? … Can electronic clinical documentation help prevent diagnostic errors? … https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors This … https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors https -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.htmlDecember 01, 2014 - These triggers are derived primarily from electronic CNA documentation. … All documentation is captured from electronic CNA documentation except "new or worsening pressure ulcer … The shift-detail view displays documentation completeness for each shift. … The report provides nursing home staff with a mechanism to audit the completeness of CNA documentation … The Completeness Report displays weekly documentation percentages for the documentation elements required
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptxJanuary 01, 2017 - Background Methods Impact of Multiple Clinician Focused Interventions on Childhood Obesity Documentation … Management guidelines include documentation of weight status and laboratory screening for co-morbidities … October 2016: Weight status documentation automated within the well child order set at all sites. … Sites without incentives did not improve documentation rates until automation occurred. … immediately preceded increased rates of weight status documentation.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37247/psn-pdfDecember 15, 2011 - Perinatal clinical decision support system: a documentation tool for patient safety. … Perinatal clinical decision support system: a documentation tool for patient safety. … https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety … https://psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety -
www.ahrq.gov/sdoh/data-analytics/sdoh-data.htmlJune 01, 2023 - The database includes data files and codebooks by year at three levels of geography, as well as a documentation … Users should refer to the data source documentation and codebooks, as well as the original data sources … Download Data and Documentation Data Source Documentation ( PDF, 6 MB) contains information for researchers
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdfJanuary 01, 2023 - Measures: In addition to the composite measures, single item measures included assess: • Near-Miss Documentation … Response to Mistakes 86% Staff Training 82% Staffing, Work Pressure, & Pace 74% 27 Near-Miss Documentation … Center (ASC) Results Respondent Demographics Composite Measure Results Item Results Near-Miss Documentation … Comparative Results Composite Measure Results Item Results Near-Miss Documentation Overall Rating … Comparative Results by Staff Position Composite Measure Results Item Results Near-Miss Documentation
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Sexual Activity Status Among Adolescents (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0087-fullreport.pdfOctober 01, 2016 - Numerator Statement Documentation of any of the following during the measurement year or the 6 months … Documentation of a prescription for birth control/contraception alone would count towards the numerator … Opportunity for Improvement: Sexual Activity Status Documentation Oftentimes, an adolescent’s provider … Guidelines that Apply to Sexual Activity Documentation Among Adolescents Note that we have included … Rates of documentation and sexual activity varied by site (61.5 percent to 95.9 percent for documentation -
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017094-mccolm-final-report-2009.pdfJanuary 01, 2009 - Standardization included provider documentation templates, electronic prescribing and documentation … Documentation queries in the CMH EHR system are data fields with a label. … CMH created documentation queries to capture additional data within provider documentation templates … CMH developed a new approach to template documentation for the organization. … Use of the quality measures documentation that requires the use of new documentation queries has, so
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33850/psn-pdfJanuary 01, 2018 - The use of copy and paste in medical documentation raises many concerns. … Despite widespread acknowledgement by clinicians that the quality of documentation has declined since … Moreover, little has been written about documentation improvement initiatives that address copy and … accuracy, as patients will now also be able to hold us accountable for quality documentation. … Ultimately, physicians need to reestablish ownership of the accuracy of clinical documentation. -
psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errorsApril 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for … Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45344/psn-pdfJanuary 23, 2017 - between-paper-charts 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 can … 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
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