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www.ahrq.gov/pqmp/measures/documentation-bmi-percentile.html
August 01, 2021 - Documentation of BMI percentile and weight classification for children
Measure Domain: Management
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - In summary, effective documentation and coding processes involve the following key steps:
• Documentation … Documentation by Providers
Because coders can use only documentation from the treating providers that … rates based on their current style of documentation, side by side with revised rates
after documentation … Documentation and Coding Issues for Individual PDIs
Some specific documentation issues for the PDIs … Documentation and Coding for the AHRQ Pediatric Quality Indicators
Addressing the Documentation and
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact6.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
EHR … Detailed documentation enhances patient safety by reducing the risk of diagnostic errors and facilitating … However, specific knowledge about diagnostic errors within EHR documentation is limited, indicating a
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact2.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
The … EHRs enhance patient safety both directly and indirectly by improving data documentation, ensuring data … to increase the quality and utility of clinical documentation.
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psnet.ahrq.gov/issue/questionable-hospital-chart-documentation-practices-physicians
August 10, 2011 - Study
Questionable hospital chart documentation practices by physicians. … Questionable hospital chart documentation practices by physicians. … This study found that more than half of physicians surveyed engaged in questionable documentation practices … behaviors, and the greater impact of billing and medical-legal influences on documentation practices … Questionable hospital chart documentation practices by physicians.
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psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
July 28, 2021 - Study
Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-Compendium-TechDoc.pdf
January 01, 2022 - Health Systems, 2022, Technical Documentation
Comparative Health System Performance Initiative:
Compendium … Health Systems, 2022, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality … For more information about hospital-to-hospital matching, refer to the technical
documentation for the … Health Systems, 2022, Technical Documentation
Contents
Tables
Figures
Acknowledgments
I. … Health Systems, 2022, Technical Documentation is appropriate for this document.
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www.ahrq.gov/sites/default/files/wysiwyg/2020-Compendium-TechDoc.pdf
January 01, 2020 - Health Systems, 2020, Technical Documentation
Comparative Health System Performance Initiative:
Compendium … Health Systems, 2020, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality … v The Hospital Linkage File and technical documentation for the Compendium of U.S. … Health Systems, 2020, Technical Documentation
Acknowledgments
I. Introduction
II. … Health Systems, 2020, Technical Documentation is appropriate for this document.
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www.ahrq.gov/sites/default/files/wysiwyg/2021-Compendium-TechDoc.pdf
January 01, 2021 - Health Systems, 2021, Technical Documentation
Comparative Health System Performance Initiative:
Compendium … Health Systems, 2021,
Technical Documentation
Prepared for:
Agency for Healthcare Research and Quality … iv The Hospital Linkage File and technical documentation for the COMPENDIUM OF U.S. … Health Systems, 2021, Technical Documentation
Acknowledgments
I. Introduction
II. … Health Systems, 2021, Technical Documentation is appropriate for this document.
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cds.ahrq.gov/cdsconnect/artifact/neurosurgery-radiculopathy-cervical-documentation-template
July 17, 2017 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
-
cds.ahrq.gov/cdsconnect/artifact/mental-health-homelessness-documentation-template
March 27, 2018 - Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
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digital.ahrq.gov/ahrq-funded-projects/essential-nurse-documentation-studying-ehr-burden-during-covid-19-endburden
January 01, 2023 - Essential Nurse Documentation: Studying EHR Burden During COVID-19 (ENDBurden) … Project Description
Publications
Examining the relationship between nursing documentation … Documentation requirements increase workload and staff burnout, along with correlations to poor patient … , discover which documentation patterns are deemed essential by nurses, and examine documentation pattern … (i.e., documentation that meets both clinical and regulatory demands) on EHR burden.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-Compendium-TechDoc-rev.pdf
January 01, 2021 - Health Systems, 2021, Technical Documentation
Comparative Health System Performance Initiative:
Compendium … Health Systems, 2021, Technical
Documentation
Prepared for:
Agency for Healthcare Research and Quality … For more information
about hospital-to-hospital matching, refer to the technical documentation for the … iv The Hospital Linkage File and technical documentation for the Compendium of U.S. … Health Systems, 2021, Technical Documentation is appropriate for this document.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
January 01, 2020 - Health Systems, 2020, Technical Documentation
Comparative Health System Performance Initiative: … Health Systems, 2020, Technical
Documentation
Prepared for:
Agency for Healthcare Research … For more information
about hospital-to-hospital matching, refer to the technical documentation for the … v
The Hospital Linkage File and technical documentation for the Compendium of U.S. … Health Systems, 2020, Technical Documentation is appropriate for this document.
-
psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
March 25, 2015 - Study
Hospital discharge documentation and risk of rehospitalisation. … Hospital discharge documentation and risk of rehospitalisation. … Hospital discharge documentation and risk of rehospitalisation.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises5.html
December 01, 2017 - : Report Information: Entire Facility
Sample Completeness Report: Entire Facility
Documentation … 78.2
86.9
Behaviors
53.1
69.9
87.1
91.0
Discussion Questions
Which documentation … 54.8
61.7
78.2
86.9
Behaviors
53.1
69.9
87.1
91.0
Evening Shift
Documentation … 54.8
61.7
78.2
86.9
Behaviors
53.1
69.9
87.1
91.0
Night Shift
Documentation … What areas of documentation need some followup investigation? Why?
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effectivehealthcare.ahrq.gov/products/documentation-burden/prepub-tech-brief
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/8.html
December 01, 2017 - Report Description
The Completeness Report is a check of CNA documentation to determine how much of … On-Time Reports are generated from four sections of CNA documentation: Meal Intake, Bowels, Bladder, … Report Example
Documentation Section
5/29/13
6/5/13
6/12/13
6/19/13
Meal Intake … Bowels
CNA documentation of bowel habits
Includes: All residents on a unit during each week. … Behaviors
CNA documentation of behaviors
Includes: All residents on a unit during each week.
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psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
August 07, 2013 - Study
Failures in communication through documents and documentation across the perioperative … Failures in communication through documents and documentation across the perioperative pathway. … qualitative study of communication among providers in perioperative care revealed a reliance on written documentation … Failures in communication through documents and documentation across the perioperative pathway. … August 7, 2013
The role of documents and documentation in communication failure across
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psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information
June 23, 2009 - Study
Improving documentation of a beta-blocker quality measure through an anesthesia … information management system and real-time notification of documentation errors. … Improving documentation of a beta-blocker quality measure through an anesthesia information management … system and real-time notification of documentation errors. … system and real-time notification of documentation errors.