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Showing results for "documentation".

61. Can electronic clinical documentation help prevent diagnostic errors? | PSNet
    psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
    December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? … Can electronic clinical documentation help prevent diagnostic errors? … Can electronic clinical documentation help prevent diagnostic errors?

62. Compendium of U.S. Health Systems, Technical Documentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/chsp/data-resources/compendium/technical-documentation.html
    December 01, 2023 - Health Systems, 2022, Technical Documentation (PDF, 1 MB). Compendium of U.S. … Health Systems, 2021, Technical Documentation  (PDF, 6 MB). Compendium of U.S. … Health Systems, 2020, Technical Documentation  (PDF, 2 MB). Compendium of U.S. … Health Systems, 2018, Technical Documentation  (PDF, 1.3 MB). Compendium of U.S. … Health Systems, 2016, Technical Documentation  ( updated January 2019 ) (PDF, 2 MB).

63. Disposition of Comments_Technical Brief No. 47: Measuring Documentation Burden in Healthcare (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/documentation-burden-prepub-disposition-comments.pdf
    May 21, 2024 - Perceptions of documentation burden may vary. … This intersects with documentation burden because more documentation is needed as patient volumes increase … There is no differentiation between documentation burdens that are necessary to provide care and documentation … Documentation burden is one of those 17 causes. … paper documentation?

64. Indication alerts to improve problem list documentation. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/indication
    January 01, 2023 - Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation.

65. Hypertension Screening for Children Who Are Overweight or Obese: Tables 3-5 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-tables3-5.pdf
    June 02, 2025 - that BMI is ≥85th percentile 6 6 (100) 1 Documentation of blood pressure contained in the medical … of height 6 6 (100) 1 Documentation of weight 6 6 (100) 1 Table 4: Documentation of Blood Pressure … of Systolic Blood Pressure Percentile 5 207 2.4% Documentation of Diastolic Blood … Pressure Percentile 5 207 2.4% Documentation of Blood Pressure Classification As Normal … of Blood Pressure Percentile for Children with Calculated BMI ≥85th Percentile Table 5: Documentation

66. Health Information Technology Enhanced Family Health History Documentation & Management in Primary Care - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-enhanced-family-health-history-documentation/final-report
    January 01, 2023 - Health Information Technology Enhanced Family Health History Documentation & Management in Primary Care … Health Information Technology Enhanced Family Health History Documentation & Management in Primary Care … PDF Health Information Technology Enhanced Family Health History Documentation & Management in … Project Name Health Information Technology Enhanced Family Health History Documentation & Management

67. CHIPRA 230: Section 6, Tables 6 and 7 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-6-table-6-7.pdf
    June 02, 2025 - of BMI percentile 59 58 (98) 0.982 Documentation of weight classification 59 55 (93) 0.924 Documentation … of height 59 59 (100) 1 Documentation of weight 59 59 (100) 1 Table 7: Documentation of BMI Percentile … and Weight Classification Measure Numerator (N) Denominator (N) Proportion (%) Documentation … of BMI Percentile 192 600 32.0% Documentation of Weight Classification 219 600 36.5% Documentation … 517 600 86.2% Documentation of Weight 576 600 96.0%

68. Neurosurgery: Radiculopathy (Lumbar Thoracic) Documentation Template | CDS Connect
    cds.ahrq.gov/cdsconnect/artifact/neurosurgery-radiculopathy-lumbar-thoracic-documentation-template
    June 20, 2018 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates

69. CHIPRA 230: Technical Specifications (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-tech-specs.pdf
    June 02, 2025 - of BMI percentile and documentation of weight classification at an outpatient care visit during the … The percentage of children who had documentation of weight classification (classification numerator … BMI Percentile Written documentation of BMI percentile in the chart, documentation of BMI Documentation … Weight Classification Written documentation of BMI percentile, from the medical record. … Documentation Documentation in the medical record must include at least one classification from any

70. Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health
    January 01, 2024 - Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record … The specific aims of the research were as follows: Improve reaction documentation by developing a … Dynamic reaction picklist for improving allergy reaction documentation: A usability study. … Expanding the reaction picklist in electronic health records improves allergy documentation. … Quality of documentation of contrast agent allergies in electronic health records.

71. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-ehr-impact.pdf
    August 01, 2024 - to increase the quality and utility of clinical documentation. … Accurate and robust documentation affects the standard of care. … The Future of Diagnostic Documentation The future of clinical documentation is likely to be influenced … without negatively affecting provider documentation burden. … Documentation The Future of Diagnostic Documentation Conclusion References

72. Assessing documentation of critical imaging result follow-up recommendations in emergency department discharge instructions. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/automated-notification-follow-testing-recommendations-across-care-settings/citation/assessing
    January 01, 2023 - Assessing documentation of critical imaging result follow-up recommendations in emergency department … Assessing documentation of critical imaging result follow-up recommendations in emergency department … Notification for Followup Testing Recommendations Across Care Settings Technology Clinical Documentation

73. 055-Guide-Nursing-Practice (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
    October 01, 2024 - Engagement & Collaboration Determine Which Patients Need Treatment CHG Bath Documentation Nasal Product … of CHG bath is accurate and timely: · Process in place to identify patients with devices. · Documentation … Nursing documentation of nasal product is accurate and timely: · Process in place to identify patients … of individual staff practice patterns and timely followup. · Patient outlier concerns and documentation … *Admission-day rules and suggested documentation timing are based on the ABATE Infection Trial.

74. Quality of documentation of contrast agent allergies in electronic health records. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health/citation/quality
    January 01, 2023 - Quality of documentation of contrast agent allergies in electronic health records. … Quality of documentation of contrast agent allergies in electronic health records. … pubmed/30846398 Principal Investigator Zhou, Li Project Name Improving Allergy Documentation

75. Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation burden: Novel application of topic modeling. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/essential-nurse-documentation-studying-ehr-burden-during-covid-19-endburden/citation/eliciting
    January 01, 2023 - Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation burden: Novel application … Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation burden: Novel application … Principal Investigator Rossetti, Sarah Collins Yen, Po-Yin Project Name Essential Nurse Documentation

76. Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/barriers-and-facilitators-implementation-and-adoption-ehr-home-care/citation/opportunities
    January 01, 2023 - Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems … Opportunities in interdisciplinary care team adoption of electronic point-of-care documentation systems … and Facilitators to Implementation and Adoption of EHR in Home Care Technology Clinical Documentation

77. Chart Review* Submission for Baseline, 12, & 18 Months (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/submission-form-mw.pdf
    June 02, 2025 - Error Documentation Error Documentation Error Exception on Review – Allergy Documentation List … Error Exception on Review – Diagnosis Documentation Error No Diagnosis on Review – Diagnosis … Documentation Error Not Done Patient Reason Remaining Potential Quality Gaps: _________________ … Documentation ErrorRow1: Exception on Review Allergy Documentation List ErrorRow1: Exception on … Review Diagnosis Documentation ErrorRow1: No Diagnosis on Review Diagnosis Documentation ErrorRow1

78. Expanding the reaction picklist in electronic health records improves allergy documentation. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health/citation/expanding
    January 01, 2023 - Expanding the reaction picklist in electronic health records improves allergy documentation. … Expanding the reaction picklist in electronic health records improves allergy documentation. … pubmed.ncbi.nlm.nih.gov/35835388/ Principal Investigator Zhou, Li Project Name Improving Allergy Documentation

79. Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. | PSNet
    psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
    May 29, 2019 - Computerized physician order entry of medications and clinical decision support can improve problem list documentation … Computerized physician order entry of medications and clinical decision support can improve problem list documentation … added to an existing computerized provider order entry system, improved the accuracy of physician documentation … Computerized physician order entry of medications and clinical decision support can improve problem list documentation … April 29, 2018 Indication alerts to improve problem list documentation.

80. Technical Notes and Survey Documentation – MEPS-IC Data Tools
    datatools.ahrq.gov/meps-ic/technical-notes-and-survey-documentation/
    January 01, 2022 - HCUPnet FAQ AHRQ Data Tools MEPS-IC Data Tools Technical Notes and Survey Documentation … Across Data Tools Search Technical Notes and Survey Documentation … ^top Suggested Citation: MEPS Insurance Component: Technical Notes and Survey Documentation