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Showing results for "documentation".

81. Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet
    psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
    February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic … Efficiency and safety of speech recognition for documentation in the electronic health record. … Electronic documentation burden can contribute to physician burnout . … Efficiency and safety of speech recognition for documentation in the electronic health record. … September 1, 2018 Advance care planning documentation practices and accessibility in

82. CHIPRA 230: Documentation of BMI Percentile and Weight Classification for Children (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-fullreport.pdf
    July 01, 2019 - CHIPRA 230: Documentation of BMI Percentile and Weight Classification for Children 1 Documentation … Agreement was assessed for four measure variables: documentation of BMI percentile, documentation of … weight classification, documentation of height, and documentation of weight (necessary to calculate … Agreement for documentation of height and documentation of weight were both 100 percent, with Kappa … In addition, 86.2 percent had documentation of height, and 96.0 percent had documentation of weight

83. Documentation of clinical review and vital signs after major surgery. | PSNet
    psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
    September 30, 2010 - Study Documentation of clinical review and vital signs after major surgery. … Documentation of clinical review and vital signs after major surgery. … Incomplete medical documentation was noted more commonly on the weekends . … Documentation of clinical review and vital signs after major surgery. … June 22, 2009 The impact of introducing medical emergency team system on the documentations

84. The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet
    psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
    November 06, 2015 - Review The role of documents and documentation in communication failure across the … The role of documents and documentation in communication failure across the perioperative pathway. … traverse multiple settings, disciplines, and providers—all mediated through different documents and documentation … The role of documents and documentation in communication failure across the perioperative pathway. … Related Resources From the Same Author(s) Failures in communication through documents and documentation

85. CHIPRA 241: Section 6, Tables 3 and 4 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-6-tables-3-4.pdf
    June 02, 2025 - Variable Description Records Reviewed For IRR (N) N Agreed (%) Kappa Statistic Documentation … of communication of weight status 20 18 (90) 0.899 Documentation of height 20 20 (100) 1 Documentation … of weight 20 20 (100) 1 Table 4: Documentation of Communication of Weight Classification … Measure Numerator (N) Denominator (N) Proportion (%) Documentation of Communication of Weight … Classification, based on calculated BMI. 10 216 4.6% Documentation of Communication of

86. Section 1, Table 1 to 4 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-1-tables-1-4.pdf
    June 02, 2025 - severity quantified; no pain present (ONC)1 Pain Assessment G8440 Pain assess f/u pln document Documentation … pain assessment (including location, intensity and description) prior to initiation of treatment or documentation … pain assessment (including location, intensity and description) prior to initiation of treatment or documentation … Short Description Long Description Pain Assessment G8441 No document of pain assess No documentation … description) prior to initiation of treatment Pain Assessment G8442 Pt inelig pain assessment Documentation

87. Nursing Practice Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
    March 01, 2022 - Engagement and Collaboration CHG Bath Documentation Nasal Product Documentation Patient/Family Sustainment … Nursing documentation of CHG bath is accurate and timely: Process to identify patients with devices … Documentation of CHG bath is occurring Patient arrival before 9 p.m.: CHG bath expected before 9 … of improvement is 30 days Nursing documentation of nasal product is accurate and timely: Process … *Admission-day rules and suggested documentation timing are based on the ABATE Infection Trial.

88. Nursing Practice Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
    March 01, 2022 - *Admission-day rules and suggested documentation timing are based on the ABATE Infection Trial. … Engagement and Collaboration CHG Bath Documentation Nasal Product Documentation Patient/Family … Nursing documentation of CHG bath is accurate and timely: • Process to identify patients with … devices • Documentation of CHG bath is occurring • Patient arrival before 9 p.m.: CHG bath … expected before 9 p.m.* • CHG bath documentation occurs once per calendar day • Provide staff

89. Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health/final-report
    January 01, 2023 - Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record - Final … Improving Allergy Documentation and Clinical Decision Support in the Electronic Health Record - Final … Principal Investigator Zhou, Li Project Name Improving Allergy Documentation and Clinical

90. Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation burden in emergency departments. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/essential-nurse-documentation-studying-ehr-burden-during-covid-19-endburden/citation/understanding
    January 01, 2023 - Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation … Understanding the perceived role of electronic health records and workflow fragmentation on clinician documentation … Principal Investigator Rossetti, Sarah Collins Yen, Po-Yin Project Name Essential Nurse Documentation

91. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2020, Group Practice Linkage File, Technical Documentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-group-practice-linkage-file-tech-doc.pdf
    January 01, 2020 - Technical Documentation 9 I. … Technical Documentation 11 II. … Technical Documentation 18 2. … Technical Documentation 26 4. … Technical Documentation 28 2.

92. A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health/citation/dynamic
    January 01, 2023 - A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record … A dynamic reaction picklist for improving allergy reaction documentation in the electronic health record … pubmed.ncbi.nlm.nih.gov/32417930/ Principal Investigator Zhou, Li Project Name Improving Allergy Documentation

93. Dynamic reaction picklist for improving allergy reaction documentation: A usability study. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/improving-allergy-documentation-and-clinical-decision-support-electronic-health/citation/reaction
    January 01, 2023 - Dynamic reaction picklist for improving allergy reaction documentation: A usability study. … Dynamic reaction picklist for improving allergy reaction documentation: A usability study. … pubmed.ncbi.nlm.nih.gov/36529027/ Principal Investigator Zhou, Li Project Name Improving Allergy Documentation

94. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet
    psnet.ahrq.gov/issue/devil-detail-how-closed-loop-documentation-system-iv-infusion-administration-contributes-and
    February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion … The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes … authors conducted a sociotechnical investigation to describe the implementation of a closed-loop documentation … These types of closed-loop systems automate steps in the documentation of medication administration. … The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes

95. Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet
    psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
    September 09, 2020 - Study Improving administration and documentation of enteral nutrition support therapy … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs … After discovering significant issues with ordering, administration, and documentation of EN, this health … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs … March 8, 2023 Improving allergy documentation: a retrospective electronic health record

96. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
    December 01, 2017 - completed for the following components of CNA documentation: Meal intake. … Display a dash (-) in report sections with insufficient documentation to compute values. … Note: If a resident has the required amount of documentation for meal intake and bowel but lacks the … required 75 percent documentation for bladder and ADL documentation on a report that displays these … documentation completion percentages for specific documentation sections.

97. Introducing Electronic Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
    December 01, 2015 - Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation … at the AcademyHealth Annual Research Conference Minneapolis, Minnesota Effects on Screening Documentation … of screening – May account for 2010–2011 increases in documentation rates • CHIPRA-funded study … (fully electronic) – May have enhanced trend toward more documentation for some practices (see chart … for 2012 implementers) • Rates of screening documentation for developmental delay are similar to

98. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Group Practice Linkage File, Technical Documentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-group-practice-linkage-file-tech-doc.pdf
    January 01, 2022 - Technical Documentation 9 I. … Technical Documentation 11 II. … Technical Documentation 18 2. … Technical Documentation 26 4. … Technical Documentation 28 2.

99. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2021, Group Practice Linkage File, Technical Documentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-group-practice-linkage-file-tech-doc.pdf
    January 01, 2021 - Technical Documentation 9 I. … Technical Documentation 11 II. … Technical Documentation 18 2. … Technical Documentation 26 4. … Technical Documentation 28 2.

100. Compendium of U.S. Health Systems, 2023, Hospital Linkage File, Technical Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-os-linkage-techdoc.pdf
     January 01, 2023 - Health Systems, 2023, Outpatient Site Linkage File, Technical Documentation Prepared for: … HEALTH SYSTEMS, 2023, OUTPATIENT SITE LINKAGE FILE, TECHNICAL DOCUMENTATION 1 I. … HEALTH SYSTEMS, 2023, OUTPATIENT SITE LINKAGE FILE, TECHNICAL DOCUMENTATION 3 II. … HEALTH SYSTEMS, 2023, OUTPATIENT SITE LINKAGE FILE, TECHNICAL DOCUMENTATION III. … HEALTH SYSTEMS, 2023, OUTPATIENT SITE LINKAGE FILE, TECHNICAL DOCUMENTATION 7 1.