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digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2011
January 01, 2011 - .); 2) added drop-down calendars to data collection forms to calculate health care utilization by specific … access dates; and 3) added new data collection forms to examine changes in inclusion status for participants
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digital.ahrq.gov/telehealth
January 01, 2023 - Evaluating different forms of data collection to determine medication adherence include examining data … Different forms of telehealth (such as telepsychiatry, teledermatology, and teleradiology) have been … Their experiences underscore the importance of testing to make certain that telehealth and other forms
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2006
January 01, 2006 - "At one point, a form within [the EMR] used to collect data about patients' pain level and risk of domestic … The paper form used in the clinic to actually collect these data was not updated until later, resulting … Using the paper chart, physicians could quickly flip through previous neurological examination forms … "The nurse copied data provided by patients from the paper forms into the EMR.
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-reconciliation-form
January 01, 2023 - Medication Reconciliation Form
Description
This is a medication reconciliation … form for ambulatory adult visits. … Patient-Centered Communication and Decisionmaking about Medications
PDF
Medication Reconciliation Form
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/chart-review-form
January 01, 2023 - Chart Review Form
Description
This is a chart review form for an adverse drug … Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic … Health Records
PDF
Chart Review Form
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/prescription-screening-form
January 01, 2023 - Prescription Screening Form
Description
This is a form to classify prescriptions … Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic … Health Records
PDF
Prescription Screening Form
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digital.ahrq.gov/document-type/patient-enrollment-form
January 01, 2023 - Patient Enrollment Form
Automated Telephone Self-Management Program
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digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - Data Collection Form
ADE Incident Identification Form
Description … This form identifies an adverse drug event using data reported by a clinician. … Description
This form is used to classify ADEs and near misses. … Description
This is a chart review form for an adverse drug event (ADE) study. … Description
This is a near miss classification form for an adverse drug event study.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024314-bauer-final-report-2018.pdf
January 01, 2018 - If any two of the 3 items were positive, then the Vanderbilt form for the parent was printed and given … Similarly, a second parent said seeing the form and handout helped her understand how
anxiety impacts … She did not really understand all the items and ended up giving the form to the medical assistant. … Parents acknowledged that it would be best to complete the forms before leaving
clinic (parent forms … ) but the teacher form (Vanderbilt) had to be done after the visit.
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digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
June 16, 2021 - Telewound Care Network PATIENT ENROLLMENT FORM
Telewound Care Network AHRQ/ NIH/ NLM
Telewound Care … Network
PATIENT ENROLLMENT FORM
PATIENT NAME: _________________ ________ _____________________ … Videophone # _____________________________________________
Telewound Care Network PATIENT ENROLLMENT FORM
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
January 01, 2008 - data elements, implemented new paper forms,
and received reports from ISIS … CNAs and Wound RN incorporated Real-
Time standardized documentation forms as a pre-IT step and used … Standardized CNA form was used. … and evaluation of CNA forms. … and evaluation of CNA forms.
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digital.ahrq.gov/ahrq-funded-projects/secure-architecture-exchanging-health-information-safehealth/annual-summary/2009
January 01, 2009 - Forms for universal consent and revocation of authorization were created and approved by the participating … By using a central EMPI and repository outside the EMR, patients can sign a single universal consent form … System functionality that supports automated printing of patient consent forms improved and simplified
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/checklist
January 01, 2023 - PDF , 491KB)
Workflow Assessment Checklist ( PDF , 119KB)
Description
A checklist is a form … DESIGN A FORM with clearly labeled categories and sufficient room for data entry. … Make sure the form is easy to read and use.
4. PERFORM DATA COLLECTION during the agreed period. … Disadvantages
Checklist forms are usually specific to a particular situation.
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digital.ahrq.gov/sites/default/files/docs/page/PHTMA.pdf
December 01, 2004 - Encounter forms
ongitudinal medical record (LMR).
178 L. … Screenshot of time-motion study data entry form. … The form lists Major Categories and associated Minor Categories. … Observers used a stylus to log activities on an
Access form (Fig. 2). … Physician use of an ambulatory medical record system: matching
form and function.
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digital.ahrq.gov/ahrq-funded-projects/partnership-clinician-electronic-health-record-ehr-use-and-quality-care/annual-summary/2010
January 01, 2010 - of use of CDS is that providers have multiple ways to document and receive support (e.g., multiple forms … Variation of CDS use around specific chronic disease forms appears to be related to the predominant type
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/CFF_Office_Visit.pdf
March 01, 2009 - documents allergies, meds,
tobacco, ON FACE SHEET/IN
CHART
Asks MD or visit specific
questions
Gathers forms
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-incident-identification
January 01, 2023 - ADE Incident Identification Form
Description
This form identifies an adverse … Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic … Health Records
PDF
ADE Incident Identification Form
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digital.ahrq.gov/sites/default/files/docs/resource/C2_Process_Guide_Standard.pdf
June 16, 2021 - Fax Cynthia Scheideman-Miller the following forms to (405) 713-4992
(white multi-page form) from … Completed
(white multi-page form)
Patient Enrollment Form
4. … Cynthia Scheideman-Miller will:
(blue form)
a. … Fax Patient Information Form and Enrollment Form to Consultant
ENROLLMENT:
1. … (tan form) in 72 hours, preferably prior to the first consult.
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digital.ahrq.gov/ndc
January 01, 2023 - on RxNorm , which provides "standard names for clinical drugs (active ingredient + strength + dose form … ) and for dose forms as administered to a patient." … produces, repackages, or distributes the drug
The product code - identifies the strength, dosage form
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digital.ahrq.gov/ahrq-funded-projects/context-critical-understanding-when-and-why-electronic-health-record-related
January 01, 2023 - increased errors
A second example found from the black box analysis, was errors related to the intake form … On one form, the height was on the left and the weight was on the right, while on the other form, the … the likelihood that a clinician who sees both pediatric and adult patients, and therefore uses both forms … Hettinger and his team made the forms consistent, making an immediate impact on quality and safety.