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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/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/sites/default/files/docs/page/2006Muller_052411comp.pdf
June 16, 2021 - standardized patient
medication list to be used in all hospitals
across the metropolitan area
Two forms … discharge
– Wallet size for patient to carry with him/her
An Idea Was Born
Providence had developed a form … color of sheet, adjusted wording
Area for each system to personalize with their
logo
Full Page Form … systems for group
learning
Challenges
Coordination of large group – scheduling
Advertising the form … Improve Communication
Support
Project Summary
An Idea Was Born
Membership
Process
Full Page Form
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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/ahrq-funded-project-resources-archives/telewound-care-network-patient
January 01, 2023 - Telewound Care Network Patient Enrollment Form
Description
This is a form to … Document Type
Data Collection Form
Document Source
INTEGRIS Telewoundcare Network … Health Record/Electronic Medical Record
PDF
Telewound Care Network Patient Enrollment Form
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-and-near-miss-incident
January 01, 2023 - ADE and Near Miss Incident Classification Form
Description
This form is used … Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic … Health Records
PDF
ADE and Near Miss Incident Classification Form
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-error-and-near-miss
January 01, 2023 - Medication Error and Near Miss Classification Form
Description
This is a near … miss classification form for an adverse drug event study. … Document Type
Data Collection Form
Document Source
Statewide Implementation of Electronic … Health Records
PDF
Medication Error and Near Miss Classification Form
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - Pediatrics: Special challenges
Medication process challenges
• Age/weight-based dosing
• Multiple dosage forms … in peds…
All rooms private
Fewer doses/patient
May take longer to administer oral meds
Many forms
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digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project/annual-summary/2009
January 01, 2009 - All system sites were using standardized data capture forms. … and implementation of network-wide clinical data standards; c) utilization of standardized templates/forms
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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/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/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
January 01, 2007 - Yes No
Is chart checked for any needed forms? … What forms (if any) are used during a visit? … MA makes call, MD fills out form, etc.) … There may not be a need for this form if a clinical person can review
the forms within the EHR. … ____
Faxed forms from pharmacy How many?
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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/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/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/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/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - support;
• Developed strategic partnership with AMA to utilize their consensus measures (these
form … the basis for CMS developing prep measures)
• Developed needed forms, with clinical protocols embedded … in form user friendly at point
of patient care (Includes Decision support both active and passive, … • All sites live on the system are utilizing standardized data capture forms. … • Forms completed and reviewed by clinical staff, and now in active use and continually
refined
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digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable/final-report
January 01, 2023 - Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form … Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form … Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable 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.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-effectiveness-health-information-technology-self-management-program/annual-summary/2012
January 01, 2012 - Develop the interface between the EMR and the patient portal with the disease-specific plan of care forms