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  1. www.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
    April 01, 2022 - The electronic health record (EHR) core identified and developed the Safer Dx Trigger Tools Framework … A sociotechnical framework for safety-related electronic health record research reporting: the SAFER … Adherence to recommended electronic health record safety practices across eight health care organizations … Challenges in patient safety improvement research in the era of electronic health records . … A sociotechnical framework for safety-related electronic health record research reporting: the SAFER
  2. www.ahrq.gov/research/findings/final-reports/iomracereport/reldatafig51txt.html
    May 01, 2018 - ); Other Health Delivery Entities (e.g., nursing homes)   Individual Data Patient Medical Record … Arrows connect Medicare to the State Level and Provider Level Collections, to Patient Medical Record … The Provider Level Collections and Patient Medical Record are linked by arrows to the Regional Quality
  3. www.ahrq.gov/teamstepps-program/curriculum/communication/tools/callout.html
    May 01, 2023 - Larkin's vital signs were accurately recorded in his medical record. The team (including Mr.
  4. www.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - on the rate of HACs comes from three sources: Review of approximately 18,000 to 33,000 medical records … The medical records used for the Medicare Patient Safety Monitoring System (MPSMS) come from the CMS … Inpatient Quality Reporting (IQR) Program. 6 After the medical records are abstracted with the MPSMS … the number of HACs, and the vast majority (>90%) of the data are gathered through review of medical records … of the "present on admission" indicator in billing data would not affect the results of the medical record
  5. www.ahrq.gov/patient-safety/settings/emergency-dept/frequent-use.html
    July 01, 2017 - JHU research team identified 386 patients from across three hospital EDs who, based on their medical records … factors was achieved through a combination of patient interviews and review of the patients’ medical records … completion of the Screening Checklist, the research team extracted information from the patients' medical records … ) Self-pay or uninsured status identified in the medical record AND Confirmed with patient … |___| Lack of Primary Care Physician No named primary care physician or clinic in the medical record
  6. www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
    April 01, 2023 - systematic, automatic referral of all qualifying patients to CR through the hospital electronic health record … implementing, and troubleshooting an automatic referral system within your hospital’s electronic health record
  7. www.ahrq.gov/policymakers/chipra/demoeval/demostates/wy.html
    March 01, 2019 - Ensuring the CME utilizes or interfaces with Wyoming's total health record (THR) for health home and … electronic health record (EHR) functions. … Care Quality To support enhanced care coordination, Wyoming is (1) integrating an electronic health record … (EHR) into its total health record (THR) system and (2) making the THR system accessible to CME operations
  8. www.ahrq.gov/patient-safety/reports/engage/appa.html
    March 01, 2017 - Oral agreement to audio record will be recorded. … Oral agreement to audio record will be recorded.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
    June 15, 2005 - created electronically by integrating data from the Shared Care Plan, a Web-based personal health record … , and clinic electronic medical records (EMRs) to create a single, Web-based view. … This Web page, called “Meds On Record” (MOR), was available within the SCP medication list function. … “Meds On Record” Functionality With patients entering medication data into their SCPs and health care … “Meds On Record” functionality diagram.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - Regenstrief Institute to develop a computerized adverse drug event (ADE) monitor using electronic medical records … As computerized outpatient records become more common, further work needs to be done to adequately … al.7 and demonstrate use in two different practice settings with two different electronic medical records … The provider records the patient’s identity, allergies, billing diagnoses, medications prescribed, tests … The Regenstrief Medical Record System: a quarter century of experience.
  11. www.ahrq.gov/cahps/news-and-events/events/webinar-111920.html
    December 01, 2023 - AHRQ Webcast on Updated CAHPS Analysis Program November 19, 2020 Summary Speakers Recording Summary This AHRQ webcast provided an opportunity to hear about recent updates to the Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) Analysis Program, commonly known as the CAHPS macro. …
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Items-2022-1215-ENGLISH-508.pdf
    January 01, 2022 - Respondents who answer “No” to the first question: “Do you use your hospital’s Electronic Health Record … is intended for those who enter or review patient information in your hospital’s electronic health record … Do you use your hospital’s Electronic Health Record (EHR) system(s) to enter or review patient information … Information was entered into the wrong patient health record..................................... … 1 2 3 4 5 9 Your Hospital’s Electronic Health Record (EHR) System 2 Section
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - analyzing the data.5 Drury6 describes eight human factors observational methods: (1) raw event/time records … Raw event/time records can be useful to analyze the time history of single events, such as in the investigation … The observer uses the area titled comments to record notes about the observation and the names of the … In a later phase of observation, a Tablet PC is used to record data. … There is also room to record notes.
  14. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-2-ef.pdf
    November 01, 2015 - from the Michigan Medicaid claims data (CHAMPS), and a chart audit was conducted by trained medical record … abstractors to compare administrative claims data with corresponding medical records data … review had a Medicaid administrative claim in the medical record. … Medicaid administrative claims data; 88 percent (30/34) antibiotic prescriptions from the medical record … Medicaid administrative claim for an antibiotic within 1 month of the prescription date in the medical record
  15. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
    June 01, 2014 - transitions or refers their patient to another setting or provider of care provides a summary of care record … (2) EP/EH who transitions or refers patients provides a summary of care record either [a] electronically … transmitted using CEHRT to recipient, or [b] where the recipient receives the summary of care record … disorder; BMI – Body mass index; CCD – Continuity of care document; CEHRT – Certified electronic health record … quality measures; EH – Eligible hospital (includes critical access hospitals); EHR – Electronic health record
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-wyoming-state-snapshot.pdf
    January 01, 2018 - The health IT included, for example, a telehealth network and a total health record that allows multiple … demonstration staff leveraged the State’s health IT initiatives to do the following— • Make the total health record … The State added fields for CME data to the total health record, including care coordination plans. … The State also trained CME staff to use the total health record to identify service gaps or the duplication … Specifically, they used the total health record to identify participants’ needs, and they used telehealth
  17. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
    July 01, 2022 - Record the lot # of the vaccine administered, if known. … Record the lot # of the vaccine administered, if known. … Record the lot # of the vaccine administered, if known. … Record the lot # of the vaccine administered, if known. … Record the lot # of the vaccine administered, if known.
  18. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/cahptab.html
    December 01, 2017 - There are also costs for collecting other HEDIS® measures, particularly if medical records review is
  19. www.ahrq.gov/patient-safety/reports/engage/appe.html
    March 01, 2017 - Definition: Health information technology can include mobile messaging, telemedicine, electronic health records
  20. www.ahrq.gov/cahps/news-and-events/events/webinar-011123.html
    January 01, 2023 - Understanding CAHPS Surveys: A Primer for New Users (Webcast) January 11, 2023 Summary Speakers and Presentation Slides Recording Summary This webcast provided an overview of AHRQ's Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) surveys, and explained how they focus on patients…

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