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81. Table 5.A.1. Evidence Table (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - Each record took an average of 40 minutes to review. … A nurse or health record technologist first reviewed charts for triggers. … Review of each record was capped at 20 minutes. … ) and 169 records (20.1% of records reviewed by both nurses and physicians) in Utah. … Is detection of adverse events affected by record review methodology?

82. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/apcd/backgroundrpt/data.html
    April 01, 2017 - , and provider records. … When available, the record numbers reported in the control tables were observed in all resulting SAS … in inpatient records where secondary codes can affect reimbursement. … Payer 100% In some record types, payer may be reported less frequently. … Applies to provider records.

83. Improving Patient Safety with the Military Electronic Health Record (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
    January 24, 2004 - system that generates, maintains, and provides 24-hour secure online access to longitudinal health records … to legible patient records. … The DoD recognizes the value of secure, computerized patient records available on demand as a substantive … Through actions such as adopting a “unified system of computerized records,” the president continued … Audit trails record the identity of any user who accesses or modifies any record or information stored

84. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - Each class was assigned to contribute a maximum of 30, 45, or 60 records, based on the number of records … containing hospitals with the fewest records for the class. … If a record was sampled for a given class, and the record contained more than one code from that class … Each record was used to validate codes in only one class. … ICD-9-CM code-identified adverse events confirmed by medical record Table 2.

85. Electronic Test Result Communication in the Era of the 21st Century Cures Act - Appendix B. Included Studies (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-test-result-communication-apb.pdf
    July 01, 2024 - patients S: Academic medical center Review of portal utilization data and associated medical records … patients S: Academic health system Review of portal utilization data and associated medical records … exams S: Single health service region Review of portal utilization data & associated patient records … S: Large integrated health system Review of portal utilization data & associated patient records … S: Single academic medical center Review of portal utilization data and associated medical records

86. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
    January 01, 2022 - Human abstractors answer questions related to objective information from the medical record. … of Records in Sample Number of Records, 2022 Percentage of Records in Sample OTHER 8289 36.6% … Ideally, within each cohort, each medical record from different hospitals has the same probability of … used in QSRS and those that would not be discernible from review of the inpatient hospitalization record … Sample record weight calculation for month m and cohort k: Denote 𝑁𝑁𝑚𝑚𝑚𝑚 as the total number

87. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
    January 01, 2022 - Human abstractors answer questions related to objective information from the medical record. … of Records in Sample Number of Records, 2022 Percentage of Records in Sample OTHER 8289 36.6% … Ideally, within each cohort, each medical record from different hospitals has the same probability of … used in QSRS and those that would not be discernible from review of the inpatient hospitalization record … Sample record weight calculation for month m and cohort k: Denote 𝑁𝑁𝑚𝑚𝑚𝑚 as the total number

88. History of EHR Documentation Legislation | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ehr-impact3.html
    July 01, 2024 - Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety History … Next Page Table of Contents Documenting Diagnosis: Exploring the Impact of Electronic Health Records … The 21st Century Cures Act ultimately prioritizes ease of access to records and the transparency of clinical … experience. 26,27 Multiple federal and state laws and regulations govern nearly every facet of medical records

89. Table 4. AADE Recommended Measures and Measurement Methods | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptmgmt/ptmgmttab4.html
    July 01, 2018 - Review of pharmacy refill record. Review of log book. … Review of pharmacy refill record. Demonstration. Self-report. … Blood glucose, medication records. Observation, role playing. … Food and blood glucose records. 24-hour recall, food frequency questionnaires.

90. Appendix R. Infection Prevention Support Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
    April 01, 2018 - Using the MRN found in the Excel spreadsheet, you will look up the patient in your medical record system … and all false negative records unless the combined total exceeded 50 records. … If the number of records was more than 50, a random selection of false positive and false negative records … Intermountain used the SASâ SURVEYSELECT procedure to randomly select 34 false positive records so that … there would be a total of 50 records to be reviewed.

91. CANDOR Event Checklist | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
    August 01, 2022 - Obtain all records: medical record, departmental worksheets, logs (e.g., transports), and schedules ( … Obtain all monitoring strips/records. … Secure record of pages via operator or tracking mechanism. … Advise care providers on appropriate medical record documentation post event. … Collect medical records and other documents to establish timeline of events.

92. 5 Tk2 P3T2-Sample Procedures Phase 3 (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
    January 01, 1999 - Records [List any records that will be kept in conjunction with the program (for example, the infection-control

93. Health IT and Digital Health | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/research/health-it/index.html
    September 01, 2022 - Highlighted Resources Guide to Integrate Patient-Generated Digital Health Data into Electronic Health Records … Ambulatory Care Settings : A guide for integrating patient-generated health data into electronic health records

94. Development of the CAHPS Health Information Technology Item Set | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/item-sets/HIT/Development-HIT-Item-Set.html
    July 01, 2022 - For example, how do electronic medical records and personal health records affect the timeliness of care … The interviews explored issues around electronic and personal health record architecture, functions most … frequently used by providers and patients, and the percentage of patients registered to use personal health records

95. Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - Electronic health record (EHR). … Reliability of medical record data was determined through re‐abstraction of patient record data to calculate … Therefore, records for IRR were not chosen completely at random; rather, records were selected to maximize … In total, 672 unique records were reviewed; 123 records (18 percent) met denominator criteria for this … This measure is implemented with medical record data, and was tested with electronic medical records

96. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - Paper medical record; electronic medical record. … Records were sampled at each site by taking a random sample of 10 medical records for each quarter between … Group B consisted of a random sub-sample of the records in Group A (i.e., 24 records per site) that … Group C consisted of a separate random sub-sample (i.e., 24 records per site) of the records reviewed … Is detection of adverse events affected by record review methodology?

97. Advantages and Disadvantages of Registries: Population Health | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/tools/registries-pros-cons.html
    November 01, 2018 - Advantages and Disadvantages of Registries (PDF, 173 KB, 1 page) Registries can complement paper records … or electronic health records (EHRs), which frequently do not have the functions needed for population

98. IMPLEMENT CA Asthma Collaborative Data Collect ion Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/chart-review-tool.pdf
    June 02, 2025 - please mark "No" i f t here is clear documentation of this being assessed OR if you are ab le to review records … Please mark "Don't know" i f you do no t have access to any ED records, either outside or w i t h … AND you do not see any documentation in the medic a l record assess i ng for ED v isits in the last

99. Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
    February 01, 2022 - of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records … With his health data easily integrated into his electronic health record, his primary care doctor has … Carolina will discuss different technical approaches to collect and integrate PGHD with electronic health records

100. Exhibit 5.12. Project Team Composition—ED Value Stream | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-12.html
     November 01, 2014 - Administrative staff as they related to the project (i.e., medical records staff).