Pediatric Documentation Templates - Agency For Healthcare Research And .
Pediatric Documentation TemplatesAcute Respiratory Infection (ARI) Smart FormExecutive SummaryThe Partners Pediatric Acute Respiratory Infection (ARI) smart form is a guideline-driven templatedesigned to streamline urgent care visits for patients ages 6 months to 18 years presenting with ARIs.The form is designed to assist with the assessment and management of non-specific upper respiratoryinfections, otitis media, pharyngitis, strep pharyngitis, influenza, cough, pneumonia, and sinusitis. Theform provides check boxes for symptoms and physical examination specifically related to ARIs;therefore, it does not provide the opportunity to document other problems.After the provider specifies a primary and possibly a secondary diagnosis, it provides guideline- basedoptions for management. After the provider selects the desired items for the management plan, thesystem then generates prescriptions, handouts, and a completed note. This web site includes views ofeach page of the ARI smart form, as well as a preview of the note.SourceThis template was developed under a grant from the Agency for Healthcare Research and Quality(AHRQ), Improving Pediatric Safety and Quality with Healthcare IT, in collaboration with the PartnersHealthCare System Quality Improvement Group, the Massachusetts General Hospital for Children, andPartners HealthCare System Inc. Information Systems. Listed below are the names of clinicians andexperts who contributed to development of the template. In addition, the LMR Pediatric ContentSubcommittee and the main LMR Content Committee reviewed the template, and approved it for use withthe Partners Longitudinal Medical Record (LMR).ContributorsTimothy Ferris, MD, MPH; Fabienne Bourgeois, MD, MPH; James Perrin, MD; John Co, MD,MPH; Maya Olsha-Yehiav; Matvey B. Palchuk, MD, MS; Frank Y. Chang; David P. Taylor,MS; Jeffrey L. Schnipper, MD, MPH; Jeffrey Linder, MD, MPH; Qi Li, MD, MBA; BlackfordMiddleton, MD, MPH, MSc.
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Using the tab feature,providers can edit andview preview of theirARI Smart Form note.DisclaimerThese tools were created using national, state, and local guidelines, and group consensus regarding bestpractices. These guidelines, and their interpretation by clinicians at Partners Healthcare System, may notrepresent the standard of care across all regions or settings, and are not intended to be adopted orapplied without independent assessment of their suitability for a particular setting. Moreover, guidelineschange over time (for example, the age range for children who should receive influenza vaccinations wasrecently extended to 59 months). The rules and/or reminders contained within these templates may needthe addition or modification of certain items to ensure that they remain consistent with current guidelines.Therefore, the tools included here are intended only as examples or guides for the development of similartemplates in other settings. Partners Healthcare System and its affiliates disclaim any and all responsibilityor liability associated with the use of the templates displayed here by third parties.
Pediatric Documentation Templates . Acute Respiratory Infection (ARI) Smart Form. Executive Summary. The Partners Pediatric Acute Respiratory Infection (ARI) smart form is a guideline-driven template designed to streamline urgent care visits for patients ages 6 months to 18 years presenting with ARIs.
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The physicians at Albany Med's Bernard & Millie Duker Children's Hospital are specially trained in more than 40 pediatric fields, including pediatric pulmonary disease, pediatric surgery, pediatric gastroenterology, pediatric anesthesia and pediatric neurology. Albany Med houses the region's only Pediatric Intensive Care Unit (PICU) and
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