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Showing results for "form".

1. Ari Smart Form Final (pdf file)
   digital.ahrq.gov/sites/default/files/docs/page/ari_smart_form_final.pdf
   June 16, 2021 - 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 … The form is designed to assist with the assessment and management of non-specific upper respiratory … This web site includes views of each page of the ARI smart form, as well as a preview of the note. … Using the tab feature, providers can edit and view preview of their ARI Smart Form note.

2. Medication Reconciliation Form | Digital Healthcare Research
   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

3. Chart Review Form | Digital Healthcare Research
   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

4. Prescription Screening Form | Digital Healthcare Research
   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

5. ADE Incident Identification Form | Digital Healthcare Research
   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

6. Dataform 4: Chart Review form (pdf file)
   digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
   June 16, 2021 - Dataform 4: Chart Review form Page 1 of 7 Center for Excellence for Patient Safety Research … and Practice 5/27/05 Dataform 2: Chart Review Version 0. 11 DATAFORM 2 Chart Review Form … Antihistamine (all forms) 17. Antihypertensive 18. Antimalarial 19. … Antiviral (all forms) 25. Barbituate 26. Beta Blocker 27.

7. Patient Enrollment Form | Digital Healthcare Research
   digital.ahrq.gov/document-type/patient-enrollment-form
   January 01, 2023 - Patient Enrollment Form Automated Telephone Self-Management Program

8. Data Collection Form | Digital Healthcare Research
   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.

9. Telewound Care Network PATIENT ENROLLMENT FORM (pdf file)
   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

10. Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/citation/medication-reconciliation
    January 01, 2023 - Medication reconciliation: comparing a customized medication history form to a standard medication form … Medication reconciliation: comparing a customized medication history form to a standard medication form

11. Telewound Care Network Patient Enrollment Form | Digital Healthcare Research
    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

12. ADE and Near Miss Incident Classification Form | Digital Healthcare Research
    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

13. Medication Error and Near Miss Classification Form | Digital Healthcare Research
    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

14. DATAFORM 5 ADE and Near Miss Incident Classification Form (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
    June 16, 2021 - DATAFORM 5 ADE and Near Miss Incident Classification Form DATAFORM 5 ADE and Near Miss Incident … Classification Form 1. … printed template Page 2 of 3 6/6/05 Dataform 5: ADE and Near Miss Incident Classification Form … No Page 3 of 3 6/6/05 Dataform 5: ADE and Near Miss Incident Classification Form Version 5.0 … DATAFORM 5 ADE and Near Miss Incident Classification Form

15. DATAFORM 3 Medication Error and Near Miss Classification Form (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
    June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form WBD DATAFORM 3 Medication Error … and Near Miss Classification Form 1. … Research and Practice 5/27/05 Dataform 3: Medication Error and Near Miss Classification Form … 2.02 Underdose 2.03 Dose omitted (from order/when dispensed) 2.04 Dose units omitted 2.05 Dose form … Research and Practice 5/27/05 Dataform 3: Medication Error and Near Miss Classification Form

16. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form - Final Report | Digital Healthcare Research
    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

17. User interface accelerators for clinical documentation in Smart Form. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-6
    January 01, 2023 - User interface accelerators for clinical documentation in Smart Form. … User interface accelerators for clinical documentation in Smart Form. … for… Principal Investigator Middleton, Blackford Project Name Evaluating Smart Forms

18. Evaluating Smart Forms and Quality Dashboards in an EHR (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
    January 01, 2009 - Evaluating Smart Forms and Quality Dashboards in an EHR Grant Final Report Grant ID: HS015169 … alone, and use of Smart Forms plus Quality Dashboards. … That is, any visit occurring in a clinic assigned to Smart Forms or Smart Forms plus Quality Dashboards … We assessed the significance of the Smart Forms or Smart Forms plus Quality Dashboards on the primary … A National Web Conference on Smart Forms and Quality Dashboards.

19. Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? Results of a physician satisfaction survey. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-7
    January 01, 2023 - Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … 18694145 Principal Investigator Middleton, Blackford Project Name Evaluating Smart Forms

20. Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/patient-centered-informatics-system-enhance-health-care-rural-communities-0
    January 01, 2023 - Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings. … Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings.