Results

Total Results: 1,549 records

Showing results for "form".

1. HIE Patient Consent Form (pdf file)
   digital.ahrq.gov/sites/default/files/docs/behavioral-health-consent-022713.pdf
   May 03, 2016 - HIE Patient Consent Form © 2011 Southeast Nebraska Behavioral Health Information Network, … writing at any time except to the extent that Agency or a Participant has already relied on this form … inspect or copy the specific health information I have authorized to be disclosed by this Consent form … to eBHIN where it can be accessed by other Participants, unless and until you sign a new Consent form … By signing this Consent form, I confirm that it accurately reflects my wishes. __________________

2. Ari Smart Form Final (pdf file)
   digital.ahrq.gov/sites/default/files/docs/page/ari_smart_form_final.pdf
   June 24, 2013 - 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.

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, 2022 - Chart Review Form Description This is a chart review … form for an adverse drug event (ADE) study. … 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, 2022 - Prescription Screening Form Description This is … a form to classify prescriptions based on type and what adverse events occurred. … Document Type Data Collection Form Document Source Statewide Implementation … of Electronic Health Records PDF Prescription Screening Form

5. Medication Reconciliation Form | Digital Healthcare Research
   digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-reconciliation-form
   January 01, 2022 - Medication Reconciliation Form Description This … is a medication reconciliation form for ambulatory adult visits. … and Decisionmaking about Medications PDF Medication Reconciliation Form

6. Patient Enrollment Form | Digital Healthcare Research
   digital.ahrq.gov/document-type/patient-enrollment-form
   January 01, 2022 - Patient Enrollment Form

7. Data Collection Form | Digital Healthcare Research
   digital.ahrq.gov/document-type/data-collection-form
   January 01, 2022 - Data Collection Form ADE … Incident Identification Form Description This form identifies an adverse drug … 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 form to classify prescriptions based on type and what

8. Dataform 4: Chart Review form (pdf file)
   digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
   September 30, 2009 - 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.

9. 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, 2022 - ADE Incident Identification Form Description This … form identifies an adverse drug event using data reported by a clinician. … Document Type Data Collection Form Document Source Statewide Implementation … of Electronic Health Records PDF ADE Incident Identification Form

10. Telewound Care Network PATIENT ENROLLMENT FORM (pdf file)
    digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
    June 11, 2009 - 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

11. Focus Group Consent Form (Spanish) | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/focus-group-consent-form
    January 01, 2022 - Focus Group Consent Form (Spanish) Description … Example consent form used in an AHRQ-funded project involving older adults. … The form is in Spanish. … Technology Clinical Decision Support System PDF Focus Group Consent 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, 2022 - ADE and Near Miss Incident Classification Form Description … This form is used to classify ADEs and near misses. … Document Type Data Collection Form Document Source Statewide Implementation … 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, 2022 - 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 … Electronic Health Records PDF Medication Error and Near Miss Classification Form

14. 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, 2022 - Telewound Care Network Patient Enrollment Form Description … This is a form to collect baseline patient data and enroll patients into a telehealth wound … Document Type Data Collection Form Document Source INTEGRIS Telewoundcare Network … Electronic Medical Record PDF Telewound Care Network Patient Enrollment Form

15. 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, 2022 - 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

16. Case Study: Developing a Universal Consent Form: Lessons Learned from Florida Medicaid (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/fl_casestudy_final_0.pdf
    September 01, 2010 - health IT and HIE) noted that one of the major barriers to interoperable HIE was the “battle of the forms … The multitude of forms created confusion for providers who were unable to determine whether another … Although AHCA had originally intended to create a single form, they decided to create two forms: one … unfamiliarity or real-world experiences with electronic HIE and how that might transform the need for new forms … AHCA expects the rollout and deployment of the forms to be gradual as provider awareness and participation

17. 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.

18. A National Web Conference on Smart Forms and Quality Dashboards (pdf file)
    digital.ahrq.gov/sites/default/files/docs/SFQD_Slides%20(2).pdf
    January 01, 1993 - Research Design EHR alone EHR with Smart Forms R Practices Forms EHR w/ Smart Forms & Quality … after using the CAD/DM Smart Form for 6 weeks … Quality Dashboards ↔ Smart Forms Same data feeds Quality Dashboards and Smart Forms Same data feeds … Quality Dashboards and Smart Forms Smart Forms capture structured information that informs Quality … Smart Forms capture structured information that informs Quality Smart Forms and Quality Dashboards

19. Acute Respiratory Infection | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/acute-respiratory-infection
    January 01, 2022 - Executive Summary The Partners Pediatric Acute Respiratory Infection (ARI) smart form … The form is designed to assist with the assessment and management of non-specific upper respiratory infections … The form provides check boxes for symptoms and physical examination specifically related to ARIs; therefore … This web site includes views of each page of the ARI smart form, as well as a preview of the note.

20. 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, 2022 - 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