Results

Total Results: 4,242 records

Showing results for "form".

1. Pemat Form (xls file)
   www.ahrq.gov/sites/default/files/publications/files/pemat_form.xls
   November 01, 2013 - PEMAT Patient Education Materials Assessment Tool (PEMAT) Auto-Scoring Form   An Instrument To … You may refer to the material at any time while you complete the form. … This PEMAT Auto-Scoring Form automatically calculates an overall understandability and actionability

2. Pemat Form (xls file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/self-mgmt/pemat/pemat_form.xls
   November 01, 2013 - PEMAT Patient Education Materials Assessment Tool (PEMAT) Auto-Scoring Form   An Instrument To … You may refer to the material at any time while you complete the form. … This PEMAT Auto-Scoring Form automatically calculates an overall understandability and actionability

3. Action-Plan-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/action-plan-form.docx
   March 01, 2024 - Action Plan Form My visit with: Date: What I want to do for my health: |_| Eat better

4. Medicine-Review-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/medicine-review-form.docx
   March 01, 2024 - Medicine Review Form Patient Name/ Number: _____________________________________________ Date: _ … Thank you for completing this form. You are now done. 9.

5. Community-Referral-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/community-referral-form.docx
   March 01, 2024 - Community Referral Form: [Practice Name] Reason for Referral_________________________________ Name of … _____________________________________________________________________ Example Community Referral Form … Community Referral Form: City Medical Care Reason for Referral Education Classes Name of Program

6. Patient-Portal-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/patient-portal-form.docx
   March 01, 2024 - Patient Portal Feedback Form Instructions: These questions are meant to guide your collection of feedback … After they are done, ask the following questions and use this form to record responses. 1.

7. Communication-Observation-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/communication-observation-form.docx
   March 01, 2024 - Communication Observation Form Please observe the interaction between a patient and a clinician.

8. Self-Assessment Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_selfasst.pdf
   April 24, 2017 - Self-Assessment Form Coaching Workshop ASTD Coaching Self-Assessment Form INSTRUCTIONS … TeamSTEPPS 2.0 for Long-Term Care ASTD Coaching Self-Assessment Form – D-9-31 Coaching Workshop … ASTD Coaching Self-Assessment Form – D-9-32 TeamSTEPPS 2.0 for Long-Term Care Coaching Workshop … TeamSTEPPS 2.0 for Long-Term Care ASTD Coaching Self-Assessment Form – D-9-33 Coaching Workshop … ASTD Coaching Self-Assessment Form – D-9-34 TeamSTEPPS 2.0 for Long-Term Care

9. Coaching Feedback Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_feedback.pdf
   April 24, 2017 - Coaching Feedback Form Coaching Workshop Coaching Feedback Form INSTRUCTIONS: While observing … the scripted coaching practice exercise, use this form to document the demonstrated competencies of … particular scenario, and the observer watches the interaction and notes on the coaching observation form … Responding to Requests Following Through TeamSTEPPS 2.0 for Long-Term Care Coaching Feedback Form

10. Chart Abstraction Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
    December 14, 2011 - Chart Abstraction Form Basic Elements Patient ID Race Ethnicity Gender … 14 15 16 17 18 19 20 21 22 23 lad895 Typewritten Text Attachment 2.1 Chart Abstraction Form

11. Form I. Patient Consent Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/resdesign-tool/tkformi.html
    August 01, 2016 - Definitions Form A. Site Visit/Conference Call Questions Form B. … Employee Focus Group Questions Form C. … Patient/Family Focus Group Consent Form Form F. Staff Process Flow Observation Form Form G. … Patient Process Flow Observation Form Form H. Staff Member Consent Form Form I. … I will get a copy of this consent form. Initial all the previous pages of consent form.

12. Action-Plan-Form-Example (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/action-plan-form-example.docx
    August 25, 2023 - Action Plan Form Example My visit with: Dr.

13. TeamSTEPPS Training Evaluation Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
    June 01, 2023 - TeamSTEPPS Training Evaluation Form TeamSTEPPS Training Evaluation Form The TeamSTEPPS … course evaluation form that follows is designed for a 2 day course based on the TeamSTEPPS curriculum … include all the material covered in a 2 day course, you may need to remove sections of the evaluation form … TeamSTEPPS Training Evaluation Form 2 Location: ___________________________ Date: __________ … Additional Comments: TeamSTEPPS Training Evaluation Form

14. TeamSTEPPS Coaching Feedback Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-coaching-feedback-form.pdf
    May 31, 2023 - TeamSTEPPS Coaching Feedback Form Coaching Feedback Form INSTRUCTIONS While observing the scripted … coaching practice exercise, use this form to document the demonstrated competencies of the designated … particular scenario, and the observer watches the interaction and notes on the coaching observation form … Difficult Situations Execution Responding to Requests Following Through Coaching Feedback Form

15. Form H. Staff Member Consent Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/resdesign-tool/tkformh.html
    August 01, 2016 - Definitions Form A. Site Visit/Conference Call Questions Form B. … Employee Focus Group Questions Form C. … Patient/Family Focus Group Consent Form Form F. Staff Process Flow Observation Form Form G. … Patient Process Flow Observation Form Form H. Staff Member Consent Form Form I. … I will get a copy of this consent form. (Initial all the previous pages of the consent form).

16. EPC Methods feedback form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/funding/contracts/epc-iv/15-epc-methods-feedback-form.docx
    January 31, 2022 - EPC Methods feedback form [Report Title]—Methods Guidance 1.

17. Team-Antibiotic-Review-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form.docx
    November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use Team Antibiotic Review Form *Questions 1–6 should … ☐ Yes ☐ No 2 Team Antibiotic Review Form AHRQ Safety Program for Improving Antibiotic Use – … Otherwise this form has been completed.

18. Form G. Patient Process Flow Observation Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/resdesign-tool/tkformg.html
    August 01, 2016 - A Toolkit for Redesign in Health Care: Final Report Form G. … Definitions Form A. Site Visit/Conference Call Questions Form B. … Employee Focus Group Questions Form C. … Patient/Family Focus Group Consent Form Form F. Staff Process Flow Observation Form Form G. … Patient Process Flow Observation Form Form H. Staff Member Consent Form Form I.

19. Form F. Staff Process Flow Observation Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/resdesign-tool/tkformf.html
    August 01, 2016 - A Toolkit for Redesign in Health Care: Final Report Form F. … Definitions Form A. Site Visit/Conference Call Questions Form B. … Employee Focus Group Questions Form C. … Patient/Family Focus Group Consent Form Form F. Staff Process Flow Observation Form Form G. … Patient Process Flow Observation Form Form H. Staff Member Consent Form Form I.

20. Sample Informed Consent Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/informedconsent/icformseng.doc
    September 03, 2009 - Sample Informed Consent Form Sample Informed Consent Form( Consent Form Study Title Why sign … · Give you a form with questions for you to answer. … · Give you a form with questions for you to answer. … · Give you a form with questions for you to answer. … · Give you a form with questions for you to answer.