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Showing results for "form".

1. Talent Release Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Talent-Release-fillable-form.pdf
   April 01, 2024 - Talent Release Form Talent Release Form Instructions This Talent Release Form must be completed … Completed release forms are recommended for people whose video appearances are possible but uncertain … Talent Release Form. … This form may be used for other types of production if the Type of Product is specified below. … Unless the participating minor cannot write, the minor also must sign the release form.]

2. Talent-Release-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/talent-release-form.docx
   July 01, 2024 - AHRQ Publishing and Communications Guidelines Talent Release Form Instructions This Talent Release Form … Completed release forms are recommended for people whose video appearances are possible but uncertain … Release Form. … This perpetual license covers all forms of media, existing or subsequently developed, globally. … Talent Release Form Agency for Healthcare Research Quality (AHRQ) U.S.

3. Release Form for Meeting Participants (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Meeting-Release-form.docx
   July 01, 2024 - Release Form for Meeting Participants Release Form for Meeting Participants Instructions Completion … of this Release Form is required when recording speakers and participating audience members at a meeting … audience members are not known before they speak, efforts should be made to have them sign the Release Form … Print one form for each speaker and one each for the expected number of attendees. … Release Form for Meeting Participants I do hereby authorize AHRQ, assignees, successors, and those acting

4. CAHPS Data Research Abstract Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-research-abstract-form-2025.pdf
   January 01, 2025 - CAHPS Data Research Abstract Form CAHPS Database Research Abstract Form – February 2025 4 Agency … for Healthcare Research and Quality (AHRQ) CAHPS® Database Research Abstract Form Instructions … Please use this form to describe the research for which you require AHRQ Consumer Assessment of … Save this completed form with your last name in the f ile name (e.g., “Smith CAHPS Research Abstract.doc … CAHPS Database Research Abstract Form – February 2025 4 Methodology [Specify measures and proposed

5. Audio/Video Concept Proposal Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Audiovideo-fiilable-form.pdf
   April 01, 2024 - Audio/Video Concept Proposal Form … No. 24-DTP009 April 2024 Audio/Video Concept Proposal Form Instructions AHRQ program representatives … must submit to the Office of Communications (OC) a completed Audio/Video Concept Proposal Form before … Completed Audio/ Video Concept Proposal Forms should be submitted to MultimediaSupport@ahrq.hhs. … Note to Grantees: While AHRQ grantees are not required to complete and submit this form, they may use

6. Identifying-Antibiotic-Adverse-Events-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/identifying-antibiotic-adverse-events-form.docx
   November 01, 2019 - Improving Antibiotic Use Identifying Antibiotic-Associated Adverse Events Form … PURPOSE OF THIS FORM: To discuss issues that may result in unnecessary antibiotic administration … All health care providers are encouraged to complete this form. … Consider completing this form at least twice a year.

7. 163-Central-Line-Rounds-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
   October 01, 2024 - No. 25-0007 October 2024 Central Line Rounds Form | 1 AHRQ Safety Program for MRSA Prevention | ICU

8. CAHPS Data Research Abstract Form Example (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-research-abstract-form-example.pdf
   February 01, 2025 - CAHPS Data Research Abstract Form Example CAHPS Database Research Abstract Form – February 2025 1 … Agency for Healthcare Research and Quality (AHRQ) CAHPS® Database Research Abstract Form EXAMPLE … OF A COMPLETED FORM This completed abstract presents an example of how to complete this form. … Date Research Abstract Form Completed 2/17/2025 Provide the date you are submitting the Research … Abstract Form.

9. Form-Use-Previously-Recorded-Audiovisual Materials (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Form-Use-Previously-Recorded-Audiovisual%20Materials.docx
   July 01, 2024 - AHRQ Publishing and Communications Guidelines Release Form for Use of Previously Recorded Audiovisual … owners if the materials need to be returned, and by what date, and include that information on the form … July 2024 Release Form for Use of Previously Recorded Audiovisual Materials, Including Photographs I

10. Location Release Form for Video Shoots (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Location-Release-fillable-form.pdf
    April 01, 2024 - Location Release Form for Video Shoots Location Release Form for Video Shoots Instructions This … Location Release Form must be completed by the location’s Administrator to verify permission to conduct

11. Learning-Antibiotic-Adverse-Events-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
    November 01, 2019 - Program for Improving Antibiotic Use – Acute Care Learning From Antibiotic-Associated Adverse Events Form

12. Plan Do Study Act (PDSA) Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/pdsa-form.pdf
    February 11, 2015 - Plan Do Study Act (PDSA) Form PLAN DO STUDY ACT (PDSA) FORM Cycle #: Start Date: End Date: Project … July 24, 2014 Credit to IHI Open School for Health Professionals for original form. … July 24, 2014 Credit to IHI Open School for Health Professionals for original form.

13. EvidenceNOW: Consent Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/consent-form-nc.html
    March 01, 2021 - EvidenceNOW: Consent Form North Carolina Cooperative Resource: Consent Form—North Carolina

14. Release Form for AHRQ To Use Copyrighted Material (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Appendix1-A-PermissionForms.pdf
    April 01, 2024 - for Video Shoots Location Release Form for Video Shoots Instructions This Location Release Form … Do not use this form to receive materials from an archival site, such as iStock. … Talent Release Form Instructions This Talent Release Form must be completed by nongovernment … Completed release forms are recommended for people whose video appearances are possible but uncertain … Talent Release Form.

15. Release Form for AHRQ To Use Copyrighted Material (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Copyright-fillable-form.pdf
    April 01, 2024 - Release Form for AHRQ To Use Copyrighted Material Instructions This form must be completed by Contractors … Release Form for AHRQ To Use Copyrighted Material The undersigned hereby grants permission to the Agency … lines as needed by selecting Return]: E-signature of copyright holder (type name): Date: Release Form

16. 4 Tk2 T1-Medical Care Referral Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
    May 01, 2014 - Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM … Advanced directive/ MOST Form: Yes No ? DNR Yes No ? No Antibiotics Yes No ?

17. Public Inquiry Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/contact/support.html
    send feedback about Agency for Healthcare Research and Quality (AHRQ) programs and activities via the form … Be aware that feedback from multiple AHRQ websites is received through this form, so please be as specific

18. EvidenceNOW: Data Submission Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/submission-form-mw.html
    March 01, 2021 - EvidenceNOW: Data Submission Form Midwest Cooperative Resource: Chart Review: Submission for … Baseline, 12, & 18 Months (PDF, 148 KB, 2 pages) This data submission form was used by an EvidenceNOW

19. EvidenceNOW: Data Submission Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/submission-form-nw.html
    March 01, 2021 - EvidenceNOW: Data Submission Form Northwest Cooperative Resource: Blood Pressure Chart Abstraction … Protocol and Timeline (PDF, 118.25 KB, 2 pages) This data submission form was used by an EvidenceNOW

20. EvidenceNOW: Implementation Tracking Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/implementation-tracking-sw.html
    March 01, 2021 - EvidenceNOW: Implementation Tracking Form Southwest Cooperative Resource: Implementation … Tracking Note—Southwest Cooperative (PDF, 363.33 KB, 2 pages) This intervention tracking form used