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421. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
     January 01, 2024 - Older Adult Medical/Demographics Form: This form includes the self-report of disease information using … Pharmacist OTC Encounter Form: The purposes of the OTC Encounter Form were to 1) document the interactions … Pharmacist OTC Encounter Form: The OTC form is a 10-item tool consisting of fixed-choice response options … To compare data from the pre- and post-intervention OTC forms, frequency distributions were computed … for each OTC form item at both points in time.

422. Acute Care ASP Development
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
     November 01, 2019 - Interventions1 Approach Definition Pros Cons Pre-prescription approval of antibiotics Phone call placed or form … Interventions1 Approach Definition Pros Cons Pre-prescription approval of antibiotics Phone call placed or form … Interventions1 Approach Definition Pros Cons Pre-prescription approval of antibiotics Phone call placed or form … Commission Antimicrobial Stewardship Standard and run the risk of a citation at our next visit” Step 2: Form

423. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
     June 01, 2021 - Providers Hold monthly stewardship meetings Collect and analyze data using the Monthly Data Collection Form … prescribing clinicians and other frontline staff Apply the Four Moments of Antibiotic Decision Making Form … Approach to Patients With Reported Penicillin Allergy one-pager Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form Management RTI 25 Disclaimer The findings and recommendations in

424. Comparative Health System Performance Initiative Annual Workshop: Agenda (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/agenda-coe-workshop1.pdf
     September 29, 2016 - Page does not require timed responses Navigation links Passed Navigation links are not repetitive Forms … Rule Name Status Description Tagged form fields Passed All form fields are tagged Field descriptions … Passed All form fields have description Alternate Text Rule Name Status Description Figures alternate

425. Tool 3. Clinical Care Observation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool3.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

426. Quick Start Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-quick.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

427. Tool 1. Staff Meeting Discussion Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool1.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

428. Acknowledgements | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-ack.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

429. Chapter 3. Linking With a Community Partner | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
     March 01, 2014 - The community partner can use the same form to provide you with their contact information. … Several of the clinicians followed the lists and liberally used the referral forms. … Step 4: Create and Use a Referral Form A long, complicated referral form will either sit in a cabinet … Who will fill out the referral form and at what point during the patient encounter? … Finally, others chose to save up the batches of forms to hand deliver to the community representative

430. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
     November 01, 2019 - Team Antibiotic Review Form The Antibiotic Stewardship Program is encouraged to find time to meet … portion of patients receiving antibiotics; this can be guided by use of the Team Antibiotic Review Form

431. Step 5: Set the Stage for Conducting the Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
     December 01, 2019 - Conducting the Survey Review all steps in the process of planning a survey project: Step 1: Form … Step 2: Form an Advisory Group .   Step 3: Define Your Goals .

432. Step 3: Define Your Project Goals | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Define-Your-Project-Goals.html
     December 01, 2019 - Your Project Goals Review all steps in the process of planning a survey project: Step 1: Form … Step 2: Form an Advisory Group .   Step 3: Define Your Goals.

433. Culture-Check-Uptool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
     June 02, 2025 - Assign someone to complete the Culture Item Discussion Form (next page) to document the issues that surface … Culture Item Discussion Form: Statement to be discussed: Unit Safety Assessment Score (percent agreement

434. QAPI Leadership Rounding Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
     June 02, 2025 - See optional rounding form below. 3. … Rounding Form PERSON CONDUCTING ROUNDS: DATE: UNIT(S): BACKGROUND: (to be completed prior to

435. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_6-coaching-speaker-notes.pdf
     July 01, 2023 - • Divide into groups of three • Review the scenarios, Facilitator Guide, and Coaching Feedback Form … feedback 10 SCRIPT You should each be in a group of three and have copies of the Coaching Feedback Forms … particular scenario; and the observer watches the interaction and notes on the Coaching Feedback Form … of the scenario, the observer provides feedback based on comments noted on the Coaching Feedback Form … 19 Hospital AIM Team Leads SPPC‐II Coaching Feedback Form • Used to provide feedback on a

436. Coaching (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_6-coaching-speaker-notes.pdf
     July 01, 2023 - • Divide into groups of three • Review the scenarios, Facilitator Guide, and Coaching Feedback Form … feedback 10 SCRIPT You should each be in a group of three and have copies of the Coaching Feedback Forms … particular scenario; and the observer watches the interaction and notes on the Coaching Feedback Form … of the scenario, the observer provides feedback based on comments noted on the Coaching Feedback Form … 19 Hospital AIM Team Leads SPPC‐II Coaching Feedback Form • Used to provide feedback on a

437. What Are Patient-Reported Measures? | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/about-cahps/patient-experience/prems-proms/index.html
     February 01, 2025 - Widely used PROMs include the 36-item Short Form Health Survey (SF-36) 1 for collecting self-reported … Practice .                                                                        1. 36-item Short Form

438. II. Background | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit2.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing SEA Form … Spanish) 4.a-2 Screening Eligibility Assessment (SEA) Form  (incl. … Spanish) 5.a-1 Master Patient Database Elements 5.d-1 Chart Audit Review Form 6.a-1 Feedback Form … for Stool Test Positive 6.a-2 Feedback Form for Stool Test Negative 6.b-1 Feedback Form for CDE … Using academic detailing and performance feedback forms, it seeks to educate clinical providers and other

439. Optimizing Environmental Cleaning | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/environmental-cleaning.html
     April 01, 2025 - Resources Tool: Evaluating Environmental Cleaning With Fluorescent Gel: Data Collection Instructions and Form … (DOCX, 520 KB) This tool provides step-by-step instructions and a data collection form for fluorescent

440. Learning-From-Antibiotic-Adverse (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
     June 01, 2021 - X Learning From Antibiotic-Associated Adverse Events Form 1. … No. 17(21)-0029 June 2021 LFAAAE Form AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care