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461. ENSW Baseline Semi-Structured Interview Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-baseline-sw.pdf
     April 04, 2016 - 9) ENSW provides some support in the form of a Practice Facilitator, a CHITA, Regional Health Connectors … 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

462. Appendix B10: Primary Care Provider Fax Report and Orders (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb10pcptxt.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … A form for you to Fax Back Orders on which you can indicate those that you select for this resident … Please review the Falls Assessment Report and return the Fax Back Orders form the next business day

463. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
     June 01, 2021 - Collect data for your intervention   As a team, apply the Four Moments of Antibiotic Decision Making Form … providers Introduce the DESC technique Supporting Materials Four Moments of Antibiotic Decision Making Form … Completion Guide for the Four Moments of Antibiotic Decision Making Form DESC Technique Poster Improving

464. Sustaining Stewardship Activities Acute Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
     November 01, 2019 - Work with them to find a format that works best for them, whether it be a paper form, electronic form … You could use the Team Antibiotic Review Form to discuss cases with clinicians or you can discuss cases … without the form.

465. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … Licensed personnel may need follow-up after the inservice to ensure correct completion of the form. … Information on the TRIPS form should be used as the basis for their first note. … All of the handouts and forms for the primary care providers are in Appendix B . … Attendance sheet or a form of check-in. Name tags. Refreshments.

466. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
     September 01, 2015 - Second, "coagulant" refers to the process by which a substance, like your blood, forms a clot or a blockage … If you've been cut, a clot will usually form that will help stop the bleeding, but not all clots are … Some clots can form inside your bloodstream. … This is important because your clinician believes that you are at risk for having a blood clot form in

467. Discussing Infectious Concerns About Residents With Family Members and Caregivers
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
     June 01, 2021 - your Antibiotic Stewardship Team meeting Collect and analyze data using the Monthly Data Collection Form … areas, such as break rooms and work stations Apply the Four Moments of Antibiotic Decision Making Form … poster Identifying Delirium Pocket Cards (4x6 and 8x11) Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form Discussing Concerns With Family 28 Disclaimer The findings and recommendations

468. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
     June 01, 2021 - meetings Gather data from the intervention Collect and analyze data using the Monthly Data Collection Form … , such as the dining room or recreation area   Apply the Four Moments of Antibiotic Decision Making Form … Questions To Ask Your Doctor or Nurse About Antibiotics poster Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form Communicating With Prescribers 25 Disclaimer The findings and recommendations

469. Identifying Targets for Improvement in Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/safety/improve.html
     November 01, 2019 - Slides (PPTX) Facilitator Guide (PDF) Identifying Antibiotic–Associated Adverse Events Form

470. Putoolssect7 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressureulcertoolkit/putoolssect7.docx
     February 16, 2011 - An example is shown in the form below. A blank form follows. … What forms do we use? How does our physical environment support or hinder this process? … The form lists six key tasks. … A sample completed form is shown below, followed by a blank form. … Use the standardized skin inspection form, using one form for each month.

471. HealthyHearts NYC Primary Care Partnerships Advancing Heart Health (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-slides-ny.pdf
     August 18, 2015 - 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

472. Aspirin Use in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
     April 01, 2016 - not require timed responses Navigation links Needs manual check 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

473. Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
     March 01, 2017 - The form combines the resident’s health assessment and laboratory findings, and gives direction if the … The form combines the resident’s health assessment and laboratory findings, and gives direction if the

474. Comparative Reports on Nursing Homes | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/resources/comparative-reports/nursing-homes.html
     October 01, 2022 - Scores are also available in percent form and displayed in tables and graphs. … The report is available online in PDF form.

475. Module 2: Example (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
     May 01, 2017 - Practices for Sustainability Module 5: Visual Management Sample “Plan-Do-Study-Act”[footnoteRef:1] Form … Use this form to help you plan your introduction of visual management. … No. 16(17)-0019-4-EF May 2017 AHRQ Safety Program for Ambulatory Surgery Sample PDSA Form

476. Chapter 5: Crossing the Bridge and Returning | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp5.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.  … to establish a faxing system where the clinic faxes the referral and the community resource faxes a form

477. Using Home Visits to Understand Medication Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
     May 28, 2008 - Details about each possible error detected are recorded using a structured data collection form (allergies … young children with ear infections who had been prescribed liquid antibiotics were randomized to three forms … A detailed description of any error noted during the home visit is written on an error reporting form … This form is an adaptation of forms utilized in outpatient adults and inpatient children, with modifications … Appendix B: Error Report Form

478. 1b.4_Input_File_Specifications_508 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
     January 01, 2014 - and ICD10 claims dx_order The diagnosis code position on the claim. number Note that data is in long form … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … Note: Comorbidity source table is in wide form, unlike the medical claims source table DXn The ICD9 … Note: Comorbidity source table is in wide form, unlike the medical claims source table Blank Blank Blank

479. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Therefore, it is best if you use a standard form that lists each patient on the unit and the results … Action Steps Adopt or create a standard form on which you can easily record the results of the skin … Some hospitals with electronic medical records have developed computerized skin assessment forms that … and prevalence rates should be calculated monthly based on the information from the skin inspection form … When using a standard form such as the one shown in Tools and Resources, at the end of the month count

480. 5. How do we measure our pressure ulcer rates and practices? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
     October 01, 2014 - Therefore, it is best if you use a standard form that lists each patient on the unit and the results … Action Steps Adopt or create a standard form on which you can easily record the results of the skin … Some hospitals with electronic medical records have developed computerized skin assessment forms that … and prevalence rates should be calculated monthly based on the information from the skin inspection form … When using a standard form such as the one shown in Tools and Resources, at the end of the month count