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1. 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.

2. 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.]

3. TeamSTEPPS Coaching Feedback Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-coaching-feedback-form.pdf
   June 02, 2025 - 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

4. TeamSTEPPS Training Evaluation Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
   June 02, 2025 - 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

5. ENSW FIELD NOTE FORM (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-notes-sw.pdf
   June 02, 2025 - ENSW FIELD NOTE FORM 1 ENSW FIELD NOTE FORM 1. … You may upload a file (e.g., agendas, documents, forms, tools, or other notes or minutes) Facilitator

6. 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.

7. 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

8. Disclosure Policy and Form (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/epc-disclosure-policy-form.pdf
   March 01, 2023 - Although the logistics of gathering COI disclosure forms may be delegated to a project manager, the … Although the logistics of gathering the COI disclosure forms may be delegated to a project manager, … The EPC should update Disclosure Forms for any individual whose involvement in the projects extends … The EPC should maintain the Disclosure Forms for 6 years past delivery of the final report. … The EPC should maintain the Disclosure Forms for 6 years past delivery of the final report.  

9. Hospital Commitment Form.
   hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn10.jsp
   August 01, 2014 - Hospital Commitment Form. … DATA VISUALIZATIONS DATA QUERY TOOLS Hospital Commitment Form … HOSPITAL COMMITMENT FORM MINNESOTA HOSPITAL ASSOCIATION AGENCY FOR HEALTHCARE RESEARCH AND QUALITY … ________________________________________________(Phone/Email) Please sign and return this form. … _____________________________________ Internet Citation: Hospital Commitment Form

10. Forms | PSO
    pso.ahrq.gov/forms
    February 01, 2022 - SHARE: More topics in this section Forms … Forms Initial Listing Certification Forms Patient Safety Organizations … (PSOs) are encouraged to complete and submit forms online. … Forms can also be downloaded for completion and emailed or mailed. … https://pso.ahrq.gov/forms   Back to Top

11. Disclosure Policy and Form (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-ki-tep-confidentiality-form.pdf
    August 01, 2020 - Disclosure Policy and Form EPC Key Informant and Technical Expert Agreement The primary role of … Role: Disclosure Policy and Form PrintButton1: SignatureField1: TextField2: CheckBox1: 0 CheckBox1

12. HOSPITAL COMMITMENT FORM (pdf file)
    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn10.pdf
    June 21, 2014 - HOSPITAL COMMITMENT FORM HOSPITAL COMMITMENT FORM MINNESOTA HOSPITAL ASSOCIATION AGENCY FOR … ________________________________________________(Phone/Email) Please sign and return this form.

13. Ari Smart Form Final (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/ari_smart_form_final.pdf
    June 16, 2021 - 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.

14. Chart Audit Tracking Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-tracking-form.pdf
    December 31, 2017 - Chart Audit Tracking Form H2N Chart Abstraction Protocol

15. 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

16. Disclosure Policy and Form (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-rev-team-confidentiality-form.pdf
    September 01, 2018 - Disclosure Policy and Form EPC Review Team Agreement The EPC Program follows three principles … Disclosure Policy and Form PrintButton1: SignatureField1: TextField2:

17. ASTD Coaching Self-Assessment Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/astd-coaching-self-assessment-form.pdf
    June 02, 2025 - ASTD Coaching Self-Assessment Form … ASTD Coaching Self-Assessment Form Instructions … ☐ ☐ ☐ ☐ ASTD Coaching Self-Assessment Form 2 … ASTD Coaching Self-Assessment Form 4 … Reference: Chen, Chris, Coaching Training, ASTD, 2003 ASTD Coaching Self-Assessment Form 6 ASTD

18. 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

19. 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

20. Practice Asthma Data Collection Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-data-collection-form.pdf
    May 21, 2019 - Practice Asthma Data Collection Form __________________________________ _________________________ … ______________________________________ Confidential Page 1 of 8 Practice Asthma Data Collection Form … IMPLEMENT 05/21/2019 projectredcap.org https://projectredcap.org Practice Asthma Data Collection Form