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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. 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

4. 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.

5. 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

6. 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

7. 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

8. 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.

9. 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

10. 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.

11. 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

12. 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

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. 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

15. Medication Reconciliation Form | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-reconciliation-form
    January 01, 2023 - Medication Reconciliation Form Description This is a medication reconciliation … form for ambulatory adult visits. … Patient-Centered Communication and Decisionmaking about Medications PDF Medication Reconciliation Form

16. Chart Review Form | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/chart-review-form
    January 01, 2023 - Chart Review Form Description This is a chart review form for an adverse drug … Document Type Data Collection Form Document Source Statewide Implementation of Electronic … Health Records PDF Chart Review Form

17. Prescription Screening Form | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/prescription-screening-form
    January 01, 2023 - Prescription Screening Form Description This is a form to classify prescriptions … Document Type Data Collection Form Document Source Statewide Implementation of Electronic … Health Records PDF Prescription Screening Form

18. 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.

19. 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

20. 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.