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101. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable/final-report
     January 01, 2023 - Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form … Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form … Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form

102. Staffsafetyassess (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
     June 02, 2025 - Staff Safety Assessment Purpose of this form: This form is designed to tap into your experience at the … How to complete this form: Provide as much detail as possible when answering the two questions below. … When to complete this form: This form can be filled out by any health care provider at any time. … At a minimum, health care providers should complete this form semiannually.

103. TeamSTEPPS Measurement Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/resources/tools/index.html
     January 01, 2024 - Measurement Tools Browse the measurement tools used in TeamSTEPPS: ASTD Coaching Self-Assessment Form …  (PDF, 161 KB) This form will guide you through a self-evaluation exercise that will assist you in … TeamSTEPPS Coaching Feedback Form (PDF, 181 KB) During the scripted coaching practice exercise, the … observer uses this form to document the demonstrated competencies of the designated coach. … TeamSTEPPS Training: Evaluation Form (PDF, 354 KB) This course evaluation form for a two-day TeamSTEPPS

104. Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet
     psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
     March 20, 2024 - Study Comparing the variability of ingredient, strength, and dose form information … Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions … This study analyzed product descriptions (ingredient, strength, dose form) of more than 10 million e-prescriptions … Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions

105. 113-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Staff Safety Assessment ICU & Non-ICU Purpose of this form: This … form is designed to tap into your experience to determine what risks are present in your unit that have … How to complete this form: Provide as much detail as possible when answering the questions below. … When to complete this form: This form can be filled out by any healthcare provider at any time. … At a minimum, healthcare providers should complete this form semi-annually.

106. Appendix B29: Engineer Inspection List | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb9txt.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … Falls Engineer Instructions Text Description of Form For the person doing the inspect … : Label this form and fill it out in the same way as for the Nursing Inspection List. … Safety Problems in Common Areas With Common Equipment: Image of Form

107. Tracking and Improving Screening for Colorectal Cancer Intervention | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/index.html
     March 01, 2023 - 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 … 6.a-2 Feedback Form for Stool Test Negative         6.b-1 Feedback Form for CDE     Assessment        

108. Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/facilitator-guide.html
     July 01, 2023 - In addition are links to two TeamSTEPPS documents, the coaching self-assessment form and the coaching … feedback form. … The coaching self-assessment form and feedback form are tools for self-improvement. … The feedback form can guide coaches on how to deliver feedback more effectively. … (PDF, 253 KB) TeamSTEPPS coaching feedback form (PDF, 103 KB)

109. 066-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/066-staff-safety-assessment.docx
     April 01, 2025 - Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Purpose of this form … : This form is designed to tap into your experience to determine what risks are present in your clinical … How to complete this form: Provide as much detail as possible when answering the questions below. … When to complete this form: This form can be filled out by any member of the healthcare team at any time … At a minimum, healthcare team members should complete this form semiannually.

110. Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
     June 01, 2021 - The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … The Monthly Data Collection Form can help track antibiotic use, urine cultures, and Clostridioides … Staff Safety Assessment Form (DOCX, 330.3 KB) Learning From Antibiotic-Associated Adverse Events Form … (DOCX, 226.7 KB) Intervention Worksheet  (PDF, 157.4 KB) Monthly Data Collection Form (XLSX, 345.5

111. Heart Health Now Advancing Heart Health in NC Primary Care Consent Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/consent-form-nc.pdf
     June 02, 2025 - Heart Health Now Advancing Heart Health in NC Primary Care Consent Form Heart Health NOW Advancing …  Form and facilitate the work of a quality improvement (QI) team in your practice  Meet with your … 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

112. Medication Management: Procedure: Engaging Your Patient To Create a Medication List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-staff-procedure.pdf
     June 02, 2025 - Using the Medication List form, go through the prescription medications one by one. a. … Check whether the medication is expired and note that on the Medication List form. d. … Check on the form whether the patient is taking the medication as prescribed. f. … 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

113. Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
     July 01, 2023 - Health care providers and senior leader(s) How to complete this form: Provide as much detail as possible … When to complete this form: It should be completed at least semiannually.

114. Planning for Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/enhanced-recovery/planning.html
     June 01, 2023 - Use your performance data and the Gap Analysis and Goal Setting Form to identity measures to focus on … and Barriers to Sustaining Gains in Enhanced Recovery (DOCX, 240 KB) Gap Analysis and Goal Setting Form

115. Evaluating Smart Forms and Quality Dashboards in an EHR (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
     January 01, 2009 - Evaluating Smart Forms and Quality Dashboards in an EHR Grant Final Report Grant ID: HS015169 … alone, and use of Smart Forms plus Quality Dashboards. … That is, any visit occurring in a clinic assigned to Smart Forms or Smart Forms plus Quality Dashboards … We assessed the significance of the Smart Forms or Smart Forms plus Quality Dashboards on the primary … A National Web Conference on Smart Forms and Quality Dashboards.

116. User interface accelerators for clinical documentation in Smart Form. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-6
     January 01, 2023 - User interface accelerators for clinical documentation in Smart Form. … User interface accelerators for clinical documentation in Smart Form. … for… Principal Investigator Middleton, Blackford Project Name Evaluating Smart Forms

117. Tracking-Measuring-Data-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
     June 01, 2021 - form during the reporting month. … Slide 4 Monthly Data Collection Form SAY: This slide shows the data collection form available on … The instructions are included on the top of the form, or on the first page if the form is printed. … This portion is on the second page of the printed form. … We will go through each element of the form in more detail.

118. SOPS Research Datasets | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/databases/research-datasets.html
     May 01, 2024 - SOPS De-Identified Data Research Abstract Form (Word, 38 KB)—Researchers requesting de-identified data … must submit a completed form outlining the proposed use of the data. … Sample SOPS De-Identified Data Research Abstract Form (PDF, 304 KB)—Shows the form completed with sample … obtaining hospital-identifiable data must submit a completed Hospital-Identifiable Research Abstract Form … data must submit a completed form outlining the proposed use of the data.

119. 2. Description of the Intervention (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2a.html
     April 01, 2018 - ideally involves two components: (1) conducting electronic record reviews, and (2) reviewing returned SEA forms … We also allowed more time for receiving completed forms. … Our Experience We sent the appropriate feedback forms to the practices at several interim points during … However, we did not receive any completed forms. … We contacted the practice manager at several points regarding collecting the CDE feedback forms without

120. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/cpcf-form6.html
     December 01, 2013 - Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) The … CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved