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Showing results for "form".

101. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Antibiotic Use Commitment Poster (DOCX, 870 KB) Staff Safety Assessment Form  (DOCX, 330 KB) Implementation … Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse Events Form (DOCX, 227 KB) Gap … Analysis Tool  (DOCX, 382 KB) The Four Moments of Antibiotic Decision Making Form and Guide

102. Part III: Pharmacy Patient Focus Groups | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/guide/part3.html
     September 01, 2020 - Grant Application, Review & Award Process Grant Application Basics Application Forms … A short, clearly written form should be used to obtain informed consent. … If the assessment is conducted as part of a research study by an academic group, this consent form will … Distribute a copy of the consent form to participants at the beginning of the focus group. … Read the consent form out loud. Give participants ample opportunity to ask questions.

103. Be Prepared. Be Engaged. [Patient Note Sheet] (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-patient-notesheet-final508.pdf
     April 03, 2018 - 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

104. CHIPRA 81: Section 2, Technical Specifications (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-81-pgh-7-section-2-tech-specs.pdf
     January 01, 2012 - Never – Rarely – Sometimes – Often - Always Healthy Pathways, Child Report Form Ped Global5 … Never – Rarely – Sometimes – Often - Always Healthy Pathways, Child Report Form Ped Global6 … Never – Rarely – Sometimes – Often - Always Healthy Pathways, Child Report Form Details of … To find the total raw score for a form with all questions answered, sum the values of the response to … Multiply this sum by the total number of items in the form.

105. TeamSTEPPS 2.0: Instructor Manual | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/contents.html
     July 01, 2015 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Change Management: How to Achieve a Culture of Safety Module 9: Coaching Workshop Coaching Feedback Form … Coaching Scenarios Coaching Self-Assessment Form Module 10: Measurement Evaluating TeamSTEPPS … Workshop TeamSTEPPS Implementation Guide Module 12: Practice Teaching Session Teaching Feedback Form … Planning Workshop Module 12: Practice Teaching Session Tab F: Measures Sample Course Evaluation Form

106. Checklist: Conducting a Warm Handoff Plus (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-checklist-508.pdf
     April 12, 2018 - 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

107. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
     June 01, 2021 - Using the Four Moments of Antibiotic Decision Making Form may help identify problems. … identify problems Review data collected on the Four Moments of Antibiotic Stewardship Decision Making Form … Collect and analyze data using the Monthly Data Collection Form Distribute the Antibiotic Side Effects … Staff Safety Assessment  Antibiotic Side Effects One-Pager Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form Identifying Targets 18 Disclaimer The findings and recommendations

108. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
     May 01, 2017 - Defects 2 CUSP and Sensemaking Tools1 CUSP Tools Sensemaking Tools Staff Safety Assessment Discovery Form … Safety Issues Worksheet Root Cause Analysis Learn From Defects Form Failure Mode and Effects Analysis … identify defects or failure - Staff Safety Assessment - Status of Safety Issues Worksheet - Discovery Form … Analysis - Probabilistic Risk Assessment Tools to examine defects or failures Learn From Defects Form … Causal Tree Worksheet Coding defects or failures Learn From Defects Form Eindhoven Model 4 AHRQ Safety

109. Coaching Scenarios (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_scenarios.pdf
     April 24, 2017 - Mark your observations on the coaching feedback form. … Mark your observations on the coaching feedback form. … Mark your observations on the coaching feedback form. … Mark your observations on the coaching feedback form. … Mark your observations on the coaching feedback form.

110. Please bring ALL your medicines to your next appointment. (Postcard) (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptreminder-postcard.pdf
     December 01, 2017 - 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

111. Be Prepared. Be Engaged. (Patient Flyer) (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-patient-flyer-final508.pdf
     April 04, 2018 - 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. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/antibiotic-use/acute-care/improve/index.html
     June 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Stewardship Bedside Nurse Collaborate With Microbiology Lab Team Antibiotic Review Form … All ASPs should be making daily interventions to improve antibiotic use; the Team Antibiotic Review Form … AHRQ Safety Program for Acute Care (PDF, 328 KB) Gap Analysis Tool (DOCX) Team Antibiotic Review Form

113. SNAC Submission Form. Section 2: Detailed Measure Specifications, Attachment 2: Chart Abstratcion Algorithm (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-2.pdf
     February 02, 2017 - SNAC Submission Form. … Section 2: Detailed Measure Specifications, Attachment 2: Chart Abstratcion Algorithm SNAC Submission Form

114. Noncompeting Application Requirements | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/funding/grant-mgmt/noncomp.html
     November 01, 2015 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Contents Forms Application Contents Date of Submission Where to Send the Application Inquiries Forms … /2590/2590.htm , including: Budget, as described in Section 2.2, including separate budget pages (form … Budget justification, as appropriate, on form page 3 (see item 2 below). … Progress report summary (form page 5). Checklist (form page 6).

115. Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Hospital-Ident-SOPS-Conf-Agreement.pdf
     January 01, 2023 - Hospital Survey on Patient Safety Culture Database: Hospital-Identifiable Research Abstract Form Agency

116. TeamSTEPPS® 2.0 for Long-Term Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/longtermcare/index.html
     May 01, 2019 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Coaching Self-Assessment Form (PDF; 4 pages; 287.6 KB). … Coaching Feedback Form (PDF; 1 page; 121.6 KB). … Coaching Self-Assessment Form (PDF; 4 pages; 287.6 KB). … Coaching Feedback Form (PDF; 1 page; 121.6 KB).

117. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
     April 12, 2018 - 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

118. Teach-Back Tips (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-tips-jobaid-final508.pdf
     April 04, 2018 - 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

119. TeamSTEPPS 2.0: Module 12. Practice Teaching Session | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module12/igpracticeteach.html
     March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Subsections: Practice Teaching Session Module Time: 4 hours Materials: Teaching Feedback Form … feedback from me (and/or any other Master Trainers present for the session) on the Teaching Feedback Form … After Module 1 is complete, have participants complete the Teaching Feedback Form. … Time: 4 hours Materials: Teaching Feedback Form Return to Contents Return to Index

120. Checklist: Creating a Medicine List When Patient Does NOT Bring Medicines (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-checklist-nomeds-final508.pdf
     April 03, 2018 - 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