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Showing results for "form".

101. Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/publications/files/pemat-av.pdf
     October 01, 2013 - If you use the PEMAT Auto-Scoring Form, a form that will automatically calculate PEMAT scores once … The form is available at: http://www.ahrq.gov/professionals/prevention-chronic-care/improve/self- … You may refer to the material at any time while you complete the form.

102. TeamSTEPPS 2.0: Module 10. Measurement | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
     March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Reactions —TeamSTEPPS Course Evaluation Form. … Return to Contents Reactions: TeamSTEPPS Course Evaluation Form Say: Participant reactions … This form captures both affective and instrumentality reactions. … patient safety culture has an accompanying toolkit that contains the following materials: Survey forms

103. Instructor Manual Print Components | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/teamstepps/instructor/printver/index.html
     March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … PDF File , 308 KB) Combat Care ( PDF File , 265 KB) Measurement Tools: Sample Course Evaluation Form … Instructor's Guide ( PDF File , 465 KB) Classroom Slides ( PowerPoint® File , 1.47 MB) Coaching Feedback Form … Instructor's Guide ( PDF File , 147 KB) Classroom Slides ( PowerPoint® File , 455 KB) Teaching Feedback Form

104. Measure 1, Section 8, Attachment 1 (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-8-attachment-1.pdf
     January 17, 2017 - Measure 1, Section 8, Attachment 1 SNAC Submission Form … 20 100.00% 35.00% 14.10% 55.90% Site 2 38 32 84.21% 71.88% 56.30% 87.45% SNAC Submission Form

105. Learn-From-Defects-Facilitator-Guide (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
     May 01, 2017 - The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … To accomplish the same work, Sensemaking uses the Discovery Form, the Root Cause Analysis, the Failure … To examine defects or failures, CUSP uses the Learn From Defects Form, and Sensemaking uses the Causal … To code defects or failures, CUSP uses the Learn From Defects Form, and Sensemaking uses the Eindhoven … Further guidance to complete this exercise can be found using the CUSP Learn From Defects form.

106. THE MEDICAL HOME INDEX: (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.docx
     March 25, 2009 - THE MEDICAL HOME INDEX: Medical Home Index-Revised Short Form (MHI-RSF) for the National Evaluation … The Medical Home Index: Revised Short Form: Pediatric Measuring the Organization and Delivery of Pediatric … The MHI-Revised Short Form (MHI-RSF) is a subset of 14 items from the MHI. … ____________________ Email: _______________________________ Who took the lead in completing this form … Name (if different than the person who completed this form): ___________________________ Title/Position

107. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - Grant Application, Review & Award Process Grant Application Basics Application Forms … The Learn From Defects Form, which provides a standardized means to assess where defects occur and to … Sensemaking tools include— Discovery Form. Root Cause Analysis. … Further guidance to complete this exercise can be found using the CUSP Learn From Defects form. … Keep project leaders apprised of the information on this form.

108. PEMAT for Printable Materials (PEMAT-P) | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/health-literacy/patient-education/pemat-p.html
     November 01, 2020 - Grant Application, Review & Award Process Grant Application Basics Application Forms … If you use the PEMAT Auto-Scoring Form , a form that will automatically calculate PEMAT scores once … The form is downloadable in Excel (235 KB). Step 1: Read through the PEMAT and User's Guide. … You may refer to the material at any time while you complete the form; you don't have to rely on your

109. Teach-Back: How To Use the Training Toolkit (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-training-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

110. Your Guide to Preventing and Treating Blood Clots | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
     August 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Return to Contents Causes of Blood Clots Blood clots can form if you don't move around a lot. … heparin Types of medicines that keep blood from clotting Deep vein thrombosis A blood clot that forms … Below the drawing is the text: "Blood clots can form in any deep veins of the body. … Most often they form in the legs, arms, or groin."

111. Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/publications/files/pemat-p.pdf
     October 01, 2013 - If you use the PEMAT Auto-Scoring Form, a form that will automatically calculate PEMAT scores once … The form is available at: http://www.ahrq.gov/professionals/prevention-chronic-care/improve/self- … You may refer to the material at any time while you complete the form.

112. Coaching Workshop (Instructor Guide) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_ig_coaching.pdf
     May 03, 2017 - If the exercise falls before a break, introduce the exercise and hand out the self-assessment forms … , and give the participants 15 minutes to complete the forms. … • Have participants fill out the form. … • Hand out the Coaching Feedback Forms and Coaching Scenarios for each group to select from. … SAY: You should each be in a group of three and have copies of the Coaching Feedback Forms and some

113. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-43 (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-43.pdf
     December 17, 2010 - Denominator: The total number of eligible children shown on Line 1 of the CMS-416 Form which represents … but insufficient detail provided Admin MR Survey  Other (specify): Annual EPSDT report CMS Form

114. The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appc-final508.pdf
     April 13, 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

115. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/antibiotic-use/acute-care/safety/index.html
     June 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse Events Form … (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

116. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
     May 01, 2017 - Safety Program for Perinatal Care Sensemaking & Learn From Defects 2 • The Learn From Defects Form … Sensemaking tools include— • Discovery Form • Root Cause Analysis • Failure Mode and Effects Analysis … To accomplish the same work, Sensemaking uses the Discovery Form, the Root Cause Analysis, the Failure … To examine defects or failures, CUSP uses the Learn From Defects Form, and Sensemaking uses the Causal … Further guidance to complete this exercise can be found using the CUSP Learn From Defects form.

117. Fall Prevention Toolkit (doc file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
     August 03, 2017 - How to use this tool: Use this form to observe the patient at bedside and check the notes of 20 patients … Make sure the people completing the form know where to find the information, which may require modifying … the form to include explicit directions or cues. … This form should be completed by the unit manager or unit champions.

118. Implementation-Guide-Making-Informed-Consent-Informed-Choice (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/publications/files/implementation-guide-making-informed-consent-informed-choice.pdf
     January 01, 2017 - Forms • Complex consent forms not understandable to patients and families. • Group practice consent form … Forms and Decision Aids • X percent of informed consent forms will be understandable by culturally diverse … want to track the percentage of informed consent forms assessed, the percentage of forms revised, and … Did anyone help you read the form? … How easy was the form to understand?

119. TeamSTEPPS, Module 9: Coaching Workshop (Instructor Guide) (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
     February 22, 2014 - If the exercise falls before a break, introduce the exercise and hand out the self-assessment forms … , and give the participants 15 minutes to complete the forms. … • Have participants fill out the form. … • Hand out the Coaching Feedback Forms and Coaching Scenarios for each group to select from. … SAY: You should each be in a group of three and have copies of the Coaching Feedback Forms and some

120. Measure 1, Section 2, Attachment 6 (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
     January 17, 2017 - Measure 1, Section 2, Attachment 6 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section … SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications