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121. Please bring ALL your medicines to your next appointment. (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptfactsheet.pdf
     November 27, 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

122. Protection of Human Subjects | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/funding/policies/human-subjects/index.html
     June 01, 2022 - Grant Application, Review & Award Process Grant Application Basics Application Forms … for any clinical trial conducted or supported by a Common Rule department or agency, one consent form … The consent form must have been used in enrolling participants in order to satisfy this new provision … AHRQ Guidance on Posting Informed Consent Forms for AHRQ-Funded Clinical Trials . … AHRQ Guidance on Posting Informed Consent Forms for AHRQ-Funded Clinical Trials .

123. Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
     November 01, 2016 - Grant Application, Review & Award Process Grant Application Basics Application Forms … This toolkit includes the following tools: A Medical Care Referral Form to document information for … Use the Medical Care Referral form. … The form documents information clinicians need for prescribing decisions and reflects evidence-based … Prescribing clinicians should also be trained to use order forms for treatment other than antibiotics

124. Creating A Handoff Checklist | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/handouts/checklist.html
     November 01, 2015 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Creating A Handoff Checklist TeamSTEPPS Primary Care Version Participant Handouts Directions: Form … If your medical team members are present, form a group of your medical office team members and develop

125. How To Use the PEMAT To Assess a Material | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/patient-education/pemat2.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 you … 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.

126. Health Literacy Improvement Tools | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/improve/index.html
     March 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … AHRQ's Easy-to-Understand Telehealth Consent Form AHRQ's telehealth consent resources include a  … sample telehealth consent form  (Word, 27 KB) that is easy to understand and how-to guidance for clinicians … The consent form includes provisions for healthcare providers that have curtailed in-person visits due

127. TeamSTEPPS® for Office-Based Care - Course Evaluation (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/courseeval.pdf
     December 02, 2015 - ........................ 1 2 3 Comments: TeamSTEPPS for Office-Based Care Course Evaluation Form … ............................................ 1 2 3 Comments: Course Evaluation Form – 2 TeamSTEPPS … ...................... 1 2 3 Comments: TeamSTEPPS for Office-Based Care Course Evaluation Form … Course Evaluation Form – 4 TeamSTEPPS for Office-Based Care TeamSTEPPS® for Office-Based Care … Additional Comments: TeamSTEPPS for Office-Based Care Course Evaluation Form –

128. Plan-Do-Study-Act Worksheet, Directions, and Examples | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/improve/precautions/tool2b.html
     March 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Health Literacy Universal Precautions Toolkit, 3rd Edition Introduction Quick Start Guide Form … Key Strategies for Clear Communication Communication Self-Assessment Communication Observation Form … Insurance Release of Medical Information Appointment Reminder Letter Inclusive Language for Intake Forms … Help With Medicines Poster Get Patient Feedback: Tool 17 Patient Portal Feedback Form Suggestion

129. Strategy 1: Working with Patients & Families as Advisors (Tool 13) (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_13_ShortTerm_HO_508.pdf
     May 16, 2013 - Patient and family advisors can work with you to help create or revise forms, letters, handouts, instructions … involvement of patient and family advisors, please fill out the Request for Patient and Family Advisors form … project, along with anticipated meeting times  Complete the Request for Patient and Family Advisors form … Guide to Patient and Family Engagement :: 3 Request for patient and family advisors Complete this form … Please submit this form to: [NOTE: Insert staff liaison name and contact information] Examples

130. Strategy 1: Working with Patients & Families as Advisors (Tool 13) (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_13_ShortTerm_HO_508.docx
     February 10, 2011 - Patient and family advisors can work with you to help create or revise forms, letters, handouts, instructions … involvement of patient and family advisors, please fill out the Request for Patient and Family Advisors form … project, along with anticipated meeting times Complete the Request for Patient and Family Advisors form … , conference call, or progress report) Request for patient and family advisors Complete this form … Please submit this form to: [NOTE: Insert staff liaison name and contact information] Guide to Patient

131. Checklist: Conducting a Warm Handoff (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist-letter.pdf
     February 10, 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

132. Checklisk: Conducting a Warm Handoff (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist.pdf
     February 10, 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

133. Checklist: Creating a Medicine List When Patient Brings Medicines (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-checklist-meds-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

134. PowerPoint Presentation
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
     June 01, 2021 - Providers Hold monthly Antibiotic Stewardship Team meeting Analyze data from the Monthly Data Collection Form … Use the Staff Safety Assessment and Learning From Antibiotic Adverse Events forms to identify problems … staff to complete the Staff Safety Assessment   Apply the Four Moments of Antibiotic Decision Making Form … through the Learn Best Practices section of the toolkit  Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form Sustaining Stewardship 21 Disclaimer The findings and recommendations

135. Overcoming Barriers to Medicine Adherence (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-barriers-postcard-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

136. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
     May 01, 2017 - 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.

137. TeamSTEPPS 2.0: Module 9 | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachfdbkform.html
     March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … TeamSTEPPS® Webinars TeamSTEPPS 2.0: Module 9 Coaching Feedback Form … Instructions: While observing the scripted coaching practice exercise, use this form to document the … particular scenario, and the observer watches the interaction and notes on the coaching observation form

138. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
     January 01, 2022 - •The form was restructured to allow respondents to report details of several interrelated diagnostic … Suggestions for revising the form included having separate sets of items (e.g., using branching logic … ) or separate forms for inpa- tient versus outpatient settings. … There was no consensus about who in the organization should complete the form, and some participants … One participant noted that prior review “made it a lot easier” to complete the form.

139. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice Training Modules | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/professional-training/informed-choice/guide.html
     September 01, 2020 - Forms Complex consent forms not understandable to patients and families. … forms being used in your hospital. … Forms and Decision Aids X percent of informed consent forms will be understandable by culturally … want to track the percentage of informed consent forms assessed, the percentage of forms revised, and … Did anyone help you read the form?

140. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
     August 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Long-Term Care Toolkit Four Moments Four Moments Posters Four Moments Review Form … The Four Moments of Antibiotic Decision Making Review Form and Guide The Antibiotic Stewardship Team … is encouraged to use Four Moments of Antibiotic Decision Making Form to review 5–10 residents each