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Showing results for "form".

141. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/eval4.html
     May 01, 2016 - or not completing the entire form. … (Refer to the classification form in the Operations Manual, Appendix C .) … 45 Second page of reporting form 44 Third page of reporting form 12 The first … What happens after I use the form? … Since completing such a form would be less time-consuming than completing the current form, the questions

142. AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
     June 16, 2021 - ADE Incident Identification Formatory Pedi Med Study DATAFORM 4 ADE Incident Identification Form … Excellence for Patient Safety Research and Practice 5/27/05 Dataform 4: ADE Incident Identification Form … 5/27/05 Dataform 4: ADE Incident Identification Form Version 0.8 error? … Unknown (STOP, form is complete) 17. … Version 0.8 DATAFORM 4 ADE Incident Identification Form

143. Appendix A: Draft Key Informant Interview Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapa.html
     July 01, 2018 - Email or fax consent form and brief survey (attachment 1) to participant before interview. … Procedures for obtaining informed consent FOR TELEPHONE: Participant will be sent an informed consent form … At start of interview, interviewer will ask if participant has any questions about the consent form and … Did you read the consent form that was sent to you? Do you have any questions?

144. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
     October 01, 2016 - stewardship program intervention] DATE: [Date] Purpose and Scope This procedure covers the use of [name of form … Implement, Monitor, & Sustain a Program Toolkit 1/Tool 5 4 Sample Policy for Medical Record Referral Form … Nurses completely fill out the Medical Record Referral Form. … The form should be used to collect and convey information. … The form is used on an as needed basis any time an infection is suspected, regardless of type of infection

145. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
     December 01, 2017 - What forms and structures should be in place? … Image: Logistics section of briefing form: Who initiated briefing? Surgery attending. … INTRAOP Back of the form . Operating room nurse coordinates. … Submit debriefing form to the operating room front desk. FOLLOWUP Daily. Weekly. … INTRAOP Back of the form . Operating room nurse coordinates.

146. Application Hcup Articleoftheyear 2024 25 (pdf file)
     hcup-us.ahrq.gov/pdf/Application_HCUP_ArticleoftheYear_2024_25.pdf
     January 01, 2024 - Please submit this form in PDF with the additional application materials specified below. … Application Materials Nomination packages must include the following: • A completed application form … designated author and responses to how the article meets core criteria detailed in the nomination form … HCUP Award for Outstanding Research Nomination Form https://www.hcup-us.ahrq.gov/news/awards.jsp … HCUP Award for Outstanding Research Nomination Form: Criteria 3.

147. 6-Gap-Analysis-Goal (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
     June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Gap Analysis and Goal-Setting Form Creating … The main purpose of this form is for your institution to see where you are starting from and plan ahead … Review the data collected in the Gap Analysis and Goal-Setting Form with your team. … AHRQ Safety Program for Improving Surgical Care and Recovery Gap Analysis and Goal-Setting Form … AHRQ Safety Program for Improving Surgical Care and Recovery Gap Analysis and Goal-Setting Form

148. SOPS® Database Information and Instructions for Requesting De-identified SOPS Database Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-instructions-requesting-deidentified-sops-data.pdf
     January 01, 2024 - A completed De-identified Research Abstract Form and 2. A signed Data Release Agreement. … All completed Research Abstract Forms are reviewed by AHRQ and its contractor, Westat, in accordance … If there are concerns about a submitted Research Abstract Form raised during the review process, the … Data Requesters may make modifications and re-submit the Research Abstract Form for review. … obtaining de-identified SOPS data from the SOPS Database must submit a completed Research Abstract Form

149. Performing SSI Investigations: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
     December 01, 2017 - Slide 8: Patient or Provider Factors Image: Sample form covering patient or provider factors: … Slide 10: Glucose Control Image: Sample form covering glucose control: Was the patient’s blood … Slide 11: Skin Preparation Image: Sample form covering skin preparation: Was the skin preparation … Slide 12: Prophylactic Antibiotics Image: Sample form covering prophylactic antibiotics: Did the … Image: Sample form covering prophylactic antibiotics: Case duration.

150. Table 3-6. Examples of Instructions, Phrasing, and Terminology to Capture Race and Ethnicity Data | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-6.html
     May 01, 2018 - Recommended forms for the instruction are "Mark one or more" and "Select one or more" Response options … African American, Native Hawaiian or Other Pacific Islander (NHOPI), White   Census 2000 long form … (paper form) Is Person 1 of Hispanic, Latino, or Spanish origin? … ; NHOPI; American Indian or Alaska Native   Application for a Social Security Card (paper form … Standard Certificate of Death (paper form) Decedent of Hispanic origin?

151. Telewound Care Network Standard Group Process Guide for Point of Care Providers (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/C2_Process_Guide_Standard.pdf
     June 16, 2021 - Fax Cynthia Scheideman-Miller the following forms to (405) 713-4992 (white multi-page form) from … Completed (white multi-page form) Patient Enrollment Form 4. … Cynthia Scheideman-Miller will: (blue form) a. … Fax Patient Information Form and Enrollment Form to Consultant ENROLLMENT: 1. … (tan form) in 72 hours, preferably prior to the first consult.

152. Appendix J. Long-Term Care CAUTI Surveillance Worksheet | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
     March 01, 2017 - The form combines the resident's health assessment and laboratory findings, and gives direction if the … The form combines the resident's health assessment and laboratory findings, and gives direction if the

153. Friedman, Charles | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/friedman-charles
     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 … Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form

154. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable
     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 … Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form

155. Appendix 6: Central Line Maintenance Audit Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/clabsi-tools/appendix-6.html
     March 01, 2018 - Appendix 6: Central Line Maintenance Audit Form Tools for Reducing Central Line-Associated Blood

156. Protection of Human Subjects | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/policies/human-subjects/index.html
     June 01, 2022 - Posting Clinical Trial Informed Consent Form (45 CFR 46.116(h)) The revised Common Rule requires that … 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 .

157. Noncompeting Application Requirements | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grant-mgmt/noncomp.html
     November 01, 2015 - after the first twelve months requires the annual submission of a financial assistance request in the form … Contents Forms Application Contents Date of Submission Where to Send the Application Inquiries … Forms All AHRQ grantees, except recipients of multi-year funded (MYF) awards (awards in which … Budget justification, as appropriate, on form page 3 (see item 2 below). … Progress report summary (form page 5). Checklist (form page 6).

158. Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
     November 01, 2016 - This toolkit includes the following tools: A Medical Care Referral Form to document information … Use the Medical Care Referral form. … The Medical Care Referral form facilitates communication between nurses and clinicians when a resident … 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

159. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - * Evidence-based Communication Between Nurses and Prescribers: Using a Medical Care Referral Form … (MCRF) * Medical Care Referral Form (MCRF) Designed to facilitate evidence-based communication … Ideally, all long-term care facility residents should have a POLST accepted form on the chart and have … The form is on bright pink paper so it can be easily identified in case of an emergency. … A physician, physician assistant, or nurse practitioner must complete the POLST accepted form based on

160. Technical Notes and Survey Documentation – MEPS-IC Data Tools
     datatools.ahrq.gov/meps-ic/technical-notes-and-survey-documentation/
     January 01, 2022 - for large governments and very large private-sector firms are collected using specialized staff and forms … Company Form Added company-level forms (15 and 15S) for cases where data collection at the establishment-level … Renumbered questions on the form. … Plan Form Removed HSA instruction under Plan Premium. … Plan Form Added question on employee-plus-one deductible.