Results

Total Results: 4,777 records

Showing results for "form".

161. Infographic Poster: Did you know...Patient safety issues in primary care are real. (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/patient-safety-issues.pdf
     April 02, 2025 - 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

162. Tool 9. Sample Prescription Pad | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool9.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … Sample Punch Card   PLEASE COMPLETE FORM AND FAX OR MAIL TO Living Well Central

163. Informed Consent Document | Digital Healthcare Research
     digital.ahrq.gov/document-type/informed-consent-document
     January 01, 2023 - Informed Consent Document Focus Group Consent Form (Spanish) … Description Example consent form used in an AHRQ-funded project involving older adults. … The form is in Spanish. … Research at Memorial Hospital of RI (Brown University) Description Example consent form

164. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
     October 01, 2017 - Slide 11: QI Process Your Implementation Team Leader filled out many assessment forms already. … 18: Assess Current Policies (2D) Images: A screenshot shows the Pressure Ulcer Policy Assessment form … An icon of a magnifying glass in front of open book identifies this form as Tool 2D. … An icon of a magnifying glass in front of open book identifies this form as Tool 2E. … An icon of a magnifying glass in front of open book identifies this form as Tool 2F.

165. CAHPS Child Hospital Survey Database: Data Use Agreement (pdf file)
     cahpsdatabase.ahrq.gov/files/CH/Child-HCAHPS-Database-DUA.pdf
     April 01, 2023 - AHRQ’s Contractor, Westat, has pre-signed this Data Use Agreement (DUA) in its current form. … AHRQ will review all Research Abstract Forms and approve or deny the requests. … AHRQ will review all Research Abstract Forms and approve or deny the requests. … Research Abstract Forms will have been reviewed and approved by AHRQ and AHRQ’s Contractor, Westat, … AHRQ’s Contractor, Westat, has signed this DUA in its current form.

166. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
     October 01, 2016 - Nurses and Prescribers SAY: Slide 13 Development and Rationale for Use: Medical Care Referral Form … Slide 14 The Medical Care Referral Form (MCRF) SAY: Slide 15 Medical Care Referral Form (MCRF … 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

167. Integrating Primary Care Practices and Community-based Resources to Manage Obesity | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/index.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10. 

168. EvidenceNOW: Cooperative Context Information and Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cooperative-context.html
     March 01, 2021 - Cooperative Resource: Cooperative Context Assessment Information (PDF, 192.7 KB, 3 pages) This form

169. Audio and Video Products | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/pcguide-avdevelopment.html
     July 01, 2024 - Release Forms Appendix 1-B. Trademarks Appendix 1-C. … Submit the completed Audio/Visual Concept Proposal form or ask for assistance in filling out the form … The following forms are also available in Appendix 1-A. Release Forms . … All forms can be completed electronically. … Release Form for AHRQ To Use Copyrighted Material (Word, 42 KB).

170. Examples of Urinary Incontinence Intervention Sustainability Menus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/empower-sustainability-menus.pdf
     April 02, 2025 - 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

171. PURSUIT Flyer (Birmingham) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/mui-flyer-sample.pdf
     April 02, 2025 - 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

172. EvidenceNOW: Cost Survey, National Evaluator | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cost-survey.html
     March 01, 2021 - Evaluator Oregon Cooperative Resource: EvidenceNOW: Cost Survey (PDF, 180.2 KB, 3 pages) This form

173. Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
     November 01, 2019 - portion of patients receiving antibiotics; this can be guided by use of the Team Antibiotic Review Form … includes information about initiating an antibiotic time out and use of the Team Antibiotic Review Form … Two forms are provided to assist with these discussions between ASPs and frontline staff: o “Identifying … Antibiotic-Associated Adverse Events Form” is brief and can be used at meetings or left on units for … o “Learning From Antibiotic-Associated Adverse Events Form” is similar to a root cause analysis form

174. Dataform 1 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Dataform_1_Prescription_Screening_Form.pdf
     June 16, 2021 - of Excellence for Patient Safety Research and Practice 1/26/08 Dataform 1: Prescription Screening Form … Version 0.10 DATAFORM 1 Prescription Screening Form 1. … Antihistamine (all forms) 12. Antihypertensive 13. Antineoplastic 14. … Antiviral (all forms) 18. Bronchodilator (inhaled) 19. Bronchodilator (oral) 20. … Version 0.10 DATAFORM 1 Prescription Screening Form

175. Ziemer, David C. | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/ziemer-david-c
     January 01, 2023 - CAMPII) Medication reconciliation: comparing a customized medication history form … to a standard medication form in a specialty clinic (CAMPII 2). … Medication reconciliation: comparing a customized medication history form to a standard medication form

176. EvidenceNOW: Cooperative Assessment, External Support | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cooperative-context-external.html
     March 01, 2021 - Cooperative Context Assessment Information: Round 2, External Support (PDF, 293.4 KB, 3 pages) This form

177. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/summary.html
     May 01, 2016 - Institute of Medicine, 2   and the AHRQ Common Formats, a which includes definitions of adverse events and forms … The patient reporting form was revised in response to the focus group findings, and the revised form … Put all of the hotline materials, including the Operations Manual (which has all the forms, surveys, … includes detailed appendixes, including the full Operations Manual, with copies of the event reporting forms … Formats provides precise definitions of patient safety events, examples of patient safety reports, forms

178. 4 Tk1 T2-Clinician Letter Final 0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
     October 01, 2016 - the Suspected Urinary Tract Infection (UTI) Situation, Background, Assessment, and Request (SBAR) form … The Suspected UTI SBAR form is intended to enhance communication and provide guidance regarding managing … infection within the 3 months following their course of antibiotics.8 Embedded in the Suspected UTI SBAR form … Stewardship Guide Determine Whether To Treat Toolkit 1/Tool 2 3 In preparation for implementing the form … , please find enclosed a copy of the Suspected UTI SBAR form.

179. Toolkit 3. Minimum Criteria for Common Infections Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
     September 01, 2017 - The Suspected UTI SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use …  ( PDF  |  Word ) Suspected infection SBAR forms to document information for prescribing clinicians … Incorporate the potential infection SBAR forms into daily practice. … The forms can be faxed or used as discussion points for phone or face-to-face conversations with prescribing … For UTIs, lower respiratory tract infections, and skin and soft tissue infections, a form should be used

180. 5 Tk2 T6-Using Nursing Home Antibiograms To Choose The Right Antibiotic Data Entry Form (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T6-Using_Nursing_Home_Antibiograms_to_Choose_the_Right_Antibiotic_Data_Entry_Form.xlsx
     May 01, 2014 - Antibiograms To Choose the Right Antibiotic Toolkit 2: Concise Antibiogram Toolkit / Tool 6: Excel Data Entry Form … Helpful Hints Using Nursing Home Antibiograms to Choose the Right Antibiotic Tool 6: Excel Data Entry Form