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Showing results for "form".

21. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … 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. … INTRAOP Back of the form . Operating room nurse coordinates.

22. Getting Recognition for Your AHRQ-Funded Study | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grant-mgmt/recognition_ahrq-funded_study.html
    November 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Please use this PDF form  [153.4 KB] to submit the information below. … Contact  journalpublishing@ahrq.hhs.gov with any questions or assistance with this form. … The fillable PDF form linked above contains the following fields to submit information.   … This page cannot submit information, and is intended only to identify the information requested in the form

23. TeamSTEPPS - Table of Contents (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/contents.pdf
    March 21, 2014 - 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

24. Medication Management: Sample Process for Medication Management Strategy (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-sample-process.pdf
    January 12, 2017 - Using the Medication List form, go through the prescription medications one by one: a. … Check whether the medication is expired and note that on the Medication List form. d. … Indicate on the Medication List form whether the patient is taking the medication as prescribed. … 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

25. TeamSTEPPS 2.0: Module 9 | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
    March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … 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.

26. TeamSTEPPS 2.0: Coaching Scenario 1 (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
    March 20, 2014 - 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.

27. Research Datasets for CAHPS Surveys | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cahps/cahps-database/research-datasets/index.html
    January 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … from the CAHPS Databases, please submit the following: CAHPS De-Identified Data Research Abstract Form … (PDF, 230 KB)—Please complete and submit this form to outline the proposed use of the data. … Sample CAHPS De-Identified Research Abstract Form (PDF, 247 KB)—Shows the form completed with sample … westat.com (Subject line: CAHPS De-Identified Data Request) Timeline All completed research abstract forms

28. Microsoft Word - Be Prepared_PrepCard_V5.docx (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/patient-prep-card.pdf
    November 30, 2016 - 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

29. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    ahrqpubs.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

30. TeamSTEPPS 2.0: Instructor Manual | Agency for Healthcare Research and Quality
    ahrqpubs.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

31. Medication List (Note Sheet) (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_medlist.pdf
    November 30, 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

32. Please bring ALL your medicines to your next appointment. (Postcard) (pdf file)
    ahrqpubs.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

33. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
    ahrqpubs.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

34. Noncompeting Application Requirements | Agency for Healthcare Research and Quality
    ahrqpubs.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).

35. TeamSTEPPS® 2.0 for Long-Term Care | Agency for Healthcare Research and Quality
    ahrqpubs.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).

36. Teach-Back Tips (pdf file)
    ahrqpubs.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

37. Creating a Safe Medicine List: Patient Information/Reminder Flyer (pdf file)
    ahrqpubs.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

38. TeamSTEPPS 2.0: Module 12. Practice Teaching Session | Agency for Healthcare Research and Quality
    ahrqpubs.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

39. Checklist: Creating a Medicine List When Patient Does NOT Bring Medicines (pdf file)
    ahrqpubs.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

40. Please bring ALL your medicines to your next appointment. (pdf file)
    ahrqpubs.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