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21. Toolkit 1. Suspected UTI SBAR Toolkit | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
    October 01, 2016 - Grant Application, Review & Award Process Grant Application Basics Application Forms … The primary tool in this toolkit is the Suspected UTI SBAR form. … The toolkit includes the following tools: Suspected UTI SBAR form (tool 1) ( PDF ) also available … Introduce the Suspected UTI SBAR form to prescribing clinicians. … for using the form, and a discussion about available technical support.

22. Sample Automated Telephone System Menu | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/health-literacy/improve/precautions/tool7a.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

23. SOPS Research Datasets | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/sops/databases/research-datasets.html
    March 01, 2023 - Grant Application, Review & Award Process Grant Application Basics Application Forms … SOPS De-Identified Data Research Abstract Form (Word, 32 KB)—Researchers requesting de-identified data … must submit a completed form outlining the proposed use of the data. … Sample SOPS De-Identified Data Research Abstract Form (PDF, 376 KB)—Shows the form completed with sample … data must submit a completed form outlining the proposed use of the data.

24. Follow Up with Patients: Tool 6 | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/health-literacy/improve/precautions/tool6.html
    February 01, 2024 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Key Strategies for Clear Communication Communication Self-Assessment Communication Observation Form … Insurance Release of Medical Information Appointment Reminder Letter Inclusive Language for Intake Forms … Reporting can be done with: Simple forms. Patient portals. Automated calling systems. … If patients are using paper forms, instruct them to contact the practice when their clinical values are

25. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
    December 01, 2012 - Grant Application, Review & Award Process Grant Application Basics Application Forms … About the CUSP Method Modules Background Quality Improvement Team Information Form … Universal and Targeted Tools Background Quality Improvement Team Information Form … Alternate Formats Background Quality Improvement Team Information Form [ - 211.5 KB] … created December 2012 Internet Citation: Background Quality Improvement Team Information Form

26. Use the Teach-Back Method: Tool 5 | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/health-literacy/improve/precautions/tool5.html
    February 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 … There is also a teach-back question on the Communication Observation Form .

27. Forms and Electronic Applications | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/funding/process/app-forms/index.html
    November 01, 2015 - change from paper to electronic filing, the current PHS 398 application will be replaced by the Standard Form … Following this advice will ensure you have the latest forms and correct application package. … Research Grants Form/Application Instructions Description/Comments SF424 (R&R) (Word File, 26 … Fishers Lane Rockville, MD 20857 Phone: (301) 427-1447 Fax: (301) 427-1462 Fellowships Form … Kirschstein National Research Service Award Individual Fellowship Application Form ** to be used ONLY

28. Staff-Safety-Assessment (doc file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use Staff Safety Assessment PURPOSE OF THIS FORM: … All health care providers are encouraged to complete this form. … Consider asking all staff members to complete this form at least semiannually.

29. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - The best practices forms are not meant to replace validated guidelines. … Which QIs have best practices forms? … Best practices forms have been developed for all PSIs and PDIs for which there was sufficient evidence … Best practices forms exist for the following 14 PSIs: • PSI 03 Pressure Ulcer Rate • PSI 05 Retained … to be captured by one best practices form.

30. Consider Culture: Tool 10 | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/health-literacy/improve/precautions/tool10.html
    February 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 … Plans: Tool 15 My Action Plan Help Patients Take Medicine Correctly: Tool 16 Medicine Reminder Form

31. TeamSTEPPS - Table of Contents (pdf file)
    cahps.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

32. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality
    cahps.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.

33. Getting Recognition for Your AHRQ-Funded Study | Agency for Healthcare Research and Quality
    cahps.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

34. Medication Management: Sample Process for Medication Management Strategy (pdf file)
    cahps.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

35. TeamSTEPPS 2.0: Module 9 | Agency for Healthcare Research and Quality
    cahps.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.

36. Personal Health Literacy Measurement Tools | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/health-literacy/research/tools/index.html
    December 01, 2022 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Pub Med ID (PMID) : 20500222 [Full text available in PubMedCentral] Contents: SAHL-S Test Form & … User’s Guide (Select for PDF [36.33 KB] ) SAHL-E Test Form & User’s Guide (Select for PDF [53.04 …  KB] ) SAHL-S Test Form Stem Key or Distracter "No sé" (Don't know) 1. empleo __trabajo … Development and validation of a short-form, rapid estimate of adult literacy in medicine.

37. TeamSTEPPS 2.0: Coaching Scenario 1 (pdf file)
    cahps.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.

38. Research Datasets for CAHPS Surveys | Agency for Healthcare Research and Quality
    cahps.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

39. Microsoft Word - Be Prepared_PrepCard_V5.docx (pdf file)
    cahps.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

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