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  1. teamstepps.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
  2. teamstepps.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.
  3. teamstepps.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.
  4. teamstepps.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
  5. teamstepps.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
  6. teamstepps.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
  7. teamstepps.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
  8. teamstepps.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).
  9. teamstepps.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).
  10. teamstepps.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
  11. teamstepps.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
  12. teamstepps.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 .
  13. teamstepps.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
  14. teamstepps.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
  15. teamstepps.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
    December 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Word version - 2.62 MB ;   PDF version - 171.61 KB ] Patient and Family Advisor Application FormForm … Microsoft Word version - 462.55 KB ;   PDF version - 214.81 KB ] My Participation Interests - Form … session that contains suggestions for ways to incorporate advisors on short-term projects along with a form
  16. teamstepps.ahrq.gov/funding/process/grant-app-basics/apptips.html
    July 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Funding Grant Application, Review & Award Process Grant Application Basics Application Forms … Revision Application (when applicable) 1 Specific Aims (Attachment 2 on PHS 398 Research Plan form … DP7 applications only 25 Program Plan (Attachment 2 on PHS 398 Research Training Program Plan form … a multi-component application) 1 Specific Aims For all Activity Codes that use an application form
  17. teamstepps.ahrq.gov/funding/grant-mgmt/closeout.html
    December 01, 2022 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Use Standard Form 425, form and instructions available online at: https://grants.nih.gov/grants/forms … Use Form HHS 568, which is available online at: http://grants.nih.gov/grants/hhs568.pdf ( Plugin Software
  18. teamstepps.ahrq.gov/teamstepps/instructor/printver/index.html
    March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … PDF File , 308 KB) Combat Care ( PDF File , 265 KB) Measurement Tools: Sample Course Evaluation Form … Instructor's Guide ( PDF File , 465 KB) Classroom Slides ( PowerPoint® File , 1.47 MB) Coaching Feedback Form … Instructor's Guide ( PDF File , 147 KB) Classroom Slides ( PowerPoint® File , 455 KB) Teaching Feedback Form
  19. teamstepps.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
    August 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Return to Contents Causes of Blood Clots Blood clots can form if you don't move around a lot. … heparin Types of medicines that keep blood from clotting Deep vein thrombosis A blood clot that forms … Below the drawing is the text: "Blood clots can form in any deep veins of the body. … Most often they form in the legs, arms, or groin."
  20. teamstepps.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Poster (DOCX) Antibiotic Time Out Tool (DOCX) Identifying Antibiotic–Associated Adverse Events Form … (DOCX) Learning From Antibiotic–Associated Adverse Events Form (DOCX)

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