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www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
January 01, 2024 - Aim 2 tested a
special transfer form to be used by nursing homes and hospitals to identify individuals … The seven RN
raters each returned eight completed PPERT forms for analysis, resulting in 56
PPERT … forms. … The study also scanned the PPERT forms and retained the hard
copies for archiving purposes. … The interviews focused on each staff
member’s experience implementing the transfer form.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Defects
2
CUSP and Sensemaking Tools1
CUSP Tools Sensemaking Tools
Staff Safety Assessment Discovery Form … Safety Issues Worksheet Root Cause Analysis
Learn From Defects Form Failure Mode and Effects Analysis … identify defects or failure - Staff Safety Assessment
- Status of Safety Issues Worksheet - Discovery Form … Analysis
- Probabilistic Risk
Assessment
Tools to examine defects or failures Learn From Defects Form … Causal Tree Worksheet
Coding defects or failures Learn From Defects Form Eindhoven Model
4
AHRQ Safety
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit4.html
April 01, 2018 - Electronic Record Review
4.a-1 Introduction Letter to Patients With Instructions for Completing SEA Form … Spanish)
4.a-2 Screening Eligibility Assessment (SEA) Form (incl. … Spanish)
5.a-1 Master Patient Database Elements
5.d-1 Chart Audit Review Form
6.a-1 Feedback Form … for Stool Test Positive
6.a-2 Feedback Form for Stool Test Negative
6.b-1 Feedback Form for CDE
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
April 01, 2018 - The SEA form was undeliverable. … SEA Form
The primary purpose of the Screening Eligibility Assessment (SEA) form was to be a source … The overall response rate was 27.9 percent (2,810 responses out of 10,063 forms mailed). … Although the central entity mailed the forms following the same protocol to all the practices, response … not receive an SEA form).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-patient-flier-final508.pdf
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/registries-pros-cons.pdf
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-tips-jobaid-final508.pdf
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - Using the Four Moments of Antibiotic Decision Making Form may help identify problems. … identify problems
Review data collected on the Four Moments of Antibiotic Stewardship Decision Making Form … Collect and analyze data using the Monthly Data Collection Form
Distribute the Antibiotic Side Effects … Staff Safety Assessment
Antibiotic Side Effects One-Pager
Four Moments of Antibiotic Decision Making Form … Monthly Data Collection Form
Identifying Targets
18
Disclaimer
The findings and recommendations
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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.
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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.
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meps.ahrq.gov/survey_comp/ic_technical_notes.shtml
January 01, 2020 - using specialized
staff and forms … forms
(15 and 15S) for cases … 2002.
2006
Plan Form … 2016
Establishment
Form
Added … Renumbered questions on the
form
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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 .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-checklist-nomeds-final508.pdf
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/aspirin-flowchart.pdf
June 02, 2025 - Page does not require timed responses
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptfactsheet.pdf
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-card-4x6.pdf
June 02, 2025 - Page does not require timed responses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Page does not require timed responses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/PatientsGuideToTeachBack.pdf
June 02, 2025 - Page does not require timed responses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/bepreparedpt_famguide.pdf
June 02, 2025 - Page does not require timed responses
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