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  1. ahrqpubs.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 .
  2. ahrqpubs.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
    November 01, 2016 - Grant Application, Review & Award Process Grant Application Basics Application Forms … This toolkit includes the following tools: A Medical Care Referral Form to document information for … Use the Medical Care Referral form. … The form documents information clinicians need for prescribing decisions and reflects evidence-based … Prescribing clinicians should also be trained to use order forms for treatment other than antibiotics
  3. ahrqpubs.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
  4. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - •The form was restructured to allow respondents to report details of several interrelated diagnostic … Suggestions for revising the form included having separate sets of items (e.g., using branching logic … ) or separate forms for inpa- tient versus outpatient settings. … There was no consensus about who in the organization should complete the form, and some participants … One participant noted that prior review “made it a lot easier” to complete the form.
  5. ahrqpubs.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
  6. ahrqpubs.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6g-rapid-referral.html
    April 01, 2023 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Referral form: This form captures the patient information needed by the specialist being given the referral … One way to address this problem is for a group practice to develop a referral expert in the form of a … want to explore other ideas for managing referrals more effectively, such as: Standardizing referral forms … Developing forms that specialists offices can fill out so that the PCP has all the information needed
  7. ahrqpubs.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
  8. ahrqpubs.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
  9. ahrqpubs.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - be informed, even if patients sign the form. … , or both, must also sign the form. … consent form according to your hospital's informed consent policy. … The Before button displays an original form, and the After button shows the improved form. … You may be able to build on an existing library of forms and modify or customize those forms to meet
  10. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-quickstart-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
  11. ahrqpubs.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
  12. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-full.pdf
    January 11, 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
  13. ahrqpubs.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
    March 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Reactions —TeamSTEPPS Course Evaluation Form. … Return to Contents Reactions: TeamSTEPPS Course Evaluation Form Say: Participant reactions … This form captures both affective and instrumentality reactions. … patient safety culture has an accompanying toolkit that contains the following materials: Survey forms
  14. ahrqpubs.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
  15. ahrqpubs.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."
  16. ahrqpubs.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)
  17. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appc-final508.pdf
    April 13, 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
  18. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - How to use this tool: Use this form to observe the patient at bedside and check the notes of 20 patients … Make sure the people completing the form know where to find the information, which may require modifying … the form to include explicit directions or cues. … This form should be completed by the unit manager or unit champions.
  19. ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/igcoaching.pdf
    February 22, 2014 - If the exercise falls before a break, introduce the exercise and hand out the self-assessment forms … , and give the participants 15 minutes to complete the forms. … • Have participants fill out the form. … • Hand out the Coaching Feedback Forms and Coaching Scenarios for each group to select from. … SAY: You should each be in a group of three and have copies of the Coaching Feedback Forms and some
  20. ahrqpubs.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
    September 01, 2020 - a hospital, because such forms provide very little information to patients. … be informed, even if patients sign the form. … Don't have forms on hand that have been translated by bilingual staff members. … the form out loud in the patient's language. … Forms can be designed to leave room for interpreters to write down their sight translations.

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