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  1. cahps.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
  2. cahps.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
  3. cahps.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
  4. cahps.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
  5. cahps.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).
  6. cahps.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).
  7. Teach-Back Tips (pdf file)

    cahps.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
  8. cahps.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
  9. cahps.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
  10. cahps.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
  11. cahps.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. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
    July 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
  13. cahps.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
  14. cahps.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 .
  15. cahps.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
  16. cahps.ahrq.gov/health-literacy/improve/precautions/tool2b.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
  17. cahps.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.
  18. cahps.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
  19. cahps.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
  20. cahps.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

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