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81. Tracking and Improving Screening for Colorectal Cancer Intervention | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/crctoolkit/index.html
    March 01, 2023 - 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 … 6.a-2 Feedback Form for Stool Test Negative         6.b-1 Feedback Form for CDE     Assessment        

82. RAND 36 Item Short Form Health Survey SF-36 (pdf file)
    integrationacademy.ahrq.gov/sites/default/files/2020-07/RANDquestionnaire.pdf
    January 01, 2020 - RAND 36 Item Short Form Health Survey SF-36 RAND 36 ITEM HEALTH SURVEY 1.0 Patient Name:

83. Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/facilitator-guide.html
    July 01, 2023 - In addition are links to two TeamSTEPPS documents, the coaching self-assessment form and the coaching … feedback form. … The coaching self-assessment form and feedback form are tools for self-improvement. … The feedback form can guide coaches on how to deliver feedback more effectively. … (PDF, 253 KB) TeamSTEPPS coaching feedback form (PDF, 103 KB)

84. 113-Staff-Safety-Assessment (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Staff Safety Assessment ICU & Non-ICU Purpose of this form: This … form is designed to tap into your experience to determine what risks are present in your unit that have … How to complete this form: Provide as much detail as possible when answering the questions below. … When to complete this form: This form can be filled out by any healthcare provider at any time. … At a minimum, healthcare providers should complete this form semi-annually.

85. A-11. Measure 8: Plan of care includes at least one public and/or private community service/resource | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-11.html
    October 01, 2013 - care includes at least one public and/or private community service/resource (Wrap-Around Observation Form … Question 2 of the 48-item Wrap-Around Observation Form-2, which elicits information from a trained observer … practice: Other Denominator: Number of patients or families eligible for wraparound services and form … Reliability of the Wraparound Observation Form—Second Version: An instrument designed to assess the

86. A-10. Measure 7: Information about area (community) resources is offered by clinician | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-10.html
    October 01, 2013 - Measure 7: Information about area (community) resources is offered by clinician (Wrap-Around Observation Form … Question 1 of the 48-item Wrap-Around Observation Form-2, which elicits information from a trained observer … practice: Other Denominator: Number of patients or families eligible for wraparound services and form … Reliability of the Wraparound Observation Form-Second Version: an instrument designed to assess the

87. Step 2: Form an Advisory Group | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-an-Advisory-Group.html
    December 01, 2019 - Step 2: Form an Advisory Group Review all steps in the process of planning a survey project: … Step 1: Form a Project Team .  … Step 2: Form an Advisory Group.   Step 3: Define Your Goals . … However, if you choose not to form such a group, find ways to involve representatives of stakeholder

88. Step 1: Form a Project Team | Agency for Healthcare Research and Quality
    www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-a-Project-Team.html
    December 01, 2019 - Step 1: Form a Project Team Review all steps in the process of planning a survey project: … Step 1: Form a Project Team.  … Step 2: Form an Advisory Group .   Step 3: Define Your Goals .

89. Evaluating Smart Forms and Quality Dashboards in an EHR (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
    January 01, 2009 - Evaluating Smart Forms and Quality Dashboards in an EHR Grant Final Report Grant ID: HS015169 … alone, and use of Smart Forms plus Quality Dashboards. … That is, any visit occurring in a clinic assigned to Smart Forms or Smart Forms plus Quality Dashboards … We assessed the significance of the Smart Forms or Smart Forms plus Quality Dashboards on the primary … A National Web Conference on Smart Forms and Quality Dashboards.

90. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
    October 01, 2014 - The form can be completed by registered nurses and nursing assistants. … Instruction: Complete the form for all patients with information on the number of pressure ulcers present … Use the standardized skin inspection form, using one form for each month. … Instructions: Complete the form by following the case inclusion and exclusion criteria outlined below

91. Choosing an Intervention and Measuring Change | Agency for Healthcare Research and Quality
    www.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
    June 01, 2021 - The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … The Monthly Data Collection Form can help track antibiotic use, urine cultures, and Clostridioides … Staff Safety Assessment Form (DOCX, 330.3 KB) Learning From Antibiotic-Associated Adverse Events Form … (DOCX, 226.7 KB) Intervention Worksheet  (PDF, 157.4 KB) Monthly Data Collection Form (XLSX, 345.5

92. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - Sensemaking Tools 1 CUSP Tools Sensemaking Tools Staff Safety Assessment Discovery Form … Safety Issues Worksheet Root Cause Analysis Learn From Defects Form Failure Mode and … Causal Tree Worksheet Coding defects or failures Learn From Defects Form Eindhoven Model … Use this form to engage the senior executive to address the safety issues identified in the form. … Keep the project leader apprised of the information on this form.

93. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    April 02, 2025 - 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.

94. Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI) | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/tools/pdsa-form.html
    November 01, 2018 - Act (PDSA) Tool for Health Care Quality Improvement (QI) Resource: Plan Do Study Act (PDSA) Form … Using this form can be helpful to primary care practices following the Model for Improvement quality

95. Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? Results of a physician satisfaction survey. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-7
    January 01, 2023 - Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … 18694145 Principal Investigator Middleton, Blackford Project Name Evaluating Smart Forms

96. Medication Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
    January 01, 2024 - (e.g., sustained release instead of immediate release) No Harm 568 96.3% Incorrect dosage form (e.g … (e.g., sustained release instead of immediate release) Administering 223 19.7% Incorrect dosage form … (e.g., sustained release instead of immediate release) Transcribing 73 6.4% Incorrect dosage form ( … e.g., sustained release instead of immediate release) Dispensing 57 5.0% Incorrect dosage form (e.g. … instead of immediate release) Storing * * Incorrect dosage form (e.g., sustained release instead of

97. Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/patient-centered-informatics-system-enhance-health-care-rural-communities-0
    January 01, 2023 - Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings. … Psychometric assessment of the patient activation measure short form (PAM-13) in rural settings.

98. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/cpcf-form15.html
    December 01, 2013 - Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) The … CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved

99. Appendix 1-C. AV Checklists (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Audio-Video-Concept-Review-Form.docx
    July 01, 2024 - Completed Audio/Video Concept Proposal Forms should be submitted to MultimediaSupport@ahrq.hhs.gov. … need assistance from OC to complete the form. … The TOO may have the Contractor assist in filling out this form. … Only the TOO (or other AHRQ employee) should submit the form. … Printed forms completed by hand may be hard to read and may not be accepted.

100. 4 Tk1 T3-Not All Infections Need Antibiotics- Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
     May 01, 2014 - What is the UTI SBAR form? What does it include? … • The UTI SBAR form is based on the Situation, Background, Assessment, and Recommendation form … • The UTI SBAR form can be faxed to or used when speaking with a prescribing clinician. … Why use the UTI SBAR form? • The UTI SBAR form helps to reduce the unnecessary use of antibiotics. … Forms like these have proven effective in improving care.