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  1. cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-detail-aid.pdf
    January 01, 2015 - 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
  2. Obsrounds (doc file)

    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
    August 07, 2012 - How to use this tool: Complete the form while observing patient care rounds. … You may use this form for one patient or the entire unit.
  3. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
    January 01, 2004 - • Reactions - TeamSTEPPS Course Evaluation Form. … If you plan to use a course evaluation form for continuing education credit purposes, please check … with your continuing education provider to ensure that the form meets the specific requirements of … This form captures both affective and instrumentality reactions. … patient safety culture has an accompanying toolkit that contains the following materials: • Survey forms
  4. cahps.ahrq.gov/teamstepps/instructor/fundamentals/index.html
    June 01, 2019 - Grant Application, Review & Award Process Grant Application Basics Application Forms … 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
  5. cahps.ahrq.gov/funding/process/grant-app-basics/apptime.html
    October 01, 2014 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Funding Grant Application, Review & Award Process Grant Application Basics Application Forms … Writing Phase Prepare outline following the application framework and structure described in the Form … Make sure all check box items on the face page of the Form PHS 398 are completed.
  6. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
    January 11, 2010 - Response team members and the nurse who called the team completed a Call Evaluation Form. … The patient’s nurse noted on the form that the response team seemed agitated by the lack of supplies … The evaluation forms were sent via interdepartmental mail to the quality department as indicated on … the form. … The forms were not collated or reviewed for several weeks.
  7. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
    January 01, 2017 - Forms • Complex consent forms not understandable to patients and families. • Group practice consent formForms and Decision Aids • X percent of informed consent forms will be understandable by culturally diverse … want to track the percentage of informed consent forms assessed, the percentage of forms revised, and … Did anyone help you read the form? … How easy was the form to understand?
  8. cahps.ahrq.gov/teamstepps/instructor/supplemental/index.html
    April 01, 2016 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Version [ - 465 KB} ) Classroom Slides ( PowerPoint® File [ - 1.47 MB] ) Coaching Feedback Form … Version [ - 147 KB ]) Classroom Slides ( PowerPoint® File [ - 455 KB] ) Teaching Feedback Form
  9. cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-detail-aid.pdf
    April 01, 2016 - not require timed responses Navigation links Needs manual check 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
  10. cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
    June 01, 2018 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Self-assessment + follow-up phone call In-person meeting + monthly teleconferences Tool evaluation forms … Slide 13 Tool: Interdisciplinary Team (2A) Part I: Team Members Image of tool to list in table form … Interdisciplinary Team (2A) Part 3: Matrix of Applicable Tools by Role Image of tool to list in matrix form … Improvement Objective: Implement standard fall prevention practices within 6 months Image of tool in table form
  11. cahps.ahrq.gov/teamstepps/lep/coaching/lepslcoaching.html
    December 01, 2012 - Grant Application, Review & Award Process Grant Application Basics Application Forms … to Contents Slide 12: Exercise: Coaching Self-Assessment Complete a coaching self-assessment form … Participants review the scenarios and Coaching Feedback Form. … The observer completes the Coaching Feedback Form and shares it with the groups.
  12. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    August 07, 2012 - Assign someone to complete the Culture Item Discussion Form (next page) to document the issues that surface … Culture Item Discussion Form: Statement to be discussed: Unit Safety Assessment Score (percent agreement
  13. cahps.ahrq.gov/talkingquality/distribute/media/printed-report.html
    September 01, 2019 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Printed reports typically take the form of stand-alone documents. … Several quality reports designed for Medicaid audiences, for example, take the form of brief brochures
  14. cahps.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
    November 01, 2019 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Team Antibiotic Review Form The Antibiotic Stewardship Program is encouraged to find time to meet … portion of patients receiving antibiotics; this can be guided by use of the Team Antibiotic Review Form
  15. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
    November 16, 2011 - Use the first list provided to form your Implementation Team. … What forms do we use? How does our physical environment support or hinder this process? … Accurate completion of fall incident report form by all staff? 2. … The form lists six key tasks. … A sample completed form is shown below, followed by a blank form.
  16. cahps.ahrq.gov/funding/training-grants/r36.html
    November 01, 2023 - Grant Application, Review & Award Process Grant Application Basics Application Forms … peer-reviewed journal(s) by submitting the Get Recognition for Your AHRQ-Funded Study fillable PDF form … Please email the completed form to journalpublishing@ahrq.hhs.gov , with a copy to your Program Official
  17. cahps.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
    March 01, 2019 - Ask: How could the consent form be misleading to patients? … Nonverbal communication can take several forms. Written communication is common in health care. … Say: Another form of nonverbal communication is body language. … A third form of nonverbal communication is visual cues. … Of these strategies, handoffs in particular can take many forms.
  18. cahps.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
    December 01, 2017 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Urinary Catheter Insertion Assessment Image: Screen show of a urinary catheter insertion assessment form … Slide 55 GU Shift Assessment Image: Screen shot of GU Assessment form. … Council report out Slide 66 Event Analysis Tool Image: Screen shot of a CAUTI Event Analysis form … Slide 70 Shift Huddle Image: Screen shot of a Critical Care Huddle Sheet form.
  19. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-procedure-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
  20. cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/putoolkit_module2_tools.docx
    February 16, 2011 - Use: Use this list to form your implementation team. … The form was developed by the Turning Point Initiative to assess if an organization has the needed systems … What forms do we use? How does our physical environment support or hinder this process? … The form lists six key tasks. … A sample completed form is shown below, followed by a blank form.

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