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81. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
    www.talkingquality.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.

82. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice Training Modules | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/health-literacy/professional-training/informed-choice/guide.html
    September 01, 2020 - Forms Complex consent forms not understandable to patients and families. … forms being used in your hospital. … Forms and Decision Aids X percent of informed consent forms will be understandable by culturally … want to track the percentage of informed consent forms assessed, the percentage of forms revised, and … Did anyone help you read the form?

83. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
    www.talkingquality.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

84. Strategy 1: Working With Patients and Families as Advisors | Agency for Healthcare Research and Quality
    www.talkingquality.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 Form—Form … 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

85. AHRQ Tips for Grant Applicants | Agency for Healthcare Research and Quality
    www.talkingquality.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

86. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix B (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appb.pdf
    January 01, 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

87. The Medical Home Index: Revised Short Form: Pediatric | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.html
    May 01, 2013 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Demonstration Grant Program What We Learned The Medical Home Index: Revised Short Form … SHARE: The Medical Home Index: Revised Short Form … The MHI-Revised Short Form (MHI-RSF) is a subset of 14 items from the MHI. … Name (if different than the person who completed this form): ___________________________ Title/Position

88. Module 4: Component Kit (doc file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
    May 01, 2017 - · Keep your maintenance checklist observation forms in a folder or binder, in date order, so you can … Preparation 1 Can you use a surgical safety checklist form to summarize three procedure segments? … Example Here is an example of an observation form tested at an ambulatory surgical center in April 2016 … Example Observation Form Key: ID: Identity DOB: Date of birth CRNA: Certified registered nurse anesthetist … The observation form can be posted on your visual management board.

89. Heart Health Now Aspirin Algorithm (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-algorithm.pdf
    December 14, 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

90. Measure 1, Section 2, Attachment 2 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
    January 17, 2017 - Measure 1, Section 2, Attachment 2 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section … into record Initial evaluation or report of feedback from initial evaluation SNAC Submission Form … Note or scanned Rating Scale or initial evaluation report SNAC Submission Form Measure 1: Accurate

91. ADHD Summary of Public Comments (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
    February 02, 2017 - ADHD Summary of Public Comments SNAC Submission Form … consider adding exceptions (AMA-PCPI Specifications Staff) Page 1 of 3 SNAC Submission Form … medical home setting (The Center for Advanced Pediatrics) Page 2 of 3 SNAC Submission Form

92. Measure 1, Section 6, Attachment 2 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-2.pdf
    January 17, 2017 - Measure 1, Section 6, Attachment 2 SNAC Submission Form … consider adding exceptions (AMA-PCPI Specifications Staff) Page 1 of 3 SNAC Submission Form … medical home setting (The Center for Advanced Pediatrics) Page 2 of 3 SNAC Submission Form

93. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix A (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appa.pdf
    January 01, 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

94. Tobacco Use and Help with Quitting Among Adolescents | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/pqmp/measures/tobacco-use.html
    August 01, 2021 - Grant Application, Review & Award Process Grant Application Basics Application Forms … (PDF, 82 KB) NCINQ Tobacco Use and Help Specifications—Pop (PDF, 88 KB) NCINQ Tobacco Use and Help Form … (PDF, 697 KB) NCINQ Tobacco Use and Help Form—References (PDF, 18 KB) Materials Written Statement

95. Grant Closeout Requirements | Agency for Healthcare Research and Quality
    www.talkingquality.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

96. TeamSTEPPS for Office-Based Care: Measurement | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module10/office_msmt-ig.html
    September 01, 2015 - Grant Application, Review & Award Process Grant Application Basics Application Forms … Reactions —TeamSTEPPS for Office-Based Care Course Evaluation Form. … If you plan to use a course evaluation form for continuing education credit purposes, please check with … This form captures both affective and instrumentality reactions. … Patient Safety Culture has an accompanying toolkit that contains the following materials: Survey forms

97. Section 8: Feasibility, Attachment 1: Preliminary Results: Performance Rates (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-8-attach-1.pdf
    February 02, 2017 - Section 8: Feasibility, Attachment 1: Preliminary Results: Performance Rates SNAC Submission Form … Language English 52 89.66% 7 87.50% Spanish 6 10.34% 1 12.50% SNAC Submission Form

98. Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF) (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusForm.pdf
    February 06, 2012 - Attachment A: CHIPRA Pediatric Quality Measures Proram (PQMP) Candidate Measure Submission Form (CPCF … Attachment A: CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form … complete a specific field. << >> indicates the name of a text field in the online version of this form … . + indicates an upload field in the online version of this form. … Data Source [Online form will have radio buttons] a.

99. Heart Health Now Lipid Algorithm (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-lipid-algorithm.pdf
    December 14, 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

100. Section 5: Evidence, Attachment 1: AAP Guideline Evidence (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
     January 01, 2009 - Section 5: Evidence, Attachment 1: AAP Guideline Evidence SNAC Submission Form ADHD Measure 2: Behavior … SNAC Submission Form ADHD Measure 2: Behavior Therapy Section 5: Evidence Attachment 1: AAP Guideline … SNAC Submission Form ADHD Measure 2: Behavior Therapy Section 5: Evidence Attachment 1: AAP Guideline … • These programs typically run in the form of group parent training programs, and although not always … was limited to preschool-aged children who had moderate to severe dysfunction; SNAC Submission Form