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1. Forms | PSO
   pso.ahrq.gov/forms
   February 01, 2022 - SHARE: More topics in this section Forms … Forms Initial Listing Certification Forms Patient Safety Organizations … (PSOs) are encouraged to complete and submit forms online. … Forms can also be downloaded for completion and emailed or mailed. … https://pso.ahrq.gov/forms   Back to Top

2. Forms and Electronic Applications | Agency for Healthcare Research and Quality
   www.ahrq.gov/funding/process/app-forms/index.html
   November 01, 2015 - Forms and Electronic Applications Grant Application Forms Sign up: Grants Review Process … change from paper to electronic filing, the current PHS 398 application will be replaced by the Standard Form … For additional information on electronic grant applications, please go to Forms and Electronic Applications … Following this advice will ensure you have the latest forms and correct application package. … Research Grants Form/Application Instructions Description/Comments SF424 (R&R) (Word

3. Certification for Initial Listing Form | PSO
   pso.ahrq.gov/forms/initial-listing
   February 01, 2022 - topics in this section My PSO Account Certification for Initial Listing Form … Instructions for Completing the Form The Patient Safety and Quality Improvement Act of 2005 … All references to Secretary within this form refers to the Secretary of Health and Human Services. … Next ALTERNATE VERSION Download a blank PDF version of this form. … https://pso.ahrq.gov/forms/initial-listing   Back to Top

4. Appendix 1-A. Release Forms | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/publications/pubcomguide/pcguide1apa.html
   July 01, 2024 - Release Forms Appendix 1-B. Trademarks Appendix 1-C. … in Microsoft Word: Release Form for AHRQ To Use Copyrighted Material (Word, 42 KB). … Release Form for Use of Previously Recorded Audiovisual Materials, Including Photographs (Word, 46 KB … Meeting Participant Release Form (Word, 42 KB). Meeting Participant Sign-In Sheet (Word, 47 KB). … *Note: Grantees may use these forms if they do not have forms of their own; however, grantees are not

5. Talent-Release-Form (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/talent-release-form.docx
   July 01, 2024 - AHRQ Publishing and Communications Guidelines Talent Release Form Instructions This Talent Release Form … Completed release forms are recommended for people whose video appearances are possible but uncertain … Release Form. … This perpetual license covers all forms of media, existing or subsequently developed, globally. … Talent Release Form Agency for Healthcare Research Quality (AHRQ) U.S.

6. Talent Release Form (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Talent-Release-fillable-form.pdf
   April 01, 2024 - Talent Release Form Talent Release Form Instructions This Talent Release Form must be completed … Completed release forms are recommended for people whose video appearances are possible but uncertain … Talent Release Form. … This form may be used for other types of production if the Type of Product is specified below. … Unless the participating minor cannot write, the minor also must sign the release form.]

7. Disclosure Policy and Form (pdf file)
   effectivehealthcare.ahrq.gov/sites/default/files/epc-disclosure-policy-form.pdf
   March 01, 2023 - Although the logistics of gathering COI disclosure forms may be delegated to a project manager, the … Although the logistics of gathering the COI disclosure forms may be delegated to a project manager, … The EPC should update Disclosure Forms for any individual whose involvement in the projects extends … The EPC should maintain the Disclosure Forms for 6 years past delivery of the final report. … The EPC should maintain the Disclosure Forms for 6 years past delivery of the final report.  

8. "Smart Forms" in an electronic medical record: documentation-based clinical decision support to improve disease management. | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/citation/smart-forms
   January 01, 2023 - "Smart Forms" in an electronic medical record: documentation-based clinical decision support to improve … "Smart Forms" in an electronic medical record: documentation-based clinical decision support to improve … 18436911 Principal Investigator Middleton, Blackford Project Name Evaluating Smart Forms

9. Oral Dosage Forms that Should Not Be Crushed. | PSNet
   psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
   January 26, 2023 - Fact Sheet/FAQs Oral Dosage Forms that Should Not Be Crushed. … Citation Text: Oral Dosage Forms that Should Not Be Crushed. … Copy URL Cite Citation Citation Text: Oral Dosage Forms

10. ENSW FIELD NOTE FORM (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-notes-sw.pdf
    June 02, 2025 - ENSW FIELD NOTE FORM 1 ENSW FIELD NOTE FORM 1. … You may upload a file (e.g., agendas, documents, forms, tools, or other notes or minutes) Facilitator

11. Research Training Tools and Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/training-grants/tools.html
    July 01, 2021 - following: AHRQ Support for Dissertation Research Grants (R36): Transition to the SF424 (R and R) Form … These forms are available in PDF format. … : National Research Service Award Payback Agreement Form (PHS 6031) http://grants.nih.gov/grants/ … These forms can be found at the following sites: Statement of Appointment Form (PHS 2271) http:// … : National Research Service Award Payback Agreement Form (PHS 6031) http://grants.nih.gov/grants/

12. TeamSTEPPS Coaching Feedback Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-coaching-feedback-form.pdf
    June 02, 2025 - TeamSTEPPS Coaching Feedback Form Coaching Feedback Form INSTRUCTIONS While observing the scripted … coaching practice exercise, use this form to document the demonstrated competencies of the designated … particular scenario, and the observer watches the interaction and notes on the coaching observation form … Difficult Situations Execution Responding to Requests Following Through Coaching Feedback Form

13. TeamSTEPPS Training Evaluation Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
    June 02, 2025 - TeamSTEPPS Training Evaluation Form TeamSTEPPS Training Evaluation Form The TeamSTEPPS … course evaluation form that follows is designed for a 2 day course based on the TeamSTEPPS curriculum … include all the material covered in a 2 day course, you may need to remove sections of the evaluation form … TeamSTEPPS Training Evaluation Form 2 Location: ___________________________ Date: __________ … Additional Comments: TeamSTEPPS Training Evaluation Form

14. Chart Abstraction Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
    December 14, 2011 - Chart Abstraction Form Basic Elements Patient ID Race Ethnicity Gender … 14 15 16 17 18 19 20 21 22 23 lad895 Typewritten Text Attachment 2.1 Chart Abstraction Form

15. Disclosure Policy and Form (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-ki-tep-confidentiality-form.pdf
    August 01, 2020 - Disclosure Policy and Form EPC Key Informant and Technical Expert Agreement The primary role of … Role: Disclosure Policy and Form PrintButton1: SignatureField1: TextField2: CheckBox1: 0 CheckBox1

16. 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.

17. Team-Antibiotic-Review-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form.docx
    November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use Team Antibiotic Review Form *Questions 1–6 should … ☐ Yes ☐ No 2 Team Antibiotic Review Form AHRQ Safety Program for Improving Antibiotic Use – … Otherwise this form has been completed.

18. Evaluating Smart Forms and Quality Dashboards in an Electronic Health Record (EHR) - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/final-report
    January 01, 2023 - Evaluating Smart Forms and Quality Dashboards in an Electronic Health Record (EHR) - Final Report … Evaluating Smart Forms and Quality Dashboards in an Electronic Health Record (EHR) - Final Report. … PDF Evaluating Smart Forms and Quality Dashboards in an Electronic Health Record (EHR) - Final … Principal Investigator Middleton, Blackford Project Name Evaluating Smart Forms and Quality

19. Appendix. Audio/Video Concept Proposal Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/publications/pubcomguide/av-form.html
    March 01, 2025 - Audio/Video Concept Proposal Form Previous Page   Table of Contents Publishing and … Release Forms Appendix 1-B. Trademarks Appendix 1-C. … Completed Audio/Video Concept Proposal Forms should be submitted to MultimediaSupport@ahrq.hhs.gov . … Note to Grantees: While AHRQ grantees are not required to complete and submit this form, they may use … Audio/Video Concept Proposal Form (PDF, 666 MB)

20. Evaluating Smart Forms and Quality Dashboards in an Electronic Health Record (EHR) | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr
    January 01, 2023 - User interface accelerators for clinical documentation in Smart Form. … Clinical Decision Support System Population: Individuals with Chronic Care Needs Can a "Smart Form … Can a "Smart Form" increase physicians' satisfactions with managing patient health behavior risks? … Currently, the dashboard and smart form for acute respiratory patients has been introduced to about 1,000 … The coronary artery disease/diabetes smart form is currently being rolled out to a similar number of