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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
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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
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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.
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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.]
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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
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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/
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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
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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
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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
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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.
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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)
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Meeting-Release-form.docx
July 01, 2024 - Release Form for Meeting Participants
Release Form for Meeting Participants
Instructions
Completion … of this Release Form is required when recording speakers and participating audience members at a meeting … audience members are not known before they speak, efforts should be made to have them sign the Release Form … Print one form for each speaker and one each for the expected number of attendees. … Release Form for Meeting Participants
I do hereby authorize AHRQ, assignees, successors, and those acting
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-tracking-form.pdf
December 31, 2017 - Chart Audit Tracking Form
H2N Chart Abstraction
Protocol
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www.ahrq.gov/topics/grants.html
January 01, 2011 - System Researcher Core Competencies
Fiscal Year 2011 Research on Child and Adolescent Health
Forms
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www.ahrq.gov/funding/process/index.html
March 01, 2016 - Application Forms
Grant Application Forms
Application Deadlines & Important Dates
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 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.
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www.ahrq.gov/funding/policies/polnotice/index.html
February 01, 2025 - Grant Application Forms and Instructions Must be Used for Due Dates On or After January 25, 2025 Notice … " Grant Application Forms and Instructions Coming for Due Dates on or after January 25, 2025 Notice … Strategies and Tools (R18) Notice Number: NOT- HS-22-020 7/15/22 eRA Retirement of All Application Form … Underway Continue to Use Current Forms (FORMS-E) through May 24, 2020 Notice Number: NOT-OD-20-047 … NIH & AHRQ Research Grant Applications Notice Number: NOT-OD-16-011 10/13/15 NIH & AHRQ Announce New Form
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 02, 2025 - Which PDIs have best practices forms? … Given the heterogeneity of these diagnoses, it would not be feasible to develop a
best practices form … Surgery Volume: Increasing heart surgery volume is
not a practice that is amenable to a best practices form … Some guidelines are product specific, so the best practices form can
become very complex. … However, the creation of a best practices form about general
practices related to preventing transfusion
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/about/about-hospital-health-literacy-item-set.pdf
October 30, 2017 - Recommended label for reporting: Ease of filling out forms
H-HL24 Patient had to sign forms
H-HL25 … Staff explained the purpose of a form before patient signed it
H-HL26 Patient had to fill out forms … H-HL27 Staff offered patient help in filling out a form
H-HL28 Forms were easy for patient to fill … H-HL25 Staff explained the purpose of a form before patient signed it
H-HL27 Staff offered patient … help in filling out a form
H-HL28 Forms were easy for patient to fill out
H-HL29 Patient was given
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Audiovideo-fiilable-form.pdf
April 01, 2024 - Audio/Video Concept Proposal Form … No. 24-DTP009
April 2024
Audio/Video Concept Proposal
Form
Instructions
AHRQ program representatives … must submit to the Office of Communications (OC) a
completed Audio/Video Concept Proposal Form before … Completed Audio/
Video Concept Proposal Forms should be submitted to MultimediaSupport@ahrq.hhs. … Note to Grantees: While AHRQ grantees are not required to complete and submit this
form, they may use