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101. Appendix 1-E. Video Scripting | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/pcguide1ape.html
     July 01, 2024 - Release Forms Appendix 1-B. Trademarks Appendix 1-C.

102. Noncompeting Application Requirements | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grant-mgmt/noncomp.html
     November 01, 2015 - after the first twelve months requires the annual submission of a financial assistance request in the form … Contents Forms Application Contents Date of Submission Where to Send the Application Inquiries … Forms All AHRQ grantees, except recipients of multi-year funded (MYF) awards (awards in which … Budget justification, as appropriate, on form page 3 (see item 2 below). … Progress report summary (form page 5). Checklist (form page 6).

103. New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
     October 01, 2014 - It includes case studies and forms that clinicians can use. … At the request of subspecialty surgeons, the hospital created separate assessment and order forms for

104. Learning from Patient Narratives Through Innovative Feedback Reporting Methods Webcast - Impact of the Intervention on Staff Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/learning_pt_narratives_053123-nembhard.pdf
     June 02, 2025 - Finding 4: Reinforcing feedback in patient narratives is associated with staff well-being Two Forms … Empathy in Narratives: Conveys 1) understand challenges and/or 2) appreciate effort ► One form of empathy … seen frequently in narratives: 30.9% ► Both forms of empathy seen frequently in narratives: 11.5%

105. Toolkit Prelaunch Activities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
     March 01, 2022 -  Provide staff education and training  Print staff and patient handouts and skills assessment forms … huddle messages to address existing issues)  Print Staff and Patient Handouts and Skills Assessment Forms … Skills assessment forms – one-page handouts for staff to perform peer-to-peer assessment or for nursing … Products  Provide Staff Education and Training  Print Staff and Patient Handouts and Skills Assessment Forms

106. Appendix B9: FMP Entry Log (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09logtxt.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C.

107. Chapter 6. Environment and Equipment Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … Copies of all of the forms in the LSI are provided in Appendix B and may be made into a separate notebook … the letter or number of each of the beds in the room should be written across the second line of the form … There are separate forms for the engineer to use when inspecting and repairing equipment: Engineer Cane … The engineer is asked to keep the wheelchair inspection form and reuse it each time he repeats the inspection

108. Chesapeake Regional Healthcare’s Success in Preventing Falls in Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
     February 01, 2024 - AHRQ’s Tool 3B: Scheduled Rounding Protocol was helpful in the development of the rounding audit forms … The audits forms for “Fall Free Friday” included bed in low and locked position, bed alarm activated

109. Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/summary.html
     May 01, 2016 - Institute of Medicine, 2   and the AHRQ Common Formats, a which includes definitions of adverse events and forms … The patient reporting form was revised in response to the focus group findings, and the revised form … Put all of the hotline materials, including the Operations Manual (which has all the forms, surveys, … includes detailed appendixes, including the full Operations Manual, with copies of the event reporting forms … Formats provides precise definitions of patient safety events, examples of patient safety reports, forms

110. The Single IRB Plan Elements (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/single-IRB-plan-elements.pdf
     June 02, 2025 - https://grants.nih.gov/grants/how-to-apply-application-guide/forms-e/general/g.500-phs-human-subjects-and-clinical-trials-information.htm

111. AHRQ_Brand_NameOnly (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.xlsx
     October 01, 2016 - Repeats) Number of UTI SBAR Forms Used Number of UTIs That Met Diagnostic Criteria Number of Negative

112. Improving Hospital Discharge Through Medication Reconciliation and Education | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/discharge/index.html
     December 01, 2017 - The toolkit contains such resources as: Medication reconciliation forms.

113. Tool 8. Sample Community Inventory Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool8.html
     May 01, 2014 - Sample Community Inventory Form Previous Page Next Page Table of Contents Integrating … Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … Basic Yoga Studio is willing to fill out any appropriate forms, although must be client initiated due

114. Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North America (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
     January 01, 2024 - 0.169 [95%CI=0.155,0.184]); Patients enrolled = 293 (0.657 [95%CI=0.611,0.701]); Data collection forms … (0.169 [95%CI=0.155,0.184]); Patients enrolled = 293 (0.657 [95%CI=0.611,0.701]); Data collection forms … 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

115. Appendix C9: Fall Interventions Monitor Sample | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt9.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … Falls Engineer Instructions Note: This form has been filled out with information for

116. Appendix C3: Unsafe Behavior Worksheet Sample | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … Falls Engineer Instructions Note: This form has been filled out with information for

117. Appendix B12: Fall Interventions Monitor | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
     February 01, 2023 - Forms and Training Materials (Appendix Contents) Appendix C.

118. Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
     January 01, 2004 - These categories are subdivided into a total of 15 skill elements that form the main framework of the … One feedback form was completed on each occasion the ANTS System was used. … , n = 30) and trainees (83 percent of feedback forms, n = 20). … Uses of the ANTS System Consultants (38 feedback forms) Trainees (24 feedback forms) Possible … It is recommended that the next stage of evaluation research should take the form of a larger study

119. Grantee Guidance | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/pubcomguide/granteeguide.html
     November 01, 2021 - Release Forms Appendix 1-B. Trademarks Appendix 1-C. … Appendix 1-A, Copyright: Permission Forms and Licensing Agreement , provides needed forms and instructions … immediately send a copy of the manuscript (drafts are acceptable) and this completed fillable PDF form … The form asks for: Title of article. Author names. Corresponding author contact. … healthcare policy, clinical practice, or patient outcomes should review the criteria and fill out the form

120. CHIPRA 201: Section 1, Tables 1 and 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-1-table-1-2.pdf
     June 02, 2025 - with status asthmaticus 493.21 Chronic obstructive asthma with (acute) exacerbation 493.22 Other forms