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Showing results for "forms".

181. Checklist: Conducting a Warm Handoff (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist-letter.pdf
     June 02, 2025 - 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

182. Checklisk: Conducting a Warm Handoff (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist.pdf
     June 02, 2025 - 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

183. Checklist: Conducting a Warm Handoff Plus (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-checklist-508.pdf
     June 02, 2025 - 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

184. Medication Management: Reminder Business Card (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-appointment-card-small.pdf
     June 02, 2025 - 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

185. Medication List (Note Sheet) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_medlist.pdf
     June 02, 2025 - 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

186. 4.a-2 Screening Eligibility Assessment (SEA) Form  (incl. Spanish) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool4a2.html
     April 01, 2018 - Improving Screening for Colorectal Cancer Intervention 4.a-2 Screening Eligibility Assessment (SEA) Form … Spanish) 4.a-2 Screening Eligibility Assessment (SEA) Form  (incl. … Spanish) 5.a-1 Master Patient Database Elements 5.d-1 Chart Audit Review Form 6.a-1 Feedback Form … for Stool Test Positive 6.a-2 Feedback Form for Stool Test Negative 6.b-1 Feedback Form for CDE … Your answer to Section A of this form will help us determine your eligibility.

187. Medication Management Transactions and Errors in Family Medicine Offices: A Pilot Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Lynch_37.pdf
     March 21, 2008 - the end of each 2-hour data collection period, the study coordinator collected all data collection forms … At a later date, an independent nurse reviewer brought the data collection forms to each office site … After completion, the data collection forms were returned to the study coordinator. … In the final step, one of the physician investigators reviewed all of the data collection forms, made … All information gathered on the data collection forms was then entered into a database for statistical

188. Appendix A: Interview Questions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalap.html
     January 01, 2013 - What forms of communication did you use to communicate with all teams? … What forms of communication did you use to contact individual units? … This information will be shared with the NPT and included in summary form in our final report to AHRQ

189. SOPS® Database De-Identified Data Research Abstract Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-data-research-abstract-example.pdf
     January 01, 2024 - SOPS® Database De-Identified Data Research Abstract Form Example SOPS De-identified Research Abstract … Form Last Updated: April 2024 1 Agency for Healthcare Research and Quality (AHRQ) SOPS® Database … De-Identified Data Research Abstract Form EXAMPLE OF A COMPLETED FORM This completed abstract … presents an example of how to complete this form. … Example SOPS De-identified Research Abstract Form Last Updated: April 2024 4

190. Medication Management: Procedure: Engaging Your Patient To Create a Medication List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-staff-procedure.pdf
     June 02, 2025 - Using the Medication List form, go through the prescription medications one by one. a. … Check whether the medication is expired and note that on the Medication List form. d. … Check on the form whether the patient is taking the medication as prescribed. f. … 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

191. How To Use This Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/how-to-use.html
     May 01, 2017 - Tools include items such as checklists, information sheets, forms, and worksheets.

192. Participating in the CAHPS Health Plan Survey Database | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/hp-database/participate.html
     December 01, 2024 - Please visit the Health Plan Survey Database Submission System for forms, specifications, and additional

193. Appendix B17: Handout for Inservice #1, Why Falls Happen in Nursing Facilities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C.

194. Participating in the CAHPS Home and Community-Based Services Survey Database | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
     December 01, 2024 - Please visit the HCBS CAHPS Survey Database Submission System for forms, specifications, and additional

195. Appendix B6: Mobility and Transfer Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/mobility.html
     February 01, 2023 - Forms and Training Materials (Appendix Contents) Appendix C.

196. Be Prepared. Be Engaged. (Patient Flyer) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared-patient-flyer-final508.pdf
     June 02, 2025 - 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

197. Please bring ALL your medicines to your next appointment. (Postcard) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage-ptreminder-postcard.pdf
     June 02, 2025 - 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

198. Communication Assessment Guide: Appendix 4 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap4.html
     August 01, 2022 - category questionnaire measures of cognitive complexity: Reliability and comparability of alternative forms

199. Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-3txt.html
     July 01, 2022 - Physician completes the physician medication reconciliation form documenting ordering decisions for home … Nursing (pharmacy) medication reconciliation form completed Additional information: Med Profile … Forms: Created standardized approach for physicians, nurses, and pharmacists for medication reconciliation

200. Figure 3: Medication Reconciliation Upon Admission: High Level Process Map After Redesign (Text Description) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/figure-3txt.html
     July 01, 2022 - Physician completes the physician medication reconciliation form documenting ordering decisions for home … Nursing (pharmacy) medication reconciliation form completed Additional information: Med Profile … Forms: Created standardized approach for physicians, nurses, and pharmacists for medication reconciliation