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321. Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/worksheet.html
     July 01, 2023 - Health care providers and senior leader(s) How to complete this form: Provide as much detail as possible … When to complete this form: It should be completed at least semiannually.

322. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
     March 01, 2020 - participation in site-marking and surgical site-marking by providers), and use of verification protocols and forms … and no wrong-site surgery occurred during the study.2 11.1.2.1.3 Use of Verification Protocols and Forms … The anatomic marking form (AMF) was developed in response to a 2001 JC review of the Sentinel Event … • JC and hospital staff established an administrative policy to guide the use of the form as an … The studies found that health professionals use checklists, verification protocols, forms, and site-marking

323. Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI) | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/pdsa-form.html
     November 01, 2018 - Act (PDSA) Tool for Health Care Quality Improvement (QI) Resource: Plan Do Study Act (PDSA) Form … Using this form can be helpful to primary care practices following the Model for Improvement quality

324. Section 7. Tools and Resources (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
     October 01, 2014 - The form can be completed by registered nurses and nursing assistants. … Instruction: Complete the form for all patients with information on the number of pressure ulcers present … Use the standardized skin inspection form, using one form for each month. … Instructions: Complete the form by following the case inclusion and exclusion criteria outlined below

325. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appa.pdf
     January 01, 2019 - 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

326. Planning for Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/enhanced-recovery/planning.html
     June 01, 2023 - Use your performance data and the Gap Analysis and Goal Setting Form to identity measures to focus on … and Barriers to Sustaining Gains in Enhanced Recovery (DOCX, 240 KB) Gap Analysis and Goal Setting Form

327. COVID-19 Vaccine Learning Guide for Leadership (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-learning-guide-leadership.pdf
     June 30, 2021 - not require timed responses Navigation links Passed manually 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

328. Performing SSI Investigations: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
     December 01, 2017 - Slide 8: Patient or Provider Factors Image: Sample form covering patient or provider factors: … Slide 10: Glucose Control Image: Sample form covering glucose control: Was the patient’s blood … Slide 11: Skin Preparation Image: Sample form covering skin preparation: Was the skin preparation … Slide 12: Prophylactic Antibiotics Image: Sample form covering prophylactic antibiotics: Did the … Image: Sample form covering prophylactic antibiotics: Case duration.

329. AHRQ Request for Synthetic Healthcare Database for Research (SyH-DR) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Application-062724.pdf
     April 02, 2025 - for Research (SyH-DR) SyH-DR Data Request 1 Please submit any questions, the completed request form … Synthetic Healthcare Database for Research (SyH-DR) INSTRUCTIONS FOR COMPLETING THE SYH-DR REQUEST FORM … Please reference the below terms and definitions as you complete the SyH-DR request form and DUA: • … The Data Requester should enter this name on the SyH-DR request form, and the Data Custodian and Data … SyH-DR Data Request 2 Please submit any questions, the completed request form, and signed DUA(s) to

330. Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
     June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use Staff Safety Assessment PURPOSE OF THIS FORM: … All health care providers are encouraged to complete this form. … Consider asking all staff members to complete this form at least semiannually.

331. Chapter 2: Building and Assessing the Clinic Foundation | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity/obpcp2.html
     May 01, 2014 - Chart Audit Form and Instructions Tool 3. Clinical Care Observation Guide Tool 4.  … Sample Community Inventory Form Tool 9. Sample Prescription Pad Tool 10.  … Tool 2 provides a step-by-step guide to conducting a chart review, including forms, chart audit key … Tool 3 provides a form that may be used by the observer to conduct clinic observations.

332. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
     January 01, 2017 - 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

333. Chapter 5 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
     August 01, 2022 - Reporters will be asked to complete a standardized reporting form. … The form will assure users that confidential information protection is a top priority for the system. … The standardized reporting form will allow both structured and unstructured reporting. … Pilot testing will likely be important for finalizing the reporting form. … A "smart form" would be used for each of these options, allowing submitted information to be entered

334. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - * Evidence-based Communication Between Nurses and Prescribers: Using a Medical Care Referral Form … (MCRF) * Medical Care Referral Form (MCRF) Designed to facilitate evidence-based communication … Ideally, all long-term care facility residents should have a POLST accepted form on the chart and have … The form is on bright pink paper so it can be easily identified in case of an emergency. … A physician, physician assistant, or nurse practitioner must complete the POLST accepted form based on

335. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - Antibiotic Use Commitment Poster (DOCX, 870 KB) Staff Safety Assessment Form  (DOCX, 330 KB) Implementation … Guide  (PDF, 402 KB) Learning From Antibiotic–Associated Adverse Events Form (DOCX, 227 KB) Gap … Analysis Tool  (DOCX, 382 KB) The Four Moments of Antibiotic Decision Making Form and Guide

336. 8-Building-Core-Team (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/8-building-core-team.docx
     June 01, 2023 - AHRQ Safety Program for Improving Surgical Care and Recovery Core Team Form Building Your Core Team … Core Team Form 2 Core Team Form 2 Essential ISCR Team Leaders Role Responsibilities Potential … No. 23-0052 June 2023 AHRQ Safety Program for Improving Surgical Care and RecoveryCore Team Form 2 … AHRQ Safety Program for Improving Surgical Care and RecoveryCore Team Form 5 image2.jpg image1.png

337. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
     October 01, 2016 - Nurses and Prescribers SAY: Slide 13 Development and Rationale for Use: Medical Care Referral Form … Slide 14 The Medical Care Referral Form (MCRF) SAY: Slide 15 Medical Care Referral Form (MCRF … Ideally, all long-term care facility residents should have a POLST accepted form on the chart and have … The form is on bright pink paper so it can be easily identified in case of an emergency. … A physician, physician assistant, or nurse practitioner must complete the POLST accepted form based on

338. Section 2. Forming a Patient Flow Team | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
     July 01, 2018 - For example, if your strategy involves changing a form on your electronic medical record, your team will … communication with nurses from the inpatient units has been instrumental in acceptance and use of the form

339. CUSP Toolkit: The Role of the Nurse Manager | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
     December 01, 2012 - Effective nurse managers use multiple forms of communication to obtain and share information. … CUSP Tools Background Quality Improvement Team Information Form. Culture Check-up Tool. … Learn From Defects Form. Shadowing Another Professional Tool.

340. Interplay Between Cognitive Load and Diagnostic Accuracy | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
     May 01, 2024 - Within healthcare, this overload can take many forms but can most easily be divided into pushed (passively