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41. Section 1: Product Development | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/publications/pubcomguide/pcguide1.html
    March 01, 2025 - Release Forms Appendix 1-B. Trademarks Appendix 1-C. … Permission Forms Appendix 1-B. Trademarks Appendix 1-C. … following statement is used if a Federal employment option is not provided on the journal's copyright form … Appendix 1-A provides a permission form  (PDF, 575 KB) to request use of copyrighted items. … 1320b-10): "2(B) No person may, for a fee, reproduce, reprint, or distribute any item consisting of a form

42. 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).

43. Protection of Human Subjects | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/policies/human-subjects/index.html
    June 01, 2022 - Posting Clinical Trial Informed Consent Form (45 CFR 46.116(h)) The revised Common Rule requires that … for any clinical trial conducted or supported by a Common Rule department or agency, one consent form … The consent form must have been used in enrolling participants in order to satisfy this new provision … AHRQ Guidance on Posting Informed Consent Forms for AHRQ-Funded Clinical Trials . … AHRQ Guidance on Posting Informed Consent Forms for AHRQ-Funded Clinical Trials .

44. Strategies for Improving Patient Experience with Ambulatory Care: Cultivating Cultural Competence (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
    August 01, 2017 - • The availability of health plan forms in the respondent’s preferred language. … • The availability of health plan forms in a needed format, such as large print or braille. … health plans should collect information on race, ethnicity, and preferred language through standard forms … These forms should be available in multiple languages and explain why the information is being collected—i.e … Cultivating Cultural Competence August 2017 6.K-3  Collects information from Medicaid application forms

45. An Update on the CAHPS Patient Narrative Item Sets - Schlesinger (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
    April 02, 2025 - testing  NIS wording: Still underway 21 The Health Plan Narrative Item Set: Yield ► THREE distinct forms … questions Beyond domains of closed-ended questions 22 The Health Plan Narrative Item Set: Yield • Forms

46. 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

47. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapi.html
    April 01, 2018 - Evaluation forms completed by council members after each meeting. B. … Evaluation forms completed by council members after each meeting.

48. Term of Award: Trafficking in Persons | Agency for Healthcare Research and Quality
    www.ahrq.gov/funding/grant-mgmt/trafficking.html
    October 01, 2014 - employees, subrecipients under this award, and subrecipients' employees may not— Engage in severe forms … "Severe forms of trafficking in persons," "commercial sex act," and "coercion" have the meanings given

49. Learning-Antibiotic-Adverse-Events-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
    November 01, 2019 - Program for Improving Antibiotic Use – Acute Care Learning From Antibiotic-Associated Adverse Events Form

50. Identifying-Antibiotic-Adverse-Events-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/identifying-antibiotic-adverse-events-form.docx
    November 01, 2019 - Improving Antibiotic Use Identifying Antibiotic-Associated Adverse Events Form … PURPOSE OF THIS FORM: To discuss issues that may result in unnecessary antibiotic administration … All health care providers are encouraged to complete this form. … Consider completing this form at least twice a year.

51. Tracking and Measuring Antibiotic Use | Agency for Healthcare Research and Quality
    www.ahrq.gov/antibiotic-use/long-term-care/improve/track-measure.html
    April 01, 2023 - Become familiar with forms for monthly data collection​. … Tracking and Measuring Antibiotic Use - Facilitator Guide (DOCX, 2 MB) Monthly Data Collection Form

52. 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

53. 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
    April 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%

54. 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

55. 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

56. Release Form for AHRQ To Use Copyrighted Material (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Appendix1-A-PermissionForms.pdf
    April 01, 2024 - for Video Shoots Location Release Form for Video Shoots Instructions This Location Release Form … Do not use this form to receive materials from an archival site, such as iStock. … Talent Release Form Instructions This Talent Release Form must be completed by nongovernment … Completed release forms are recommended for people whose video appearances are possible but uncertain … Talent Release Form.

57. CAHPS Data Research Abstract Form Example (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/data-research/cahps-data-research-abstract-form-example.pdf
    February 01, 2025 - CAHPS Data Research Abstract Form Example CAHPS Database Research Abstract Form – February 2025 1 … Agency for Healthcare Research and Quality (AHRQ) CAHPS® Database Research Abstract Form EXAMPLE … OF A COMPLETED FORM This completed abstract presents an example of how to complete this form. … Date Research Abstract Form Completed 2/17/2025 Provide the date you are submitting the Research … Abstract Form.

58. Form-Use-Previously-Recorded-Audiovisual Materials (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Form-Use-Previously-Recorded-Audiovisual%20Materials.docx
    July 01, 2024 - AHRQ Publishing and Communications Guidelines Release Form for Use of Previously Recorded Audiovisual … owners if the materials need to be returned, and by what date, and include that information on the form … July 2024 Release Form for Use of Previously Recorded Audiovisual Materials, Including Photographs I

59. 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

60. Release Form for AHRQ To Use Copyrighted Material (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Copyright-fillable-form.pdf
    April 01, 2024 - Release Form for AHRQ To Use Copyrighted Material Instructions This form must be completed by Contractors … Release Form for AHRQ To Use Copyrighted Material The undersigned hereby grants permission to the Agency … lines as needed by selecting Return]: E-signature of copyright holder (type name): Date: Release Form