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421. 2.b-2 Web Links to CRC Screening Guidelines From ACS/U.S. Multi-Society Task Force/ACR and USPSTF | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2b2.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing 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

422. Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
     January 01, 2024 - the original callback reporting form. … Electronic version of the callback form used for this project. … visits were made to each outpatient pharmacy by the research assistant to collect completed callback forms … Results Phase 1 Findings In total, 449 prescription callback forms were collected from the three Vanderbilt … Of note, 25 callback forms submitted were missing prescription type documentation. Table 2.

423. Patient Exit Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/11a-pfe-patient-survey.pdf
     August 01, 2021 - communication effectiveness using the Communication Observation Form. … The Communication Observation Form was adapted from the AHRQ Health Literacy Precautions Toolkit2 and … The observation form can be completed by patients after the visit, by staff observing the encounter, … The observer form takes only minutes to complete. References 1. … Communication Observation Form.

424. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Hospital Linkage File, Technical Documentation-Appendix A (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-appa.pdf
     January 01, 2018 - 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

425. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=1
     December 01, 2012 - High-Risk Medicare Beneficiaries Toolkit This toolkit provides clinicians and researchers instruments, forms

426. 5.a-1 Master Patient Database Elements | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool5a1.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing 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 … sigmoidoscopy or barium enema) Other screening patient notified Other screening result SEA Form

427. Health IT’s Role in Diagnostic Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/healthit-breakout-summit2016.pdf
     September 28, 2016 - 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

428. PPE
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-precautions.pptx
     March 01, 2017 - ), including gloves, gowns and masks or face wear; and Demonstrate how to put on and take off these forms … Volunteers will put on various forms of personal protective equipment.

429. CAHPS Health Plan Survey Adult Medicaid Survey 5.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/adult-med-eng-hp50-2152a.pdf
     September 01, 2015 - In the last 6 months, did your health plan give you any forms to fill out? … In the last 6 months, how often were the forms from your health plan easy to fill out?

430. Getting Recognition for Your AHRQ-Funded Study | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grant-mgmt/recognition_ahrq-funded_study.html
     November 01, 2021 - Please use this PDF form  [153.4 KB] to submit the information below. … Contact  journalpublishing@ahrq.hhs.gov with any questions or assistance with this form. … The fillable PDF form linked above contains the following fields to submit information.   … This page cannot submit information, and is intended only to identify the information requested in the form

431. Medication Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
     January 01, 2024 - (e.g., sustained release instead of immediate release) No Harm 568 96.3% Incorrect dosage form (e.g … (e.g., sustained release instead of immediate release) Administering 223 19.7% Incorrect dosage form … (e.g., sustained release instead of immediate release) Transcribing 73 6.4% Incorrect dosage form ( … e.g., sustained release instead of immediate release) Dispensing 57 5.0% Incorrect dosage form (e.g. … instead of immediate release) Storing * * Incorrect dosage form (e.g., sustained release instead of

432. 3.a-1 Sample Programming Criteria for Initial Electronic Record Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool3a1.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing 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

433. AHRQ Comparative Health System Initative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
     October 01, 2016 - • Identify, characterize, and classify the proliferating forms of health systems.

434. Presentation: Auditing Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
     December 01, 2017 - What forms and structures should be in place? … ASK: How often are specific forms used? Who completes those forms? … is a two-sided form. … The nurse takes the form and drops it off in a bin at the front desk. … The forms are collected entered into a spreadsheet.

435. A.2-1 Key Informant Interview Guide (Postintervention) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolA21.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing 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 … Academic detailing Chart audits CDE performance feedback form Coordination with the lab Provider

436. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
     October 01, 2016 - program intervention] DATE: [Date] Purpose and Scope This procedure covers the use of [name of form … Implement, Monitor, & Sustain a Program Toolkit 1/Tool 5 5 Sample Policy for Medical Record Referral Form … Nurses completely fill out the Medical Record Referral Form. … The form should be used to collect and convey information. … The form should be provided to the prescribing clinician and/or emergency department or hospital as

437. Staff Safety Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
     January 01, 2006 - 1 CUSP and Sensemaking Tools1 CUSP Tools Sensemaking Tools Staff Safety Assessment Discovery Form … Safety Issues Worksheet Root Cause Analysis Learn from Defects Form Failure Mode and Effects Analysis … Analysis -Probabilistic Risk Assessment Tools to examine defects or failures Learn from Defects Form … Engage the senior executive in addressing the safety issues identified on the form. Step 2. … Keep the project leader apprised of the information on this form. 13 Sensemaking Tool To Identify

438. Tips for Transfer | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/transfer-tips.html
     February 01, 2021 - Tips for Transfer Resource: Tips for Transfer (PDF, 245 KB)  This form is to be completed … The completed form should travel with the resident to provide ED staff with essential information.

439. 4.d-2 Reminder Letter to Patients (Version 2—Request Card) (incl. Spanish) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool4d2.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing 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

440. 4.d-1 Reminder Letter to Patients (Version 1—Kit Enclosed) (incl. Spanish) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool4d1.html
     April 01, 2018 - Electronic Record Review 4.a-1 Introduction Letter to Patients With Instructions for Completing 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