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psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form
January 26, 2023 - Measurement Tool/Indicator
Healthcare Practitioner’s Vaccine Error Reporting Form … Citation Text:
Healthcare Practitioner’s Vaccine Error Reporting Form. … This form collects data on errors and concerns associated with vaccines as part of a national reporting … Cite
Citation
Citation Text:
Healthcare Practitioner’s Vaccine Error Reporting Form … October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
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digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/annual-summary/2011
January 01, 2011 - As clinical data is captured increasingly in electronic form, there is potential for more comprehensive … A clinical messaging system will deliver the forms, allowing them to be integrated more seamlessly into … When forms are flagged as reportable, they will be sent to appropriate clinical providers and public … form on various outcomes. … Lastly, a technical project plan to activate the prototype electronic forms generation process was developed
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digital.ahrq.gov/document-type/patient-enrollment-form
January 01, 2023 - Patient Enrollment Form
Automated Telephone Self-Management Program
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digital.ahrq.gov/document-type/data-collection-form
January 01, 2023 - Data Collection Form
ADE Incident Identification Form
Description … This form identifies an adverse drug event using data reported by a clinician. … Description
This form is used to classify ADEs and near misses. … Description
This is a chart review form for an adverse drug event (ADE) study. … Description
This is a near miss classification form for an adverse drug event study.
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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 .
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - POLST forms include preferences about code
status, as well as general level of medical interventions … Despite the encouraging studies about the impact of POLST
forms in Oregon, a more recent study of 230 … study of 178 EMTs noted that POLST forms were often hard to
locate when needed.(15) Just as important … , many patients near the end of life do not have such forms
https://psnet.ahrq.gov//#references
https … .(16) Importantly, for those with POLST forms, the vast majority included orders for no
resuscitation
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
MEDICAL CARE REFERRAL FORM … Advanced directive/
MOST Form: Yes No ?
DNR Yes No ?
No Antibiotics Yes No ?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09log.html
February 01, 2023 - Forms and Training Materials (Appendix Contents)
Appendix C.
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www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
January 01, 2024 - Maine Quality
Forum
Collaborative of Stakeholders
•Develop universal standardized
transfer form and … The research team provided a
chart review tracking form (Figure B) to the hospital project leads for … The original proposal included the development of a universal transfer form. … Patient transfer forms enhance key information
between nursing homes and emergency department. … An extended care facility-to-emergency department
transfer form improves communication.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p002-1-ef.pdf
May 01, 2016 - One site performed parallel-forms testing and compared the construction of this
eMeasure against manual … periods January 1 – June 30, 2015 and July 1 – December 31, 2015.
3
The site performing parallel-forms … chart review measure was high, with 98
percent of patients meeting the measure.
4
● In parallel-forms … ● In parallel-forms reliability testing of the chart review measure, the clinical performance was
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_1_Prescription_Screening_Form.pdf
June 16, 2021 - of Excellence for Patient Safety Research and Practice 1/26/08
Dataform 1: Prescription Screening Form … Version 0.10
DATAFORM 1
Prescription Screening Form
1. … Antihistamine (all forms)
12. Antihypertensive
13. Antineoplastic
14. … Antiviral (all forms)
18. Bronchodilator (inhaled)
19. Bronchodilator (oral)
20. … Version 0.10
DATAFORM 1
Prescription Screening Form
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1.html
February 01, 2023 - Forms and Training Materials (Appendix Contents)
Appendix C.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb-2.html
February 01, 2023 - Forms and Training Materials (Appendix Contents)
Appendix C.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb4.html
February 01, 2023 - Forms and Training Materials (Appendix Contents)
Appendix C.
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digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
June 16, 2021 - Telewound Care Network PATIENT ENROLLMENT FORM
Telewound Care Network AHRQ/ NIH/ NLM
Telewound Care … Network
PATIENT ENROLLMENT FORM
PATIENT NAME: _________________ ________ _____________________ … Videophone # _____________________________________________
Telewound Care Network PATIENT ENROLLMENT FORM
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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.
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psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
August 14, 2024 - August 14, 2024
Electronic prescribing and other forms of technology to reduce inappropriate … January 31, 2013
Electronic prescribing and other forms of technology to reduce inappropriate
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb10pcp.html
February 01, 2023 - Forms and Training Materials (Appendix Contents)
Appendix C.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2a.html
April 01, 2018 - ideally involves two components: (1) conducting electronic record reviews, and (2) reviewing returned SEA forms … We also allowed more time for receiving completed forms. … Our Experience
We sent the appropriate feedback forms to the practices at several interim points during … However, we did not receive any completed forms. … We contacted the practice manager at several points regarding collecting the CDE feedback forms without
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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