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361. 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

362. 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.

363. 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

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45408/psn-pdf
     September 07, 2016 - effect-warning-symbols-combination-education-frequency-erroneously- crushing-medication Not all pill-form … effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication https://psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed

365. 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.

366. 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

367. 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.

368. 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

369. 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

370. 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

371. Medication Reconciliation Handbook, 2nd edition. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
     May 04, 2015 - background on the medication reconciliation  process and tips for its application, along with sample forms … January 7, 2015 Medication reconciliation physician order form.

372. Patient Safety Reporting System. | PSNet
     psnet.ahrq.gov/issue/patient-safety-reporting-initiative
     September 12, 2016 - The site includes reporting forms, instructions, and a patient safety newsletter.

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33927/psn-pdf
     June 23, 2015 - They explore a classification system for errors, including discussion of relevant taxonomic forms of

374. 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

375. 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

376. Tools and Resource Guide for Automatic Referral System Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-resource-guide.pdf
     November 16, 2022 - This interview with Massachusetts General Hospital includes examples of fax cover sheets and other forms … The case study includes examples of fax cover sheets and other forms used to facilitate these referrals

377. Appendix B24: Letter to Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb24.html
     December 01, 2017 - Forms and Training Materials (Appendix Contents) Appendix C. … A Fax order form will be enclosed for your convenience. … Please return the Fax order form as soon as possible with your recommendations, so that a management

378. Planning a CAHPS Survey Project | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/index.html
     August 01, 2017 - Step 1: Form a Project Team.  … Step 2:  Form an Advisory Group.   … As the project team forms and begins its work, you may want to consider establishing an external project

379. DATAFORM 3 Medication Error and Near Miss Classification Form (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
     June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form WBD DATAFORM 3 Medication Error … and Near Miss Classification Form 1. … Research and Practice 5/27/05 Dataform 3: Medication Error and Near Miss Classification Form … 2.02 Underdose 2.03 Dose omitted (from order/when dispensed) 2.04 Dose units omitted 2.05 Dose form … Research and Practice 5/27/05 Dataform 3: Medication Error and Near Miss Classification Form

380. DATAFORM 5 ADE and Near Miss Incident Classification Form (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
     June 16, 2021 - DATAFORM 5 ADE and Near Miss Incident Classification Form DATAFORM 5 ADE and Near Miss Incident … Classification Form 1. … printed template Page 2 of 3 6/6/05 Dataform 5: ADE and Near Miss Incident Classification Form … No Page 3 of 3 6/6/05 Dataform 5: ADE and Near Miss Incident Classification Form Version 5.0 … DATAFORM 5 ADE and Near Miss Incident Classification Form