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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/about_the_health_literacy_item_set_for_hospitals_911.pdf
October 01, 2015 - Recommended label for reporting: Ease of filling out forms
H-HL24 Patient had to sign forms
H-HL25 … Staff explained the purpose of a form before patient signed it
H-HL26 Patient had to fill out forms … H-HL27 Staff offered patient help in filling out a form
H-HL28 Forms were easy for patient to fill … H-HL25 Staff explained the purpose of a form before patient signed it
H-HL27 Staff offered patient … help in filling out a form
H-HL28 Forms were easy for patient to fill out
H-HL29 Patient was given
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pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao.pdf
July 01, 2021 - A PSO’s failure to timely submit
these forms could result in the PSO’s delisting. … These forms, all available at the AHRQ PSO website
(https://pso.ahrq.gov/forms), include: Two Bona Fide … Contracts Requirement Form, Disclosure Statement
Form, Certification for Continued Listing Form, and … Change of Listing Information Form. … All of these forms
must be signed by the PSO’s AO.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
December 01, 2017 - Forms and Training Materials (Appendix Contents)
Previous Page Next Page
Table of Contents … Forms and Training Materials (Appendix Contents)
Appendix C.
-
psnet.ahrq.gov/node/35989/psn-pdf
September 17, 2010 - Using preprinted medication order forms to improve the
safety of investigational drug use. … Using preprinted medication order forms to improve the safety of investigational drug
use. … https://psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug … advise on how to minimize medication errors when dispensing investigational drugs and
provide a sample form … https://psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/measures.html
May 01, 2017 - Blood test, x-ray, or other test results were easy to understand
Ease of Filling Out Forms
H-HL25 … Staff explained the purpose of a form before patient signed it
H-HL27. … Staff offered patient help in filling out a form
H-HL28. … Forms were easy for patient to fill out
H-HL29. … Patient was given enough time to fill out forms
Please note: The CAHPS Health Literacy Item Set for
-
psnet.ahrq.gov/node/41530/psn-pdf
July 18, 2012 - Electronic prescribing and other forms of technology to
reduce inappropriate medication use and polypharmacy … Electronic prescribing and other forms of technology to reduce
inappropriate medication use and polypharmacy … https://psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate- … https://psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and … https://psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and
-
digital.ahrq.gov/sites/default/files/docs/resource/b2_mold_017188_archives_10.pdf
September 01, 2009 - Mail packet (cover letter, survey, vendor form, research participant form, SASE with
PEA name).
3 … Call those who have not returned their forms at 30 days from mail-out. … If they have lost the forms, offer to send an e-mail with the downloadable forms and a
link to the … If they mail in the forms, they will be
reimbursed upon online completion.
8. … As completed surveys come in, submit reimbursement forms.
-
digital.ahrq.gov/sites/default/files/docs/page/Grannis.ppt
January 01, 2004 - sent through the Digital Sender over a five day period
Three fields evaluated on this particular form … review
Software set at 95% for upper and 5% for lower confidences
Evaluating OCR Accuracy
Each form … Cardiff
Current data capture workflow requires entry personnel to key patient identifiers, type of form … Type of form recognized via template recognition
Powerful visual interface for verifying results … Getting data back into RMRS
Capturing patient identifiers
Identifying observations from the form itself
-
psnet.ahrq.gov/node/46009/psn-pdf
September 13, 2017 - Use of standard risk screening and assessment forms to
prevent harm to older people in Australian hospitals … Use of standard risk screening and assessment forms to prevent harm to older
people in Australian hospitals … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-
people-australian … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian … https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
-
digital.ahrq.gov/sites/default/files/docs/page/Idaho_Grannis.ppt
January 01, 2004 - sent through the Digital Sender over a five day period
Three fields evaluated on this particular form … review
Software set at 95% for upper and 5% for lower confidences
Evaluating OCR Accuracy
Each form … Cardiff
Current data capture workflow requires entry personnel to key patient identifiers, type of form … Type of form recognized via template recognition
Powerful visual interface for verifying results … Getting data back into RMRS
Capturing patient identifiers
Identifying observations from the form itself
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.docx
October 01, 2016 - workflow
Step-by-step discussion of what toolkit use would look like in nursing home (e.g., where blank forms … are kept, how they will be handled in the workflow, where will completed forms be kept, etc.) … Start-up activities: Identify activities to be carried out to use the tools (e.g., creation of new forms
-
psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - Impact of electronic chemotherapy order forms on
prescribing errors at an urban medical center: results … Impact of electronic chemotherapy order forms on prescribing
errors at an urban medical center: results … https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical … https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results … https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
-
www.ahrq.gov/research/publications/pubcomguide/pcguide-avdevelopment.html
July 01, 2024 - Release Forms
Appendix 1-B. Trademarks
Appendix 1-C. … Submit the completed Audio/Visual Concept Proposal form or ask for assistance in filling out the form … The following forms are also available in Appendix 1-A. Release Forms . … All forms can be completed electronically. … Release Form for AHRQ To Use Copyrighted Material (Word, 42 KB).
-
meps.ahrq.gov/mepsweb/survey_comp/survey.jsp
July 18, 2025 - measures of health
status: the Veteran's RAND 12-item (VR-12) (in 2017 this replaces the Short-Form … The most
current data years of the authorization forms are available below. … ;
they sign the English forms. … Forms
All Authorization Forms
Medical Provider Authorization Form
Medical Provider Authorization … Form - Spanish
Pharmacy Authorization Form
Pharmacy Authorization Form - Spanish
Years
-
meps.ahrq.gov/survey_comp/survey.jsp
July 18, 2025 - measures of health
status: the Veteran's RAND 12-item (VR-12) (in 2017 this replaces the Short-Form … The most
current data years of the authorization forms are available below. … ;
they sign the English forms. … Forms
All Authorization Forms
Medical Provider Authorization Form
Medical Provider Authorization … Form - Spanish
Pharmacy Authorization Form
Pharmacy Authorization Form - Spanish
Years
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.pdf
October 01, 2016 - a) Step-by-step discussion of what toolkit use would
look like in nursing home (e.g., where blank forms … are kept, how they will be handled in the workflow,
where will completed forms be kept, etc.) … Start-up activities: Identify activities to be carried out to
use the tools (e.g., creation of new forms
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-instructions-requesting-identifiable-hsops-data.pdf
January 01, 2024 - A completed Hospital-identifiable Research Abstract Form;
2. … All completed Research Abstract Forms are reviewed by Westat to ensure completeness and clarity, and … Requester Completes
Forms
Data Requester
completes and submits:
•Hospital-identifiable
Research … Hospitals
Provide Approval
Hospitals review
data requests
and send Westat
signed
authorization
forms … These forms are available on the AHRQ website (https://www.ahrq.gov/sops/databases/research-
datasets.html
-
psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - How reliable are patient-completed medication
reconciliation forms compared with pharmacy lists? … How reliable are patient-completed medication reconciliation forms
compared with pharmacy lists? … https://psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared … https://psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists … https://psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
-
digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
June 16, 2021 - ‘Real-Time’ project comments about CNA
daily documentation form development and implementation are summarized … :
Consolidated documentation saves time (multiple forms condensed to one) … CNAs like the content and format of the standardized forms. … Standardize data elements, NOT forms. … Reduced number of CNA daily documentation forms.
-
www.ahrq.gov/topics/hospital-readmissions.html
January 01, 2012 - Safer Transitions)
Project BOOST offers a discharge bundle consisting of medication reconciliation forms