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Showing results for "reason".

21. Community-Referral-Form (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/community-referral-form.docx
    March 01, 2024 - Community Referral Form: [Practice Name] Reason for Referral_________________________________ Name of … ___________________ Example Community Referral Form Community Referral Form: City Medical Care Reason

22. RED Discharge Preparation Workbook (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/dischargeprep.pdf
    February 14, 2013 - POSTDISCHARGE ****Attach Additional Appointment Sheet if Needed**** Day / Date / Time Phone and Fax # Reason … not PCP) Location Address/Floor: Phone #: Fax #: 4 Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason

23. RED Discharge Preparation Workbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.pdf
    February 14, 2013 - POSTDISCHARGE ****Attach Additional Appointment Sheet if Needed**** Day / Date / Time Phone and Fax # Reason … not PCP) Location Address/Floor: Phone #: Fax #: 4 Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason

24. RED Discharge Preparation Workbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.pdf
    February 14, 2013 - POSTDISCHARGE ****Attach Additional Appointment Sheet if Needed**** Day / Date / Time Phone and Fax # Reason … not PCP) Location Address/Floor: Phone #: Fax #: 4 Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason … floor) How patient will get to appointment Day / Date / Time Phone and Fax # Reason

25. Chart Abstraction Instructions - Aspirin Use in Ischemic Vascular Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-aspirin.pdf
    August 20, 2018 - Chart Abstraction Instructions - Aspirin Use in Ischemic Vascular Disease 3 ☐ Yes – Meets medical reason … ☐ Yes – Meets medical reason on review record as meets Exemption criteria on spreadsheet ☐ No – Continue … ☐ Yes – Meets medical reason on review record as meets Exemption criteria on review Begin review of … Numerator: Off No Continue with review to determine if exemption exists: Off Yes Meets medical reason … 2: Off No Continue with review to determine why the measure is not met_2: Off Yes Meets medical reason

26. TO (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docx
    January 01, 2016 - ___________________ |_| No reason indicated 8. … |_| No reason indicated 9. … |_| Other (specify) ___________________ |_| No reason indicated 10. … Indicate the reason the subclavian site was not chosen for insertion. … Indicate the reason a transparent dressing was not used.

27. 5.d-1 Chart Audit Review Form | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool5d1.html
    April 01, 2018 - For each type of test performed, document the date of the test, its result, its reason, and where in … Result ___ Normal ___ Abnormal (specify) ______________________ ___ Missing/Unknown Reason … Result ___ Normal ___ Abnormal (specify) ______________________ ___ Missing/Unknown Reason … Result ___ Normal ___ Abnormal (specify) ______________________ ___ Missing/Unknown Reason … Result ___ Normal ___ Abnormal (specify) ______________________ ___ Missing/Unknown Reason

28. TO (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.docx
    January 01, 2016 - ___________________ |_| No reason indicated 8. … |_| No reason indicated 9. … |_| Other (specify) ___________________ |_| No reason indicated 10. … Indicate the reason the subclavian site was not chosen for insertion. … Indicate the reason a transparent dressing was not used.

29. Implementation Measurement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
    January 01, 2016 - reason indicated 9. … Other (specify) ___________________ No reason indicated 10. … Indicate the reason chlorhexidine was not used. If you choose “Other,” you must specify why. … Indicate the reason the subclavian site was not chosen for insertion. … Indicate the reason a transparent dressing was not used.

30. Implementation Measurement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdf
    January 01, 2016 - reason indicated 9. … Other (specify) ___________________ No reason indicated 10. … Indicate the reason chlorhexidine was not used. If you choose “Other,” you must specify why. … Indicate the reason the subclavian site was not chosen for insertion. … Indicate the reason a transparent dressing was not used.

31. Taking Care of Myself: A Guide for When I Leave the Hospital (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/hospitals-clinics/goinghome/goinghomeguide.pdf
    April 01, 2010 - 8 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number … __________________________________________ 9 Day Date Time Doctor’s name Specialty Address Reason … 10 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number … 11 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number … 12 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number

32. Taking Care of Myself: A Guide for When I Leave the Hospital (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/goinghomeguide.pdf
    April 01, 2010 - 8 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number … __________________________________________ 9 Day Date Time Doctor’s name Specialty Address Reason … 10 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number … 11 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number … 12 Day Date Time Doctor’s name Specialty Address Reason for appointment Doctor’s phone number

33. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
    September 01, 2017 - Reason for Transfer. … Observation Stays - Reason for Transfer/Discharge Diagnosis. … ED Visits - Reason for Transfer/Discharge Diagnosis. … ED Visits – Reason for Transfer/Discharge Diagnosis/# of Residents. … Hospitalizations - Reason for Transfer/Discharge Diagnosis.

34. Healthlittoolkit2-Tool20A (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool20a.docx
    December 10, 2015 - Example Community Referral Form City Cardiology Practice Community Referral Form Reason for Referral … reading classes Call Melanie or stop by to sign up [Practice Name] Community Referral Form Reason

35. Appendix C. Article Exclusion List with Reason for Exclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
    January 01, 2013 - Article Exclusion List with Reason for Exclusion Previous Page Next Page Table of Contents … Article Exclusion List with Reason for Exclusion Appendix D. … Readiness Assessment Article Exclusion List with Reason for Exclusion Author, … Year Title Reason for Exclusion Abramson MA, 2002 Nosocomial methicillin-resistant and

36. CAPPS-CDS Tool: CRB-65 for the Primary Care Setting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap-crb65_pc-prototype.pdf
    January 01, 2018 - score and recommendations below Agree with recommendation Disagree with recommendation Acknowledge Reason … score and recommendations below Agree with recommendation Disagree with recommendation Acknowledge Reason

37. CAPPS-CDS Tool: CURB-65 for the Emergency Department Setting (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_crb65_ed-prototype.pdf
    January 01, 2018 - score and recommendations below Agree with recommendation Disagree with recommendation Acknowledge Reason … score and recommendations below Agree with recommendation Disagree with recommendation Acknowledge Reason

38. Introducing the CAHPS Emergency Department Survey (ED CAHPS) - Becker (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-survey-admin.pdf
    October 14, 2020 - Thinking about this visit, what was the main reason you went to the emergency room? … When you first arrived at the emergency room, how long was it before someone talked to you about the reason … When you first arrived at the emergency room, how long was it before someone talked to you about the reason

39. Patient Outcome Survey (mailed version) | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
    March 01, 2025 - List the hospital, date of arrival, and reason for each hospitalization. … Hospital Date You Arrived Reason 1.     2.     3.     4.     5.     2.   … List the hospital, date of arrival, and reason for each visit. … Hospital Date You Arrived Reason 1.     2.     3.     4.     5.     … 1 ___ Yes    2 ___ No    3 ___ N/A, reason: _________________________________________________ If YES,

40. Patient Outcome Survey (mailed version) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-mail.html
    March 01, 2025 - List the hospital, date of arrival, and reason for each hospitalization. … Hospital Date You Arrived Reason 1.     2.     3.     4.     5.     2.   … List the hospital, date of arrival, and reason for each visit. … Hospital Date You Arrived Reason 1.     2.     3.     4.     5.     … 1 ___ Yes    2 ___ No    3 ___ N/A, reason: _________________________________________________ If YES,