The AHRQ Safety Program for Telemedicine: Improving Antibiotic Use

OMB 0935-0265

Latest Forms, Documents, and Supporting Material

Document Name
Form 10 Clinical Data Collection Instrument_Cancer Diagnostic Process Cohort Form and Instruction
Form 6 Semi-Structured Qualitative Interviews (telemedicine-only and brick-and-mortar) Form and Instruction
Form 4 Participant Experience Survey Form and Instruction
Form 6 Participant Experience Survey_Cancer Diagnostic Process Cohort Form and Instruction
Form 5 Diagnostic Safety Supplement Form and Instruction
Form 3 The Medical Office Survey on Patient Safety Culture (MOSOPS) Form and Instruction
Form 3 The Office Readiness Survey_Cancer Diagnostic Process Cohort Form and Instruction
Form 1 Structural Assessments Form and Instruction
Supporting Statement A 0935-0265 The AHRQ Safety Program for Telemedicine - Improving Antibiotic Use.docx Supporting Statement A
Supporting Statement B AHRQ Safety Program for Telemedicine - Improving Antibiotic Use_071124.docx Supporting Statement B
Attachment H Instructions for Antibiotic Prescription Data Template_Antibiotic Use Cohort.docx Supplementary Document
Attachment J Schedule of Assessment Activities, 2024-2026.docx Supplementary Document
Antibiotic Prescription Data Template_Antibiotic Use Cohort Other-database
Clinical Data Collection Instrument_Cancer Diagnostic Process Cohort Form and Instruction
Semi-Structured Qualitative Interviews (telemedicine-only and brick-and-mortar) Form and Instruction
Participant Experience Survey Form and Instruction
Participant Experience Survey_Cancer Diagnostic Process Cohort Form and Instruction
Diagnostic Safety Supplement Form and Instruction
The Medical Office Survey on Patient Safety Culture (MOSOPS) Form and Instruction
The Office Readiness Survey_Cancer Diagnostic Process Cohort Form and Instruction
Structural Assessments Form and Instruction