The AHRQ Safety Program for Telemedicine: Improving the Diagnostic Process and Improving Antibiotic Use

OMB 0935-0265

Latest Forms, Documents, and Supporting Material

Document Name
Form 11 Antibiotic Prescription Data Template_Antibiotic Stewardship Cohort Form and Instruction
Form 10 Clinical Data Collection Instrument_Cancer Diagnostic Process Cohort Form and Instruction
Form 8 Interview Guide for Semi-Structured Interviews Form and Instruction
Form 7 Participant Experience Survey_Antibiotic Stewardship Cohort Form and Instruction
Form 6 Participant Experience Survey_Cancer Diagnostic Process Cohort Form and Instruction
Form 5 Diagnostic Safety Supplement Form and Instruction
Form 4 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.docx Supporting Statement A
Att N_Schedule of Assessment Activities, 2022-2026.docx Supplementary Document
Supporting Statement B .docx Supporting Statement B
Antibiotic Prescription Data Template_Antibiotic Stewardship Cohort Form and Instruction
Clinical Data Collection Instrument_Cancer Diagnostic Process Cohort Form and Instruction
Interview Guide for Semi-Structured Interviews Form and Instruction
Participant Experience Survey_Antibiotic Stewardship Cohort 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