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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - Patient Safety Databases Chartbook, 2023| 22
Figure 6d: Location of Event or Unsafe Condition – Medications
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - : IM or SQ
Medications: PO
Seen By (Within 24 Hours of Transfer)
Primary Physician
Covering Physician … Polypharmacy (15 or more medications).
High-risk change in condition within 7 days. … include insulin, anticoagulants, antibiotics, alpha blockers, antipsychotics, antianxiety medications … over the last 24 hours 1 1 1 1
Diuretic use 1
Vital Signs
Orthostatic blood … pressure 1
Weight loss 5% ≤30 days; 10% ≤ 180 days 1
Weight gain of > 5 lb in
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - community-acquired pneumonia
ICU=intensive care unit
EHR=electronic health record
RR=respiratory rate
BP=blood … pressure
BUN=blood, urea, nitrogen
Ambulatory patient
arrives. … community-acquired pneumonia
ICU=intensive care unit
EHR=electronic health record
RR=respiratory rate
BP=blood … pressure
BUN=blood, urea, nitrogen
AHRQ Pub.
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-dorr.html
December 01, 2022 - Dorr began a two-year AHRQ-funded project to translate high blood pressure guidelines and protocols … He developed a health IT application, called Collaboration-Oriented Approach for Controlling High Blood … pressure and reduce heart attack and strokes,” explained Dr. … pressure and improve health outcomes. … Related AHRQ Resources
Blood Pressure Control Evidence and Resources
Chronic Conditions
Multiple
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-iodophor.docx
March 01, 2022 - What if my patient has been prescribed other nasal medications? … If possible, separate the provision of those medications from nasal iodophor application by several hours … physician, who will determine all necessary actions related to discontinuing the product and ordering any medications … For example, if a patient refused their blood pressure medication, staff would try to encourage the patient
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-mupirocin.docx
March 01, 2022 - What if my patients have been prescribed other nasal medications? … If possible, separate the provision of those medications from nasal mupirocin application by several … physician, who will decide all necessary actions related to discontinuing product and ordering any medications … For example, if a patient refuses to take prescribed blood pressure medication, staff would try to encourage
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - What will we do if the medication does not reduce the blood pressure? … What will you do if medication does not reduce
blood pressure? … Smith presented with severe blood
pressure. … Smith had a good response of her
blood pressure profile. … Smith’s severe‐range blood pressure early and immediately notifying Dr.
Johnson.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - pressure
of 102/56. … pressure of
102/56. … Williams has received 1 dose of IV labetalol,
10 mg, for acute treatment of a severe‐range
blood pressure … Williams has received
1 dose of IV labetalol, 10 mg, for acute treatment of a severe‐range blood pressure … pressure spikes.”
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - pressure of 102/56. … pressure of 102/56. … Williams has received 1 dose of IV labetalol, 10 mg, for acute treatment of a severe-range blood pressure … Williams has received 1 dose of IV labetalol, 10 mg, for acute treatment of a severe-range blood pressure … pressure spikes.”
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - addressing “all-cause
harm” and some with specific concentrations such as anesthesia, vascular surgery, medications … Incorrect timing is an INCORRECT ACTION that involves medications or other substances being
administered … Incorrect rate is an INCORRECT ACTION that involves
medications or other substances being administered … Incorrect timing is an INCORRECT ACTION that involves medications or other substances being
administered … Incorrect rate is an INCORRECT ACTION that involves
medications or other substances being administered
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-iodophor.pdf
March 01, 2022 - What if my patient has been prescribed other nasal medications? … If possible, separate the provision of those medications from nasal
iodophor application by several … physician, who will determine all necessary actions related to discontinuing the
product and ordering any medications … For example, if a
patient refused their blood pressure medication, staff would try to encourage the … What if my patient has been prescribed other nasal medications?
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-mupirocin.pdf
March 01, 2022 - What if my patients have been prescribed other nasal medications? … If possible, separate the provision of those medications
from nasal mupirocin application by several … physician, who will decide all necessary actions related to discontinuing product and
ordering any medications … For example, if a
patient refuses to take prescribed blood pressure medication, staff would try to encourage … What if my patients have been prescribed other nasal medications?
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preventiveservices.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Antibiotic use: Toolkit To Improve Antibiotic Use in Acute Care Hospitals
Adverse drug events: Medications
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
March 01, 2021 - Heart Health
Evidence for Advancing Heart Health
Aspirin Use Evidence and Resources
Blood … Pressure Control Evidence and Resources
Cholesterol Management Evidence and Resources
Smoking … Automated Outreach to Increase Primary Adherence to Cholesterol-Lowering Medications
This journal article
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Question
1b
CMS Intermediate
outcomes
We are excluding all intermediate
outcomes (adherence, blood … pressure,
glucose levels, inflammatory markers
and lipid levels)
At the request of
CMS due to their … pressure,
glucose levels, inflammatory markers
and lipid levels)
At the request of
CMS due to their … kilograms, skinfold thickness and waist
circumference; excluding all intermediate outcomes (adherence, blood … pressure, glucose levels,
inflammatory markers and lipid levels); including a different list of clinical
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/862.html
May 01, 2023 - medication history while a patient is still in the hospital emergency department (ED) along with reconciling medications … AHRQ in the Professional Literature
Pediatric home blood pressure monitoring: feasibility and concordance … with clinic-based manual blood pressure measurements.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/patient-safety-tools-flyer-June2022.pdf
May 01, 2023 - the field that can help hospitals
Toolkit
Medications at Transitions and
Clinical Handoffs (MATCH … systematic approach to reduce diagnostic
errors among children in three important areas:
■ Elevated blood … pressure, which is misdiagnosed in
74 to 87 percent of children
■ Adolescent depression, which affects … an accurate
medication list, coordinate the list with prescribing
clinicians, track the impact of medications … It also describes medications used to
prevent blood clots and their side effects.
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preventiveservices.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
March 01, 2014 - Hospital
Sue Jones a 28-year-old G1 P0 at term is undergoing an induction of labor for elevated blood … pressure. … pressure (BP) of 110/70, and an oxygen saturation (O 2 sat) of 97 percent. … pressure. … In the physician's office, her blood pressure (BP) was 140/96; on admission it is 130/88.
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preventiveservices.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6j-support-self-care.html
March 01, 2020 - may learn about a variety of topics, including symptom management, nutrition, community resources, medications … teach skills that make people better able to manage their medical problems on their own, e.g., taking a blood … pressure, giving injections, taking medications, and even performing diagnostic tests such as urine
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-tai-seale.pdf
April 01, 2015 - • Having frequent in-person clinic visits was associated with improved blood pressure and
cholesterol … control among patients with diabetes, and improved blood pressure control among
patients with hypertension