-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - *
Quality Improvement for Antibiotic Prescribing
Problems with taking antibiotics
Drug resistance … vomiting, diarrhea
Secondary infections: C difficile, yeast
Allergic reactions: rash, anaphylaxis
Drug … In developing countries, multi-drug resistant tuberculosis in an ever-increasing challenge. … The price of innovation: new estimates of drug development costs. … Yet if antibiotic resistance does develop, it will limit the effective lifespan of the drug.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - No monitoring for drug-drug interactions. No followup to narrow therapy. … No monitoring for drug-drug interactions. No followup to narrow therapy. … improvement
The team chooses to focus on 2 post-prescriptive opportunities for improvement
Monitor for drug-drug … No monitoring for drug-drug interactions. No followup to narrow therapy. … Developing a Program
14
Baseline Data
Monitor for drug-drug interactions.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-233-hrob-section-3-table-2.pdf
August 08, 2018 - Food and Drug Administration Pregnancy Category Rating
Pregnancy
Category
Explanation
Category … are no adequate and well-controlled studies in humans, but potential
benefits may warrant use of the drug … investigational or marketing experience or studies in humans, but
potential benefits may warrant use of the drug … reaction data
from investigational or marketing experience, and the risks involved in use of
the drug
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - When the drug was brought into the facility, it was a different concentration from what had been used … There has been a drug shortage of the concentration that we typically use, and we had no choice but to … Our computer system is not connected to the National Drug Database, so we can’t simply scan the bottle … We have to enter every drug into our database manually. … In this case, the drug was entered as the wrong concentration.
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www.qualitymeasures.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - ADEs: Harms Due to Diabetic Agents
ADEs: Reducing Adverse Drug Events in Older Adults
ADEs: Harms … Topics
Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Computer Adverse Drug … Event Detection and Alerts
Summary of Evidence
(Not reviewed)
(Not reviewed)
Unit-Dose Drug … Summary of Evidence
Update
(Not reviewed)
The Clinical Pharmacist's Role in Preventing Adverse Drug …
Teach-Back
(Not reviewed)
(Not reviewed)
Summary of Evidence
ADEs: Reducing Adverse Drug
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - Hospital-
Acquired Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug … Adverse
Drug
Events
-28%
CAUTI*
-5%
CLABSI+
-6%
Clostridioides
difficile
Infections
-37%
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/0085-tech-specs.pdf
January 01, 2012 - following screenings at the first prenatal
visit: screening for depression, alcohol use, tobacco use, drug … visit
Tobacco use screening
Patients who were screened for tobacco use* at the first visit
Drug … use (illicit and prescription, over the counter) screening
Patients who were screened for any drug … use, prescription drug use and over the
counter drug use. … Illicit, Prescription and Over the Counter
Drug Use ScreeningRisk Category/Assessment
For the purposes
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelp-References.pdf
August 01, 2012 - CHIP-Program-Information/By-Topic/Early-Periodic-Screening-Diagnosis-Treatment.html
National Institute on Drug … Screening for Drug Use in General Medical Settings: A Quick
Reference Guide. NIH Pub No. 09-7384. … National Survey on Drug Use and Health (NSDUH). 2010 National Survey on Drug Use and Health data.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-references.pdf
August 12, 2012 - Silver
Spring, MD: Food and Drug Administration, Center for Drug Evaluation and Research; 2004. … Silver
Spring, MD: Food and Drug Administration, Center for Drug Evaluation and Research; 2004. … Mortality associated with attention-
deficit hyperactivity disorder (ADHD) drug treatment: a retrospective … Drug Saf;
2009;32(11):1089-1110
McCarthy S, Cranswick N, Potts L, Taylor E, Wong IC. … Drug Saf.
2009;32(11):1089-1110
McGoey KE, DuPaul GJ, Haley E, Shelton TL.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-references.pdf
August 12, 2012 - Silver
Spring, MD: Food and Drug Administration, Center for Drug Evaluation and Research; 2004. … Silver
Spring, MD: Food and Drug Administration, Center for Drug Evaluation and Research; 2004. … Mortality associated with attention-
deficit hyperactivity disorder (ADHD) drug treatment: a retrospective … Drug Saf;
2009;32(11):1089-1110
McCarthy S, Cranswick N, Potts L, Taylor E, Wong IC. … Drug Saf.
2009;32(11):1089-1110
McGoey KE, DuPaul GJ, Haley E, Shelton TL.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - Sometimes antibiotics can:
»Lead to a drug interaction, where one of your medications could
become … When resistance occurs, it can be harder to find the right drug to treat an
infection.
-
www.qualitymeasures.ahrq.gov/data/infographics/neonatal-abstinence-syndrome-2016.html
July 01, 2019 - Text Description: The number of babies born each year with withdrawal symptoms from their mother’s drug … In 2016, more than 25,000 babies were born with withdrawal symptoms from drug dependence compared with
-
www.qualitymeasures.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - 11.1 MB)
Text Description: National efforts to reduce hospital-acquired conditions such as adverse drug … Specific rates are: Adverse drug events: 28% decrease. CAUTI: 5% decrease. CLABSI: 6% decrease.
-
www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/resources/slides/intro.html
September 01, 2020 - Failure to recognize side effects or drug interactions. … Understanding of drug mechanisms and side effects:
Warfarin works by thinning blood - 70% correct. … Literacy and misunderstanding prescription drug labels. … Failure to recognize side effects or drug interactions. … Literacy and misunderstanding prescription drug labels.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-appendix-2.pdf
January 17, 2024 - 2
APPENDIX 2 - INHALED CORTICOSTEROIDS (ICS)
ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d05262 DPI
4 and
older N N N Y
ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d01296 DPI
4 and
older N N N Y
ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d04276 DPI
6 and
older N N N Y
ICS NDC Code Brand Name Generic Product Name Route Drug … inhalation d00760 MDI
5 and
older Y Y N Y
ICS NDC Code Brand Name Generic Product Name Route Drug
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - The adverse consequences of unnecessary antibiotic use include adverse drug reactions or interactions … , the development of Clostridium difficile infections, the emergence of multi-drug resistant organisms … and overuse of newer, broad-spectrum antibiotics when either no antibiotic or an older narrowspectrum drug
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
March 01, 2017 - When Do You Need An Antibiotic?
When Do You
Need An
Antibiotic?
Taking antibiotics when you
don’t need them is like leaving
the lights on all the time.
The lights may burn out, leaving you
in the dark when you most need them.
If you use antibiotics when you don’t
need them, they may not work when
you get s…
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - Also, he does not consider the possibility for potential drug-drug interactions with the resident’s existing … antibiotic therapy is indicated
· No stop date on the antibiotic
· No post-prescription monitoring for drug-drug … One is to monitor for drug-drug interactions related to antibiotics. … team, you decide to collect data on the following information:
To evaluate baseline monitoring for drug-drug … · There’s no indication based on chart review that anyone considered the potential for drug-drug
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
August 01, 2014 - hypotension) < 5th percentile for age or systolic BP < 2 SD
below normal for age
OR
• Need for vasoactive drug … dysfunction
995.94
Bacteremia 790.7
Septic shock 785.52
Table 4-C: Parenteral Antibiotics
Drug … Class Drug
Aminoglycosides Amikacin Sulfate
Gentamicin
Kanamycin A Sulfate
Tobramycin Sulfate … of Antibiotics for Severe Sepsis and Septic Shock
U18HS020516 Page 50
Submitted August 2014
Drug … Class Drug
Oxazolidinones Linezolid
Penicillins Ampicillin
Oxacillin
Penicillin G
Nafcillin
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
January 01, 2014 - patient was at the time the prescription was filled yes numeric Blank
national_drug_code National Drug … unique identifier yes text or numeric Blank
End of Table
HEDIS NDC Variables
HEDIS National Drug … Code (NDC) Variables
Reference Name Concept Description Variable Type Note
NDC_CODE National Drug … text From HEDIS Data set of asthma-related medications for data year
DESCRIPTION Description of the drug … HEDIS Data set of asthma-related medications for data year
DRUG_ID Unique identifier of the primary drug