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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-SOPS_101_Webcast-GRAY-Resources.pdf
September 01, 2019 - Communicate your action plan
46
Improvement Resources
Improving Patient Safety: Resource Lists for
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - negligence caused by inattention to ordering details
and limited review and verification of medication lists … Finally,
clinicians mixed-up patients with similar diagnois/problem lists and treatments: “There was … Limited clinician communication with patients or caregivers about home
medication lists and medication … Due to time constraints, clinicians failed to review
active medication lists, verify orders, or leave … Clinician-Recommended Strategies
Duplicate Ordering Errors
Clinician-level • Review medication lists
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psnet.ahrq.gov/node/48168/psn-pdf
July 24, 2019 - changes-hospital-safety-following-penalties-us-hospital-acquired-condition-reduction-program
https://psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
-
psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
October 15, 2018 - This statement briefly lists the American College of Surgeons' guidelines for preventing retention of
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psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
December 24, 2008 - This AHRQ grantee announcement lists 13 projects funded to demonstrate effective strategies in identifying
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psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents
June 10, 2018 - This article provides examples of incidents involving neuromuscular blocking agents and lists recommendations
-
psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
July 05, 2017 - This fact sheet lists 10 patient safety concerns such as adverse drug events and offers tips to address
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psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-settings
September 03, 2008 - This commentary provides a definition of patient-centered care, lists potential impediments to implementation
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
September 01, 2015 - growth charts into EHR
Maintain up-to-date problem list Yes Clinicians often fail to keep problem lists … Workflow change ideas
Drug formulary check system No
Lab results into EHR No
Generate lists of … patients for QI or Yes The generation of the lists is a technical issues, but
outreach (registry) panel … managers will be needed to work the lists to see
which patients need which services, and provide out … separate
process that will not be discussed here
Example flowchart: maintaining active allergy lists
-
psnet.ahrq.gov/node/47022/psn-pdf
July 19, 2018 - //psnet.ahrq.gov/primer/electronic-health-records
https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
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hcup-us.ahrq.gov/reports/methods/2015-08.pdf
January 01, 2015 - State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
Table 2 lists … State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
Table 2 lists … State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans (pages 13–15)
Table 2 lists … This appendix lists which of these
programs are identifiable in the State-
specific payer coding in
-
hcup-us.ahrq.gov/reports/methods/2014-03UserGuide.pdf
January 01, 2014 - State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
Table 2 lists … State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
Table 2 lists … State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans (pages 13–15)
Table 2 lists … This appendix lists which of these
programs are identifiable in the State-
specific payer coding in
-
hcup-us.ahrq.gov/reports/methods/2016-09UG.pdf
January 01, 2016 - State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
• Table 2 lists … State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
• Table 2 lists … State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans (pages 13–15)
• Table 2 lists … This appendix lists which of these
programs are identifiable in the State-
specific payer coding in
-
hcup-us.ahrq.gov/reports/methods/2017-05.pdf
January 01, 2017 - State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
• Table 2 lists … State-Specific Payer Codes: Identifying
Patients Enrolled in Managed Care Plans (pages
13–15)
• Table 2 lists … State-Specific Payer Codes: Identifying Patients
Enrolled in Managed Care Plans (pages 13–15)
• Table 2 lists … This appendix lists which of these
programs are identifiable in the State-
specific payer coding in
-
psnet.ahrq.gov/issue/patterns-and-predictors-medication-discrepancies-primary-care
October 19, 2022 - care patients' reports of their current medications differed from electronic health record medication lists
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digital.ahrq.gov/sites/default/files/docs/survey/massachusetts-office-practice-survey.pdf
June 16, 2021 - Medication lists O O O O O
3b. Electronic prescribing O O O O O
3c. … Problem lists O O O O O
3f.
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digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-provider-survey.pdf
June 16, 2021 - Keeping problem lists
6. Keeping medication lists
7.
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digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2011
January 01, 2011 - Medication lists were printed for patients enrolled in the computerized portion of the study, while patients … members asked patients in the computerized and paper-only portions to try to find their medication lists
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2006
January 01, 2006 - )
Type of Health IT Functions
"[The EMR] enables users to capture vital signs, medication lists … , problem lists, and clinic notes at the point of care.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - Workflow-Related Findings
"Although most clinicians maintained electronic problem and allergy lists … and accessibility of progress notes and increased the availability of electronic problem and allergy lists