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  1. ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/898.html
    January 01, 2024 - developed by AHRQ supports efforts by primary care practices and healthcare systems to improve opioid medication … patient safety event reports, which may lead to better identification of important medication safety … Researchers analyzed 3,861 medication-related reports using data from urban and rural hospitals to measure … patient safety events are categorized and identify patterns that can impact patient medication safety … tool for opioid use in adults: results from a validation study of the Tobacco, Alcohol, Prescription Medication
  2. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/heisler.pdf
    December 19, 2014 - The project developed and evaluated a tailored, interactive diabetes medication decision aid for CHWs … AHRQ diabetes medications consumer summaries to build an interactive, computer-tailored diabetes medication … Findings Both the iDecide group and the print summaries group reported improved medication decisional … conflict, medication knowledge, satisfaction with clarity and helpfulness of medication information … , medication adherence, and diabetes care self-efficacy.
  3. ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances/index.html
    July 01, 2022 - Baker, Brad Bjornstad, Jay Wolfson Medication Safety Best Practices in Medication Safety: Areas for … Moores Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (   PDF , … Selby Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure … Hilborne Standardizing Medication Error Event Reporting in the U.S. … Hoonakker Development and Validation of the Medication Administration Error Reporting Survey (   PDF
  4. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
    January 01, 2003 - Abstract Objective: This study was undertaken to describe physicians’ views regarding ambulatory medication … Much of this early work has focused on medication errors in hospital settings, which represent closed … error.5 Another recent study also found that adverse medication events might be quite common in the … Another concern frequently mentioned was the safety of chronic medication use (nine mentions). … Institute for Safe Medication Practices.
  5. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
    January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients … 173 Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure … Medication safety initiatives published in the literature often describe the impact a program has on … In January 2002, medication safety parameters focusing on prescribing errors and subsequent patient … The review identified 31.7 percent of patients on therapy at a subtherapeutic dose. (3) Medication
  6. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory … Physical Space and Environment, #2, Institute for Safe Medication Practices (ISMP) Medication Safety … Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory … PROTECT Initiative: Advancing Children’s Medication Safety Composite Measure 6. … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.
  7. Safemed Facguide (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Safe Medication Administration Safe Medication Administration … SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly … administration for oxytocin. · Identify the key safety elements of safe medication administration for … is a high-alert medication. … : Like oxytocin, magnesium sulfate is a high-alert medication.
  8. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-1.html
    July 01, 2022 - Resources Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5. … High-Risk Situations for Medication Reconciliation Conclusion References Appendix: The MATCH Work
  9. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
    March 01, 2020 - also included non-medication-related post- discharge questions. … In Connecticut: improving patient medication management in primary care. … Several aspects of medication management interventions remain unexplored. … Medication use risk management: hospital meets home care. J Nurs Care Qual 2001;15(2):50-7. … In Connecticut: improving patient medication management in primary care.
  10. ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - PURPOSE The ASPIRE research program aimed to characterize ambulatory medication safety events and to … Among adverse events, medication errors are of particular concern because they are common, costly, and … start date or evidence of at least one ambulatory administration of an infusible medication. … was stopped, as indicated by its discontinuation from the medication list, whichever came first. … reconciliation regularly, so medication lists may be inaccurate or out of date.
  11. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
    March 01, 2020 - Institute for Safe Medication Practices. … as an unauthorized medication. … bolus, or continuous medication infusion. … Administration System" OR BMA)) AND ((MH "Medication Errors") OR (AB "Medication Error*" OR " … Administration System" OR BMAS)) AND ((MH "Medication Errors") OR (AB "Medication Error*" OR
  12. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
    January 01, 2003 - The nontext rules are subdivided into five categories: medication, laboratory, medication-laboratory … A medication error was defined as any error that occurred in the medication use process (including ordering … the medication use process. … If the patient’s medication list contained a medication that was involved in the rule-set within this … patients for medication induced effects or medication errors is easily apparent.
  13. ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/interventions/index.html
    June 01, 2023 - Medication Management : a strategy for engaging with patients and caregivers to create a complete and … accurate medication list using the brown bag method. … A complete and accurate medication list is the foundation for addressing medication reconciliation and … medication management issues.
  14. ce.effectivehealthcare.ahrq.gov/policymakers/chipra/factsheets/fullreports/index.html
    July 01, 2016 - Reconciliation CAPQUAM     Medication reconciliation Set 1: Desirable attributes of medication … i Measure foci are: IT infrastructure for medication reconciliation; policy infrastructure for medication … reconciliation; medication-related communications with families; medication-related communications with … attributes on practices such as medication history, sharing of information; frequency of medication … ; use of medication reconciliation (extent to which medication reconciliation processes are audited and
  15. ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - Technology and Medication Safety Volume 1. … Technology and Medication Safety Title Page and Citation (   PDF , 18 KB ) Preface . … Medication Safety Clinical Pharmacists in Emergency Medicine (   PDF , 116 KB ) Rollin J. … Imbedding Research in Practice to Improve Medication Safety (   PDF , 182 KB ) Marsha A. … Using Home Visits to Understand Medication Errors in Children (   PDF , 622 KB ) Kathleen E.
  16. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-2-tech-specs.pdf
    February 22, 2019 - The earliest prescription dispensing date for an antipsychotic medication where the date is in the … Intake Period and there is a Negative Medication History. … Negative Medication History A period of 120 days (4 months) prior to the IPSD when the member had … Step 2 Test for Negative Medication History. … For each member identified in step 1, test each antipsychotic prescription for a Negative Medication
  17. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-oxytocin.html
    July 01, 2023 - Create Independent Checks (CUSP Science of Safety) Assess appropriateness of medication use in patient … SAMPLE Safe Medication Administration for Labor Induction or Augmentation with Oxytocin Category … Contraindications include— Gestational age less than 39 completed weeks without medication indication … Communication Use briefings to verify medication bag, pump settings, and IV tubing are correct during … https://www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
    June 01, 2023 - Improving Medication Safety AHRQ funded several projects focused on the use of technology to improve … medication safety in a variety of healthcare settings … administration record) system on various kinds of medication errors. … a communitywide electronic medication list and shared care plan. … Medication administration errors decreased, and few pump-related errors were made.
  19. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-2.pdf
    November 12, 2010 - Observations from this study suggest that the prevalence of medication treatment for ADHD is higher … Medication Use:  In 2000, a survey conducted among school nurses in Maryland reported that 3.7% of … all public elementary school children took ADHD medication at school. … Lastly, the researchers noted a lower likelihood of consistent medication use in the poorest children … Children identified with ADHD, including those prescribed medication, had a median of only one 3
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-2.pdf
    November 12, 2010 - Observations from this study suggest that the prevalence of medication treatment for ADHD is higher … Medication Use:  In 2000, a survey conducted among school nurses in Maryland reported that 3.7% of … all public elementary school children took ADHD medication at school. … Lastly, the researchers noted a lower likelihood of consistent medication use in the poorest children … Children identified with ADHD, including those prescribed medication, had a median of only one 3

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