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301. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
     June 15, 2003 - safety and infection control, and to adopt common reporting systems for identifying medication errors … The region’s stakeholders agreed upon two patient safety goals: the complete elimination of medication … For MEDMARXSM, the methods used to identify potential medication errors vary across hospitals. … Data entry into MEDMARXSM of types of medication errors and additional nonrequired information is not … Medication errors: experience of the United States Pharmacopeia (USP) MEDMARXSM reporting system.

302. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/index.html
     April 01, 2024 - More >> Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >> Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home … More >> Identifying Strategies to Improve Medication Safety at Home Yan Xiao, Ph.D. … More >> Improving Medication Safety for Older Adults Michelle Chui, Pharm.D., Ph.D. … Professor, and Director of Sonderegger Research Center for Improved Medication Use University of Wisconsin

303. Chipra-89-Adhd-Behavior-Section-6-Attach-1 (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
     June 01, 2012 - prescription date **Please remove this column before submitting ADHD treatment medication … prescribed (Yes - 1/No - 2) ADHD treatment medication prescription date … before submitting For patients 4 - 5 behaior therapy was prescribed as first line treatment prior to medication

304. Measure: Behavior Therapy as First-Line Treatment for Preschool-Aged Children with ADHD (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
     October 01, 2014 - First-line treatment is treatment provided prior to prescribing of any ADHD medication. … There is limited information about the effects of stimulant medication in children between the ages … evidence-based behavior therapy is not available, the clinician needs to weigh the risks of starting medication … for patients aged 4-5 years that behavior therapy was prescribed as first-line treatment prior to medication … at “face value” that identified patients were prescribed evidence-based behavior therapy prior to medication

305. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
     April 08, 2004 - use process and safety, implications of medication errors, teamwork in health care, and medical error … The physicians’ top-ranked topics were proven medication safety practices; legal, tort, and malpractice … Medication error course work was categorized under six domains: human factors research, medical errors … , medication errors, quality or process improvement, root-cause analysis, and failure mode and effects … Medication error instruction in schools of pharmacy curricula: a descriptive study.

306. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapf.html
     April 01, 2018 - I feel the council identified problems and barriers to safe medication management. 1                    … I feel my participation on the council will improve my own safe medication management or the safe medication … I feel the ideas generated today will develop into interventions to successfully improve medication safety

307. Attention Deficit Hyperactivity Disorder Performance Measurement Set (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
     February 01, 2012 - , and this study provided evidence that medication was far more likely to be a recommended treatment … Researchers noted that this is too few visits to allow for medication adjustment or promote adherence … Lastly, the researchers noted a lower likelihood of consistent medication use in the poorest children … Researchers noted that this is too few visits to allow for medication adjustment or promote adherence … • Jensen, et al also point out that both medication and educational services for 24 and 36 months

308. Behavioral Health and Substance Use Disorders | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/research/behavioral-health/index.html
     February 01, 2024 - Highlighted Resources Medication-Assisted Treatment for Opioid Use Disorder Playbook: Practical guide … for implementing medication-assisted treatment (MAT) in primary care and other ambulatory care settings … change package supports efforts by primary care practices and healthcare systems to improve opioid medication

309. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
     December 01, 2022 - Catchpole study strategies to improve anesthesia medication delivery, robotic surgery integration, and … The project, Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery  , focuses … on reducing the 200,000 to 20 million anesthesia-related medication injuries that occur annually in … techniques, approaches, and perspectives across simulated and real environments to address these types of medication … information at a glance; [it’s] a small intervention that may have a significant impact on reducing medication

310. TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
     August 31, 2023 - A concern is raised regarding the patient’s level of alertness due to medication. … The physician had the patient repeat back, in her own words, her medication changes.

311. Community Pharmacy Survey on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.pdf
     June 06, 2018 - In the pharmacy setting, it means that:   The right patient receives the right medication in … time by the right route, and The patient or caregiver understands the purpose and proper use of the medication … A mistake is any type of medication error, mistake, incident, or quality-related event, regardless of … related to, or include:  Prescribing, transcribing, dispensing, administering, monitoring (use of medication … Think back on the survey topics and the definition of patient safety—dispensing the right medication

312. Adverse Drug Events (ADE) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/topics/adverse-drug-events-ade.html
     Recent Research Studies Health literacy-informed communication to reduce discharge medication … Medication safety event reporting: Factors that contribute to safety events during times of organizational … Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory

313. Chapter 6. Measure Maps and Profiles (continued, 15) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6n.html
     June 01, 2014 - focused on coordination       Health care home       Care management       Medication … to community resources: 2.4, 3.1 Align resources with patient and population needs: 2.4, 3.1 Medication … focused on coordination       Health care home       Care management       Medication … focused on coordination       Health care home       Care management       Medication … focused on coordination       Health care home       Care management       Medication

314. Tear Sheet. You Can Quit Smoking: Support and Advice from Your Clinician (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/tearsheet.pdf
     September 01, 2008 - GET MEDICATION AND USE IT CORRECTLY. … Talk with your health care provider about which medication will work best for you: Bupropion SR—available … YOUR MEDICATION PLAN: Medications: Instructions: 5. HOW WILL YOU PREPARE?

315. Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202301.html
     March 01, 2023 - healthcare providers, particularly clinical pharmacy specialists, to discuss reducing or changing their medication … But it really is the patient’s choice whether to reduce their medication. … Clinician-Patient Communication, Diabetes, Education: Patient and Caregiver, Elderly, Medication … , Medication: Safety, Outcomes, Patient Safety, Patient Experience, Patient and Family

316. AHRQ Research Helps Pharmacists in Mentoring Program to Reduce Drug Errors in Emergency Departments | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cquips0802.html
     October 01, 2014 - Case Studies June 2008 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related … is to encourage the creation of permanent programs featuring clinical pharmacists' involvement with medication … departments, where patients present with such complex medical challenges, rarely benefited from the medication … For example, they can develop quality measures for medication use or help staff understand and use computerized … ASHP aims to prevent medication errors, help people make the best use of medicines, and assist pharmacists

317. Other Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/other-resources.html
     September 01, 2021 - Generally, an adequate trial of psychotherapy precedes consideration of medication, and psychotherapy … aggressive youth. 34 ≤18 years Psychosocial and educational interventions should continue after medication … The GRADE rating system is used to rate each test, for each medication, at each time point examined ( … Ranges from 1A (strong) to not recommended depending on the specific medication, laboratory test, and … AACAP endorsed best practice principles Best practice principles that underlie medication prescribing

318. Public Health Department Collaborates With Health System To Improve Mortality Surveillance | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/887.html
     October 01, 2023 - AHRQ Initiative Enables Rural Primary Care Providers in New Mexico To Treat Opioid Use Disorders With Medication … AHRQ Initiative Enables Rural Primary Care Providers in New Mexico To Treat Opioid Use Disorders With Medication … in New Mexico have expanded on AHRQ’s Project ECHO model to train clinicians in the use of proven medication-assisted … the program works to ensure primary care staff all over the state are trained and supported to use medication … (At left, Chris Alliman, M.D., talks with a patient in Albuquerque about medication for opioid use disorder

319. Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
     July 01, 2018 - Have a prescription filled for both a rescue medication and a controller medication within the specified … • 23.3 percent of children met both medication criteria. … Have a prescription filled for both a rescue medication and a controller medication within the specified … A prescription filled for both a rescue medication and a controller medication within the 30 specified … medication within the specified time frames (NEITHER 1 nor 4a).

320. Appendix L. Infection Prevention Infographic - Implementation Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-l.html
     May 01, 2017 - Disinfect the top (rubber septum) of any medication vial with alcohol before piercing it with a sterile … Prepare medication in clean area, separate from patient care area and away from used items. … If medication is used at the bedside, throw it out after it is used on one patient . … Use a single-dose vial of medication whenever possible. … Dedicate a multiuse vial to one patient if medication is drawn up in the patient care area.