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381. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
     August 01, 2022 - Of the 1,389 medication discrepancies they examined, pharmacists found 566 that may contribute to an … Also during the grant period, the project team explored hospital-to-home medication discrepancies in … solutions for improving medication discrepancies in the hospital-to-home transition. … Transitional care medication safety: Stakeholders’ perspectives. … Improving patient safety and restructuring medical liability using ACEs: Medication errors.

382. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
     January 01, 2023 - harmful medication discrepancies can be improved with a medication review tool in the personal health … manager to help elderly people and their families keep an accurate medication list, coordinate the … Key Findings/Impact: Four high-level medication management processes were common among participants … They related to medication storage, container usage, use of routine and memory triggers, and usage … The project team disseminated more than 16,600 medication lists and 7,800 medication bags at more than

383. New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
     October 01, 2016 - PCP completes medication reconciliation. … RNs do medication renewals and BP medication titration by protocol. … For out-of- range BP, RN titrates medication per protocol. … Medication titration PCPs do this. … RN visits for DM education, medication reconciliation, injections, and treatment planning.

384. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
     September 01, 2015 - We'll also introduce you to a strategy for incorporating your blood thinner medication into your daily … You may have a busy life, but that shouldn't stop you from following a regular schedule to take your medication … Either way, it is important to remember to take your medication exactly as your doctor prescribed. … alert bracelet or carrying a wallet card as a way to let others know that you are on blood thinner medication … you talk to your clinician about your intake of alcoholic beverages, as they may interfere with your medication

385. Chapter 6. Measure Maps and Profiles (continued, 3) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6b.html
     June 01, 2014 - focused on coordination       Health care home □     Care management       Medication … to change: 22 Support self-management goals: 17, HI1, HP1-HP6, HPC1 Health care home: 1, 2 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

386. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - Events relating to medication errors Medication related errors are one of the most common types of … errors and that 1 out of every 854 inpatient hospital deaths resulted from a medication error. … While not all medication errors result in harm, those that do can be costly. … A cabinet, or “nurse server,” in each alcove will hold the patient’s barcoded medication—in a locked … A USP study on medication errors at U.S. hospitals. Rockville, MD: Pharmacopeia; 2002. 4.

387. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
     March 20, 2008 - and use of personal digital assistant devices (PDAs) by clinicians at the point of care to decrease medication … Use of PDAs by clinicians at the point of care to decrease medication errors. … list x x 10 Transfer medication list x 11 Patient informed consent x x 12 Hand … sought technical support to manage medication prescribing and administration. … Institute for Safe Medication Practices. 2004 ISMP medication safety self assessment® for hospitals.

388. Cardiovascular Disease | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
     June 01, 2018 - Treatment of Heart Attack: Process: Hospital patients with heart attack given fibrinolytic medication … Treatment of Heart Attack Timely Receipt of Fibrinolytic Medication Hospital patients with heart … attack given fibrinolytic medication within 30 minutes of arrival, by sex and race/ethnicity, 2005-2013 … Early actions, such as fibrinolytic medication, may open blockages caused by blood clots, reduce heart … Trends: From 2005 to 2013, the percentage of patients who received timely fibrinolytic medication improved

389. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
     May 01, 2018 - Measures the percentage of children and adolescents 1-17 years of age on an antipsychotic medication … year with at least two antipsychotic medication dispensing events … The Texas Psychotropic Medication Utilization Parameters for Foster Children notes “psychotropic medication … Trends in psychotropic medication costs for children and adolescents, 1997- 2000. … Psychotropic medication use among children in the child welfare system. 2012.

390. Strategy 4: IDEA Discharge Planning (Tool 1) (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
     January 01, 2010 - Use a reconciled medication list to discuss the purpose of each medicine, how much to take, how to …  Review a reconciled medication list with the patient and family. … Make sure that patients have an easy-to-read, printed medication list to take home. … Who: Hospital to identify staff person to review the medication list with patient and family. … Preferred dates / times for: PCP: Other: Medication Reconciled medication list Reviewed

391. Strategy 4: IDEA Discharge Planning (Tool 1) (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
     January 01, 2010 - Use a reconciled medication list to discuss the purpose of each medicine, how much to take, how to take … Review a reconciled medication list with the patient and family. … Make sure that patients have an easy-to-read, printed medication list to take home. … Who: Hospital to identify staff person to review the medication list with patient and family. … Preferred dates / times for: PCP: Other: Medication Reconciled medication list Reviewed medication

392. Preparing for and Recovering After Hip or Knee Replacement Surgery (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
     November 01, 2023 - ■ You can also get pain medication through it after surgery. … Medication To Numb the Area Some numbing medication may also be placed around the joint area. … ■ You may get a shot of blood thinner medication to help prevent blood clots. … If you get an infection You’ll get medication to help prevent infections. … F Do NOT drink alcohol while you still take any pain medication.

393. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
     April 01, 2008 - Institute of Medicine, Preventing Medication Errors, Quality Chasm Series. … Institute of Medicine, Preventing Medication Errors, Quality Chasm Series. … • Measure medication list accuracy in outpatient medical records in the clinics. … I feel my participation on the council will improve my own safe medication management or the safe medication … Institute of Medicine, Preventing Medication Errors, Quality Chasm Series.

394. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/national-academy-medicine.html
     February 01, 2018 - Preventing Medication Errors: Quality Chasm Series  Released: July 20, 2006 According to one estimate … Sometimes the harm is caused by an error in prescribing or taking the medication, and these damages are … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates

395. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
     May 16, 2016 - checks, is key to management of postoperative hemorrhage and hematoma in the pediatric population.5 Medication … Management Determine if and when discontinuation of antiplatelet/anticoagulant medication prior to … Quality Indicators How To Improve Hospital Quality and Safety 3 Tool D.4t Recommended Practice: Medication … o Work with caregivers to obtain a thorough history of medication use prior to surgery. … Practice: Risk Factor Determination Recommended Practice: Management of Blood Loss Recommended Practice: Medication

396. Chapter 6. Measure Maps and Profiles (continued, 9) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.html
     June 01, 2014 - focused on coordination       Health care home     □ Care management       Medication … resources with patient and population needs: C1-C9, I3, J1, J4-J9, K2-10 Health care home: I4, D1 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

397. Fallpxtool3B (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3b.docx
     January 01, 2006 - patient is in pain, contact an RN immediately so the patient does not have to use the call light for pain medication … ). 2 Put medication as needed on RN’s scheduled list of things to do for patients and offer the dose

398. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/choosing.html
     April 01, 2018 - strategy uses the “brown bag medicine review” method to engage patients to create a complete and accurate medication … if you have many patients with multiple medications or you have committed to helping patients with medication … This strategy can help you conduct medication reconciliation based on a complete and accurate list of

399. Be Prepared to Be Engaged (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/be-prepared_webinar_slides.pdf
     January 01, 2015 - Threats & Promising Interventions Threats to Patient Safety • Breakdowns in communication • Medication … • Shared Decisionmaking • Patient and Family Advisory Councils (PFAC) • Team-based Care • Medication … Engagement in Primary Care Four Interventions • Teach-Back • Be Prepared to be Engaged • Medication

400. Fallpxtool2E (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2e.docx
     October 19, 2016 - Regular review of medication can help to prevent patient falls. … A patient who is taking psychotropic medication is at higher risk for falling. … Medication review should be included in the assessment.