-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
January 01, 2013 - Medication affecting risk of falls
Sedative and psychotropic medication, or medication with drowsiness
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - For example, Medication or Other Substance events that were reported as
Adverse reaction in patient … The largest proportion of Near misses were reported for
Medication or Other Substance events (26.8% … Almost 40% (39.3%; 130,606 / 332,652) of Medication or other substance events and unsafe
conditions … Medication or other substance events and unsafe conditions also
had the second highest proportion of … , so that responses to both the Device or Medical/Surgical Supply and
Medication or Other Substance
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - the patient is
knowledgeable about
medication and has a
medication
management system. … Medication
management is a key
element of TCM. … Classifying and predicting errors of inpatient medication
reconciliation. … a
medication management process … They use home
visits to monitor symptoms and do medication reconciliation.
-
ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
June 01, 2014 - Health care home
4a, 4b, 4c, 4d, 4e, 16c, 17a, 17b, 45, 51
Care management
11a, 14, 21, 51
Medication … , 18, 23, 27, 28, 43, 46, 62, 74
Health care home
17d, 74
Care management
5, 11b, 22b, 27
Medication … Family Medicine Medication Use Processes Matrix (MUPM)
21. … Reconciled Medication List Received by Discharged Patients
58. … Medication Reconciliation for Ambulatory Care
64.
-
ce.effectivehealthcare.ahrq.gov/topics/hospital-discharge.html
Improving Hospital Discharge Through Medication Reconciliation and Education
Improving the Emergency … Recent Research Studies
Health literacy-informed communication to reduce discharge medication
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Word_simplified_one_page.doc
August 26, 2016 - Specify____________________________________________
· No
· Yes
Medication Allergies.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
November 01, 2023 - ■ If a small tube was placed in your back to deliver medication (called an epidural [EP-i-DOOR-
uhl … ]), you may get pain medication through it … Prescriptions for medication can often be filled while you are in the hospital. … You’ll get medication for this. … F Do NOT drink alcohol while you still take any pain medication.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
July 01, 2018 - The DMAA recommends that disease management programs evaluate change in medication adherence and lifestyle … prescription will not promote better health outcomes or reduced costs unless the patient takes the medication … Accordingly, medication adherence is a component of patients' self-management of their chronic conditions … of a disease management program sponsored by a pharmacy benefit management company used measures of medication … Many studies examined physicians' medication prescribing, diagnosis documentation, referrals, and rates
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
November 01, 2023 - ■ You can also get pain medication through it
after surgery. … ■ You may get a shot of blood thinner medication to help prevent blood clots. … You’ll get medication for this. … F Do NOT drink alcohol while you still take any pain medication. … F Do NOT drink alcohol while you still take any pain medication.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - Medication
1. … Patient Safety Primer: Medication Reconciliation
https://psnet.ahrq.gov/primers/primer/1/medication-reconciliation … Medical Device Evaluation Forms
Medication
1. … Patient Safety Primer: Medication Reconciliation
3. … Patient Safety Primer: Medication Errors
14.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-section-5-appendix-1.pdf
October 12, 2013 - specific FDA indications or substantial evidence for effectiveness, physicians should consider
other medication … likely to produce good results
Generally, an adequate trial of psychotherapy precedes consideration of medication … interventions, which should be the first line of treatment
because of its lower risk, preceding the use of medication … ≤18 years Psychosocial and educational interventions should continue after medication treatment begins
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - Errors in prescribing medication.
2. … category: (8) no
error (e.g., adverse
lusters: (1) communication, (2) studies, (3) diagnosis, (4) medication … Medication errors may occur less
frequently due to an emphasis in the electronic medical record on medication … medication error deaths between 1983 and 1993.
Lancet 1998; 351: 643-644.
5. Gaba DM. … 1. ordered incorrectly (wrong medication, wrong dose, or not indicated)
2. no medication
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - patient at risk for
falling postoperatively should be identified and managed.2,7
Postoperative Medication … Environmental hazards (i.e. medical equipment, electrical cords)
Recommended Practice: Postoperative Medication … Management
• Develop a systematic and standardized approach for team members to acquire a detailed
medication … risk.1,20
• Develop a systematic and standardized approach for team members to evaluate a patient’s
medication … Recommended Practice: Identification of Patients at Risk for Falls
Recommended Practice: Postoperative Medication
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxpresentation.pptx
October 01, 2008 - Multiple interventions are needed:
Thorough patient assessment
Thorough environmental assessment
Medication … Educational materials from ECRI Institute, (610) 825-6000
Medication Review
Administration of these … Tricyclic antidepressants
Vasodilators
‹#›
Educational materials from ECRI Institute, (610) 825-6000
Medication … Review
Risk is greatly magnified if patient is receiving four or more types of medication
[Insert measures … Ask about pain levels and need for pain medication.
Reposition the patient in bed.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
June 01, 2005 - The curriculum includes modules on the following topics:
• Systems
• Medication errors
Advances … The medication errors module, in turn, presents proven strategies to
prevent the most common medication … The survey indicates that the medication error module was the most popular. … Systems and medication errors modules received the
highest approval rating from the audience. … Respondents wanted more
examples, especially for the medication module.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - In addition, teams of hospital executives conducted annual self-
assessments of current safe medication … practices using the Institute for Safe
Medication Practices tool, and hospitals shared and discussed … Remember, implementation matters
Medication errors received significant attention among consortium … Institute for Safe Medication Practices. 2000 ISMP
medication safety self-assessment. … Institute for Safe Medication Practices. ISMP
Medication Safety Alert!: Nurse Advise-ERR.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - This is particularly true of medication events. … administrator,” providing support to the peer
review committee as a medication therapy expert. … , smart pumps, and other improvements in the medication cycle. … In addition to the work related to medication errors, PEERs data also have been used to add
urgency … In: Cohen MR, ed,
Medication errors.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - Advancing Medication Safety: Establishing a national action plan
foradverse drug event prevention. … Practices (ISMP) Pathways for Medication Safety
toolkit identify standardized anticoagulation dosing … Advancing medication safety: Establishing a national action plan for
adversedrug event prevention. … Classifying and predicting errors of inpatient medication
reconciliation. … Advancing medication safety: establishing a national action plan for
adverse drug event prevention.
-
ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
June 01, 2018 - Preventable Emergency Department Visits
Potentially Avoidable Hospitalizations
Integration of Medication … Provide patients with information that assists their adherence to medication regimens and scheduled appointments … Medication lists, 71.0% to 85.4%.
Nursing notes, 66.5% to 81.4%. … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction … Importance: CPOE is associated with a 13% to 99% reduction in medication errors and a 30% to 84% reduction
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - in our database, our redundant safety measure of scanning the bottles to make sure we have the right medication … apparent that there were several root causes that included poor technology for supporting the tasks, poor medication … labeling processes that are not optimal for the medication shortages, and a reliance on using people