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  1. 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
  2. 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
  3. 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.
  4. 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.
  5. 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
  6. 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.
  7. 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.
  8. 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
  9. 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.
  10. 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.
  11. 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
  12. 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) medicationMedication errors may occur less frequently due to an emphasis in the electronic medical record on medicationmedication 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
  13. 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
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. 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
  20. 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

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