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digital.ahrq.gov/sites/default/files/Quartz%20Assessment%20Report_To%20DTP_09.05.25.pdf
January 17, 2025 - Inadequate medication management, including both non-adherence and ineffective medication
regimens, … given that 40% of patients experienced a medication
change (in either dosage or type of medication) … added a new medication or switched to a different medication. … Medication Adherence Outcomes
n (%) or Mean
Number of patients who received medication adherence … Medication adherence request
medication
check in
Starts the request for
medication adherence
assessment
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) … Individuals at risk for medication–related toxicity were found to frequently go unmonitored. … Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) - 2010 … Electronic health record-based monitoring of primary care patients at risk of medication-related toxicity … Medication Monitoring for Vulnerable Populations via IT - Final Report.
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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety
January 01, 2023 - Type of Care
Pediatrics
Specialty Care
Health Care Theme
Patient Safety
Medication … implemented in a carefully staged process over two years:
Inpatient Pharmacy System
Electronic Medication … Coding , Clinical Decision Support System , Computerized Provider Order Entry System , Device , Medication … Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health … Link:
Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-validation-medication-regimen-complexity-critical-care
March 31, 2025 - Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction … Critical care pharmacists (CCPs) have the knowledge and skills to handle complex medication regimens … The approach will be to automate and scale an existing tool—the medication regimen complexity-intensive … Design a web-based dashboard (ICView) to visualize medication regimen complexity-based predictions. … provide guidance for medication-related problems.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy
March 31, 2024 - Implementing a mobile application in community pharmacies for the purposes of identifying and resolving medication … Adherence
Patient-Reported Outcomes
Medication adherence--taking medications as prescribed … Fifty percent of individuals taking at least one regularly scheduled prescribed medication are non-adherent … Reasons for this are multi-faceted, including forgetting to take a medication, an inability to obtain … Pharmacists may be in a unique position to improve medication non-adherence, given their accessibility
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digital.ahrq.gov/ahrq-funded-projects/conversational-information-technology-it-better-safer-pediatric-primary-care
January 01, 2023 - Content for the calls included information on medication safety, diet and activity, parental smoking … Using Health Information Technology to Perform Medication Reconciliation: Findings from the AHRQ Health … Link:
Using Health Information Technology to Perform Medication Reconciliation: Findings from the … AHRQ Health IT Portfolio
Using Health IT to Determine Medication Adherence: Findings from the … Using Health Information Technology To Determine Medication Adherence: Findings from the AHRQ Health
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
January 01, 2014 - to reduce medication errors. … cause of medication errors. … EHR medication list with
hospital discharge medication orders. … Medication reconciliation: a practical tool to reduce the risk of medication errors. … medication
records.
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information
January 01, 2023 - Improving Post-Hospital Medication Management of Older Adults with Health Information Technology … Management
Medication Safety
Transitions in Care
Adverse drug events (ADEs), especially … those that may be preventable, are among the most serious concerns about medication use in older people … Multiple factors, including poor physician-patient communication and education regarding medication use … Quality measurement of medication monitoring in the "meaningful use" era.
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digital.ahrq.gov/ahrq-funded-projects/rxsafe-shared-medication-management-and-decision-support-rural-clinicians/annual-summary/2010
January 01, 2010 - RxSafe: Shared Medication Management and Decision Support for Rural Clinicians - 2010 … Project Name
RxSafe: Shared Medication Management and Decision Support for Rural Clinicians … The project has developed technology to support shared medication management for persons with chronic … the underlying semantics of medication lists to improve the organization and presentation of medication … as “medication reconciliation”.
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digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2010
January 01, 2010 - Computer Assisted Medication and Patient Information Interface (CAMPII) - 2010
Project … The provider interface will support medication management functions, including correcting incoming medication … data, entry of new drug regimens, printing of medication instructions, and production of a daily medication … medication instructions. … , medication purpose, expected benefits, and potential adverse reactions.
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digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2010
January 01, 2010 - Optimizing Medication History Value in Clinical Encounters with Elderly Patients - 2010 … Project Name
Optimizing Medication History Value in Clinical Encounters with Elderly Patients … issues at the point of prescribing, incorporating medication information into the clinical encounter … , resolve, and prevent medication-related problems. … Specific Aims:
Develop geriatric-specific algorithms to identify potential issues with medication
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-self-management-support-and-medication
January 01, 2023 - Harnessing Health Information Technology for Self-Management Support and Medication Activation in a Medicaid … In addition, patients with chronic illnesses appear to experience greater medication miscommunication … The second (ATSM-PLUS) also leveraged pharmacy claims to strengthen medication counseling. … Health Plan - 2011
Harnessing Health IT for Self-Management Support and Medication Activation … Language-concordant automated telephone queries to assess medication adherence in a diverse population
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - A Three-pronged Approach to Monitoring the Effect of an EMR Implementation on Medication-related Events … (ONS)
Medication Errors including ‘near misses’
8
Medication Error Assessment Plan
2004 2005 … Error Assessment Plan
Medication Error Assessment Plan (cont'd.) … Self-Reporting
Self Report System - Results
Medication Error Assessment Plan
Medication Administration … Observation
Medication Error Assessment Plan
Trigger Tool Chart Reviews
Medication Error Assessment
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digital.ahrq.gov/program-overview/research-stories/virtual-pharmacy-improves-medication-use-and-patient-safety-palliative-care
January 01, 2023 - Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care
Theme:
Supporting … The addition of a virtual pharmacist to a CBPC team improved medication and symptom management, resulting … in providers updating dosing or timing changes and adding or deprescribing a medication approximately … Incorporating a medication expert virtually on the team
Dr. … Pharmacists assessed each patient’s medication list, identified DDIs, and made recommendations to clinicians
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digital.ahrq.gov/ahrq-funded-projects/electronic-prescribing-and-electronic-transmission-discharge-medication-lists/annual-summary/2010
January 01, 2010 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists - 2010 … Project Name
Electronic Prescribing and Electronic Transmission of Discharge Medication Lists … of medication lists at discharge. … The team further developed a medication error and adverse drug event tool. … severity of the medication errors and ADEs.
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology
January 01, 2023 - Provider Order Entry System
Electronic Health Record/Electronic Medical Record
Knowledge System
Medication … Type of Care
Acute Care
Ambulatory Care
Health Care Theme
Adverse Events
Medication … This included implementation of an electronic patient medical record, electronic medication administration … Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health … Link:
Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ
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digital.ahrq.gov/ahrq-funded-projects/enhancing-fulfillment-data-community-practices-clinical-care-and-research
January 01, 2023 - Prescribing data represent what clinicians have prescribed for patients—ideally, the intended medication … Fulfillment data represent what patients have received from the pharmacy—the actual medication regimen … Nearly all current medication research uses payer-based medication fulfillment billing records. … A Web-based survey found that medication fulfillment data was not available at most practices. … Interviewees cited the cost of obtaining and integrating medication fulfillment data into the EHR as
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-error-and-near-miss
January 01, 2023 - Medication Error and Near Miss Classification Form
Description
This is a near … Document Source
Statewide Implementation of Electronic Health Records
PDF
Medication
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-nursing-home
January 01, 2023 - Safety
Patient Safety
The magnitude and intensity of medication use among our nation's … In our previous research, we have determined that medication errors resulting in adverse drug events … These systems have been found to improve the quality of medication prescribing in the hospital setting … Effect of clinical decision support on psychotropic medication prescribing in the long-term care setting … Prescribers' responses to alerts during medication ordering in the long term care setting.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders/annual-summary/2008
January 01, 2008 - Using IT to Improve Medication Safety for Rural Elders - 2008
Project Name
Using … Information Technology (IT) to Improve Medication Safety for Rural Elders
Principal Investigator … management via the integration and utilization of medication management systems and technologies. … These medication systems also are designed to support related business practices of the organizations … However, the medication management work practices of these historically independent organizations are