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digital.ahrq.gov/sites/default/files/docs/publication/r01hs014947-porter-final-report-2007.pdf
January 01, 2007 - All medication orders
were written on paper. … Outcome: Medication Error
The primary outcome was the number of medication errors per 100 patients … Evaluation of ED-Based Medication Actions. … The nurse reviewed all available medication-
related evidence, including medication order sheets, medication … The interface design for capture of medication data considers how a patient might recognize
a medication
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digital.ahrq.gov/research-method/pre-post-study
January 01, 2024 - Support and Shared Decision Making for Lung Cancer Screening
Scaling the EQUIPPED medication … Scaling the EQUIPPED medication safety program: Traditional and hub-and-spoke implementation models. … Cancer Decision Support at Scale
The impact of electronic communication of medication … discontinuation (CancelRx) on medication safety: A pilot study. … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety:
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - Each call also addressed medication safety examining: 1) what medications on the EHR
medication list … the child was actually taking; 2) age appropriate medication use; and 3) if taking
asthma medication … Fever and cold medication use and
dosing of liquid medication (0-11 yrs)
Outcome(s) % of families … with inappropriate medication use, Number
of medication errors detected by PHP, number of
medication … If on a controller
medication: Inform family of action of controller
medication with clinician and
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digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - Patient Safety Council
Kathy Leonhardt, MD, MPH
Patti Pagel, RN
Aurora Health Care
June 2006
Medication … Medication Safety
Patient Role
• One out of 4 patients do not follow physician advice,
primarily due … Identify and implement interventions through
out the community
• Measurements: Accuracy of medication … Medication bag
2. Personal medication list
3. Computer programs for providers
4. … medication list =
• A
• B
• C_____________
Inaccurate:
• D (on chart but not taken
by patient) OR
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
January 01, 2013 - The primary outcome was discharge medication errors. … PCPs wanted a brief description of the hospital course, discharge medication and
medication reconciliation … The frequency of unintended medication variances
(medication errors) was found to be lower during the … 1,009 (29) 814 (29)
Medication error 645 (18) 359 (13)
Clinically important medication error … medication errors: a quasi-experimental
study.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017072-lobach-final-report-2011.pdf
January 01, 2011 - Demonstrate the ability to produce medication management reports and
medication alert notices in the … Evaluate Economic Impact of Medication Management System. … Sample medication report
Figure 3. … adherence rates by medication and medication class and to
detect probable low medication adherence. … discussing medication adherence issues with a patient.
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digital.ahrq.gov/medical-condition/congestive-heart-failure-chf
January 01, 2024 - Name
Patient Choice of Telemedicine Encounters
A computable algorithm for medication … A computable algorithm for medication optimization in heart failure with reduced ejection fraction. … Dorsch, Michael
Project Name
The Impact of an Adaptive Patient-Centered Web Application on Medication … Dykes, Patricia
The Impact of an Adaptive Patient-Centered Web Application on Medication … optimization and evaluate its effectiveness in guideline-directed medication prescribing for heart failure
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
January 01, 2008 - The goal is to increase the
number of medication errors reported. … Count of severity levels for reported medication errors
Figure 1c. … Count of where in process the reported medication error occurred
Figure 2b. … Count of severity levels for reported medication errors
Figure 4c. … C ount o f st aff who d is covered the rep orted medication error
Figure 9a.
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digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-safety-older-adults-through-electronic-patient-portals
January 01, 2023 - Elderly
Physician
Type of Care
Ambulatory Care
Health Care Theme
Medication … Caregivers are frequently responsible for tasks such as medication reminders, prescription refills, scheduling … This project evaluated the impact of outpatient medication safety and communication between caregivers … were as follows: Investigate whether EPP usage by caregivers facilitates the accuracy of outpatient medication … Patient comorbidity, medication, and patient-caregiver communication history were extracted from the
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52c-sample-task-table-erx-renewal
January 01, 2023 - E-prescribing system
Automatic
E-prescribing prescription automatically receive pharmacy request of medication … Office staff
Retrieving
Take or retrieve fax or phone message from a pharmacy or patient to request medication … Prescriber approve or decline request or change medication
Prescribing physician/NP
Decision
Decide … prescriber has approved request by looking up information such as last visit, lab results, current medication … preprescriptionion and save records in E-prescribing
E-prescribing system includes lab results, current medication
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digital.ahrq.gov/ahrq-funded-projects/project-infocare
January 01, 2023 - Care
Acute Care
Long-Term Care
Primary Care
Specialty Care
Health Care Theme
Medication … Emergency Department are placed directly by a physician or nurse practitioner; 2.38 times per day, a medication … 90 percent of alerts are currently ignored (i.e., overridden); and for six of seven facilities with 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/organization/state-university-new-york-buffalo
January 01, 2023 - Investigator(s)
Hewner, Sharon
A Systems Engineering Approach: Improving Medication … Principal Investigator
Singh, Gurdev
Project Name
A Systems Engineering Approach: Improving Medication … Safety with Clinician Use of Health IT
A Systems Engineering Approach: Improving Medication … pilot-tested a Web-based implementation of a Team Resource Management (TRM) intervention aimed at improving medication
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015430-gurwitz-final-report-2008.pdf
January 01, 2008 - administration process, from arranging the medication cart to completion of
medication administration … All residents who were
scheduled to receive medication during the observed medication administration … Morning medication time periods took place between approximately 7:30 am and 9:30 am, noon
medication … The steps in the medication administration process were: 1) organize
medication cart and obtain supplies … ), 4) prepare resident to receive medication, 5) provide medication to resident, 6)
observe resident
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digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixA.pdf
January 01, 2010 - More than 80% of patients have at least one entry
recorded as structured data
Maintain active medication … lists, medication allergies)
More than 50% of requesting patients receive
electronic copy within … orders
More than 30% of patients with at least one
medication in their medication list have at least … one
medication ordered through computer provider
order entry
Implement drug-drug and drug-allergy … reconciliation between care
settings
Medication reconciliation is performed for more
than 50%of
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/ambulatory-safety-and-quality-program
January 01, 2023 - Pediatric Medication Prescribing Made Simpler and Safer ( PDF , 337 KB)
Principal Investigator: … A National Web Conference on Utilizing Health IT to Improve Medication Management for the Care of Elderly … Patients
On August 18, 2011, AHRQ hosted a national Web conference on health IT and medication management … On August 27, 2009, AHRQ hosted a national Web conference on e-prescribing and medication management … A National Web Conference on Utilizing Health IT to Improve Medication Management for the Care of Elderly
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digital.ahrq.gov/sites/default/files/docs/patient-centered-care-slides-033011.pdf
March 30, 2011 - PHR medication screen
Medication warnings on home page
IowaPHR tracking health information … inventory,
medication management behaviors, SF-12 v2,
demographics
• ACOVE-3 measures of medication … list 219 (42.9) 574
Previous Medication List 36 (7.1) 52
Medication Warnings 24 (4.7) 34
Wallet Sized … M. and Avorn, J. (2007), Quality Indicators for Medication Use in Vulnerable Elders. … Iowa PHR
Iowa PHR login screen
Iowa PHR welcome screen
Iowa PHR medication screen
Iowa PHR medication
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2010
January 01, 2010 - errors occur when a patient receives an incorrect medication because its name is spelled like or sounds … like another medication. … While medication errors have been studied in the pediatric population, the frequency of LASA-specific … The error rates of these 200 medication pairs will then be estimated by reviewing patient medication … To measure the error rates of the final list of medication pairs, the team will review patient medication
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - directly involved in almost all aspects of patient care in acute care settings, including bedside and medication … The research team will develop a human factors-informed medication administration workflow risk assessment … The overall study goal is to improve medication administration workflow and reduce medication errors. … The PIT program aims to deter medication-related issues, improve communication between providers and … reduce hospital readmissions, and alleviate patient emotional distress by appropriately addressing medication
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digital.ahrq.gov/funding-mechanism/evidence-based-practice-centers-epcs
January 01, 2023 - Investigator(s)
Hersh, William
The economics of health information technology in medication … The economics of health information technology in medication management: a systematic review of economic … Principal Investigator
McKibbon, Ann
Project Name
Enabling Medication Management through … Enabling medication management through health information technology. … Principal Investigator
McKibbon, Ann
Project Name
Enabling Medication Management through
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digital.ahrq.gov/principal-investigator/bell-douglas
January 01, 2023 - Effect of electronic prescribing with formulary decision support on medication … Effect of electronic prescribing with formulary decision support on medication tier, copayments, and … of Electronic Prescribing Standards
Provider views about responsibility for medication … Early adopters of electronic prescribing struggle to make meaningful use of formulary checks and medication … Early adopters of electronic prescribing struggle to make meaningful use of formulary checks and medication