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digital.ahrq.gov/sites/default/files/docs/page/2006Root_052411comp.pdf
May 26, 2011 - Satisfaction w/ the process for
obtaining and using the
medication history (survey)
2. … Number of times medication
history is needed but unavailable
(survey; check sheets or logs)
uhin … Medication Histories:
Clinical Outcomes
1. … Number of times physician
changes prescribing based on
medication history or uses
medication list … Histories:�Settings
Medication Histories:�Operational Outcomes
Medication Histories:�Clinical Outcomes
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/technology-implementation-and
the nursing home
This study examined workarounds related to implementation of an electronic medication … administration record and medication safety practices in five Midwestern nursing homes. … this qualitative evaluation identified workarounds associated with the implementation of an electronic medication … problem solving instead of the more sophisticated second-order problem solving approach used by the medication … workarounds as a means of first-order problem solving is an important consideration to understanding risk to medication
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-9-concluding-comments
in a piecemeal manner (for example, through entirely separate initiatives for each target, such as medication … Nonetheless, since improving medication management with CDS is such a widespread (perhaps universal) … pearls you may have gleaned from CDS initiatives focused on other targets may well help accelerate your medication … CDS Five Rights, the full spectrum of CDS intervention types, and the interdependent nature of the medication … Inspiration from a vision of what optimal CDS-enabled medication management could be should further help
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digital.ahrq.gov/2018-year-review/research-dissemination/web-conferences
January 01, 2018 - View the January 25, 2018 Event Page
How Health IT Can Improve Medication Management
Impact
By … monitoring, adherence, and medication therapy management for patients with complex conditions. … The following presenters discussed their research on strategies to improve medication management: Dr. … Karen Farris’s research used AI to automatically adapt text messages about blood pressure medication … adherence to patients’ medication-taking behaviors.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2011
January 01, 2011 - Physician-Level Variation in Medication Overrides of Computerized Decision Support . … The project will include evaluations of variation in medication overrides at baseline, followed by two … Additionally, a set of recommendations on the best way to design medication alerts will be developed. … (Ongoing)
Improve medication-related clinical decision support. … management via the integration and utilization of medication management systems and technologies.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018841_basco_pdf_3.pdf
January 01, 2011 - errors occur when a patient receives an incorrect
medication because its name is spelled 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 … medication
histories and diagnostic data.
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digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
September 17, 2010 - Many Separate Medication Lists
They never seem to match
• Necessary variation
– differing tasks … – shared medication management tools;
• Web-based clinical decision support. … History
Medication History Claims data
Revised: 4/26/2010
Keystone Beacon … Reconciliation Care summaries
Medication lists
Care summaries
Medication lists
Hospitals Physicians … History
Medication History Claims data
Revised: 4/26/2010
Thank You!
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - Achieving 24/7 Pharmacist Coverage for Medication Order Review
Ideally medication order reviews occur … from 2834 (about 9% of all medication orders) to 10,076 (33% of all
medication orders). … Bar code medication administration technology is effective at reducing medication
administration errors … Aside from
reduction in medication administration errors, bar code medication administration has also … Several CAHs have reported that bar
code medication administration use has already prevented medication
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
January 01, 2009 - It also evaluated the impact of the system on medication errors and downstream preventable adverse drug … safety, specifically, medication errors and associated ADEs. ( Achieved )
Impact and Findings: … Medication Errors
Results of the medication error and ADE study revealed that the frequency of errors … to improved medication safety. … Technology and Medication Safety. AHRQ Publication No. 08-0034-4.
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digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
April 16, 2009 - quality
measurement reports
-% of patients who access their personal health
information, including medication … Adding an EHR system to the existing DDP
model will significantly improve medication
management. … (1) Appropriate drug prescriptions;
(2) Formulary compliance;
(3) Patient compliance with medication … ; and
(4) Timely refills of medication
-% of patients receiving appropriate care for
medication … (3) Patient compliance with medication; and
(4) Timely refills of medication
**Limited to electronic
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digital.ahrq.gov/ahrq-funded-projects/conducting-measurement-activities-health-information-technology-initiative/annual-summary/2010
January 01, 2010 - national performance on the adoption, use, and outcomes of health IT in four areas: 1) reduction in medication … The project team completed data analysis on the reduction in medication errors due to CPOE, the adoption … This estimate was combined with data from peer-reviewed studies and medication order volume data from … the ASHP to estimate that the use of e-prescribing systems averted approximately 14.3 million medication … Further, it was estimated that as many as 86 million medication errors could have been averted in 2008
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digital.ahrq.gov/ahrq-funded-projects/safety-through-enhanced-e-prescribing-tools-stepstools-developing-web-services/annual-summary/2010
January 01, 2010 - STEPStools is constructing, pilot testing, and evaluating available tools that provide medication-specific … For example, the tool scores a variety of answers, starting from the top-choice medication, down to one … The RxNorm creates unique identifiers for the medication name (i.e., Amoxicillin), the routed form of … the medication (Amoxocillin Oral), and the dispensable form of medication (Amoxicillin 400 mg/5mL Oral … management via the integration and utilization of medication management systems and technologies.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-2-overview-cds-five-rights
Section 2 - Overview of CDS Five Rights
CDS interventions can be applied throughout the medication … management cycle to optimize medication safety and other pertinent outcomes. … This should not be confused with the Five Rights of medication use, which speak to ensuring that the … At the right time in workflow : for example, at time of decision/action/need
For each step in the medication … will explore in detail how to address these parameters to achieve specific objectives associated with medication
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2010
January 01, 2010 - The EHR-CDSS program will facilitate MBC to improve medication management for patients with MDD by using … The IT system will also provide decision support during each medication treatment phase and will help … prevent medication errors. … use of MBC principles in medication management for patients with MDD. … management via the integration and utilization of medication management systems and technologies.
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digital.ahrq.gov/sites/default/files/docs/page/uhrigsuccessstory.pdf
January 01, 2011 - Medication Adherence Missing doses = missing out on better health. … If at any time a patient reported missing a dose of
medicine, they were sent medication reminders up … Example of Bidirectional Medication
Adherence Messaging. … • Medication Adherence Improved. … often they
missed a dose of medication
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digital.ahrq.gov/sites/default/files/docs/activity/assessment_of_pediatric_look_alike__sound_alike__lasa__substitution_errors_2010pdf_2.pdf
March 01, 2012 - 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
-
digital.ahrq.gov/sites/default/files/docs/AHRQ%20Webcast%20011207%20(1).pdf
January 12, 2007 - � What the Evaluation Methodology Does
and How It Works
� Implications for Implementing CDS for
Medication … Checking CDS for Medication Checking
1. … � How do we accommodate the added tool of CDS for
medication checking into how we organize and
conduct … (or medication class) for
which patient allergy has been
documented
Allergies and cross-allergies … – Medication-related CDS in Computerized Provider Order Entry Systems: A
Review.
-
digital.ahrq.gov/sites/default/files/docs/biblio/AHRQ_Webcast011207.pdf
January 12, 2007 - Checking CDS for Medication Checking
© FCG 2007 | Slide 23
Implications for Implementing … Implications for Implementing
CDS for Medication Checking CDS for Medication Checking
Page 24
© FCG … How do we accommodate the added tool of CDS for
medication checking into how we organize and
conduct … – Medication-related CDS in Computerized Provider Order Entry Systems: A
Review. … Checking
Implications for Implementing CDS for Medication Checking
1.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017149-veline-final-report-2011.pdf
January 01, 2011 - Medication Possession Ratio (MPR): MPR was intended to track adherence to a medication regimen
over … No assessment was made
to look at the types of medication therapy to see if there were any medication … To assess medication utilization patterns, a proxy measure of patient medication usage was utilized to … If a patient is
using the antihypertensive medication appropriately, they will be obtaining a new medication … • If a provider discontinues a medication but does not appropriately stop the medication in the
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs019023-mane-final-report-2014.pdf
January 01, 2014 - on medication classes. … Treatment Outcome with Medication Class Overview: The initial dataset was then
stratified at the medication … For most medication classes, the plots revealed no
association between medication class and treatment … bin; (b) two medication combination bin; and (c) multiple medication
combination or other combination … or medication combination.