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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
April 01, 2018 - � Medication Errors, including failures in communicating, prescribing, filling, and
dispensing, as … Safety of medication use in primary care. … Frequency of medication errors in primary care
patients with polypharmacy. … Frequency of medication errors in primary
care patients with polypharmacy. … Safety of medication use in primary care.
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
October 01, 2014 - Instructor Comments
The pharmacist's use of a check-back before administering the medication, and the … resident's situation awareness and cross-monitoring break an error chain that could have resulted in a medication … together and discusses the importance of doing check-backs before giving a nebulizer treatment with a medication … shifts, the night crew is informed of the new drug derivative so that there is no confusion if the medication … question, she appropriately raises the question again, which results in the correction of a potential medication
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Use a reconciled medication list to discuss the purpose of each medicine, how much to take, how to take … Review a reconciled medication list with the patient and family
Hospital identifies one person: Nurse … The toolkit provides clear instructions on creating flowcharts to avoid gaps in reconciling medication … administered throughout the hospital stay, and reconcile medication lists at discharge. … Patients may not be properly informed about food choices, medication side effects, danger signs, and
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
March 19, 2014 - Instructor Comments
The pharmacist’s use of a check-back before administering the medication, and … resident’s situation awareness and cross-monitoring break an error chain that could have
resulted in a medication … together and discusses the
importance of doing check-backs before giving a nebulizer treatment with a medication … Specialties
Setting: Hospital, Pharmacy
The day shift in the Pharmacy receives a new shipment of medication … shifts, the night crew is informed of the new drug derivative so that there is no confusion if the
medication
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monahrq.ahrq.gov/news/newsletters/e-newsletter/856.html
March 01, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program . … Professional Literature
Evaluation of the shared decision-making process scale in cancer screening and medication … Examining medication ordering errors using AHRQ network of patient safety databases.
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monahrq.ahrq.gov/news/newsletters/e-newsletter/852.html
February 01, 2023 - Physicians Should Consider Potential Drug Interactions When Prescribing Colchicine
Colchicine is medication … Articles featured this week include:
Examining medication ordering errors using AHRQ network of patient … Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication
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monahrq.ahrq.gov/news/newsletters/e-newsletter/906.html
March 01, 2024 - comprehensive evidence review from AHRQ’s Evidence-based Practice Center Program , emphasized that medication … improve self-management behaviors by tracking personal information, such as diet, physical activity, medication … An mHealth design to promote medication safety in children with medical complexity .
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monahrq.ahrq.gov/teamstepps/instructor/scenarios/ed.html
March 01, 2014 - Instructor Comments
The pharmacist's use of a check-back before administering the medication, and the … resident's situation awareness and cross-monitoring break an error chain that could have resulted in a medication … Specialties
Setting:
Hospital, Pharmacy
It is 0600, and it is time to fill the daily requests of medication … together and discusses the importance of doing check-backs before giving a nebulizer treatment with a medication … question, she appropriately raises the question again, which results in the correction of a potential medication
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Of the medication discrepancies examined, pharmacists found that 41 percent may
contribute to an ADE … Findings suggested that up to 90 percent of patients experience at least one medication
discrepancy … solutions for improving medication
discrepancies in the hospital-to-home transition. … Transitional care medication safety: Stakeholders’
perspectives. … Improving patient safety and restructuring medical liability using ACEs:
Medication errors.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-use-pcor.pdf
November 01, 2016 - PCOR
research can focus on specific
clinical interventions (such as a
medication or surgical procedure … )
or on ways of delivering care (such
as the use of text messages to
remind people to take a medication
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monahrq.ahrq.gov/topics/hospital-readmissions.html
January 01, 2012 - Leave the Hospital
This easy-to-read guide is for patients to use at discharge to help them track medication … for Older Adults through Safer Transitions)
Project BOOST offers a discharge bundle consisting of medication
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monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
November 01, 2018 - AH
Research
RQ is supporting primary care practices in delivering
evidence-based medication-assisted … primary-care/increasing-access-to-opioid-abuse-treatment.html
OPIOIDS 2
Implementing Medication-Assisted … Medication-Assisted Treatment Models of Care
for Opioid Use Disorder in Primary Care Settings.
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monahrq.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
August 01, 2017 - This guide describes ways to prevent and treat blood clots; symptoms; and medication side effects as … If you notice something wrong that you think may be caused by your medication, call your doctor.
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monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - Tool 3I, "Medication Fall Risk Score and Evaluation Tools," can be used to identify medication-related … The medication review may sometimes indicate that the patient needs to stay on a medication that increases … Pharmacists review medication profiles of patients. … Pharmacy reviews each patient's medication profile within 24 hours of admission. … Pharmacy reviews medication profile for each patient.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - The pharmacist consults with Wesley Clinic providers to analyze
patients’ complete medication lists, … Medication
reconciliation
LVN performs medication reconciliation and documents in EHR. … Medication titration Health educators (RN, CDE) work with provider on titrating insulin. … Medication
management
Onsite pharmacist assists provider in medication management. … RN works with
provider on medication adjustments.
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monahrq.ahrq.gov/ncepcr/care/coordination/mgmt.html
August 01, 2018 - different locations (e.g., from hospital to primary care) are associated with increased risks of adverse medication … For others, medication errors may be decreased. … primary care and/or specialty providers
Within each of these CM functions, clinical care such as medication … For example, clinical pharmacists receive extensive training in conducting medication reconciliation, … Assignment of clinically oriented CM services such as medication reconciliation should be based upon
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monahrq.ahrq.gov/patient-safety/patients-families/patient-family-engagement/index.html
April 01, 2018 - Medications at Transitions and Clinical Handoffs (MATCH) for Medication Reconciliation
Learn about the … processes that help detect and prevent medication discrepancies and adverse drug events. … This easy-to-read booklet educates people about blood thinners and offers basic information about the medication
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/TS_OBC_Webinar_Plitt_FINAL.pptx
January 01, 2017 - TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
Slide ‹#›
Small Office Setting
Key Informant Findings
Safety Topics
Medication … For those with multiple chronic diseases, this process includes following a disease-specific medication … Some also adjust their medication based on their measurements, such as using glucose monitoring to adjust
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monahrq.ahrq.gov/cahps/surveys-guidance/echo/about/survey-measures.html
May 01, 2018 - rating of health plan
Office Wait
Q10 Seen within 15 minutes of appointment time
Told About Medication … Side Effects
Q17 Told about side effects of medication
Including Family and Friends
Q19 Talk
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monahrq.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - AHRQ Grantee Protects Patients From Drug-Drug Medication Errors . … AHRQ Grantee Protects Patients From Drug-Drug Medication Errors
AHRQ grantee Daniel C. … These efforts are helping to protect patients from preventable medication errors. Access Dr.