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41. Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsletters/e-newsletter/848.html
    January 01, 2023 - Home News Newsletter AHRQ News Now Outpatient Medication … Today's Headlines: Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients … Outpatient Medication Errors Prevalent Among Pediatric Leukemia, Lymphoma Patients An AHRQ-supported … They found that failures in communication about changes in medication doses were common, and one in four … These findings underscored a critical need for interventions to support safe medication use at home.

42. New Tool Helps Manage Opioid Use in Older Adults | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsletters/e-newsletter/898.html
    January 01, 2024 - developed by AHRQ supports efforts by primary care practices and healthcare systems to improve opioid medication … patient safety event reports, which may lead to better identification of important medication safety … Researchers analyzed 3,861 medication-related reports using data from urban and rural hospitals to measure … patient safety events are categorized and identify patterns that can impact patient medication safety … tool for opioid use in adults: results from a validation study of the Tobacco, Alcohol, Prescription Medication

43. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory … Physical Space and Environment, #2, Institute for Safe Medication Practices (ISMP) Medication Safety … Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory … PROTECT Initiative: Advancing Children’s Medication Safety Composite Measure 6. … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

44. Safemed Facguide (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Safe Medication Administration Safe Medication Administration … SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly … administration for oxytocin. · Identify the key safety elements of safe medication administration for … is a high-alert medication. … : Like oxytocin, magnesium sulfate is a high-alert medication.

45. Improving Hospital Discharge Through Medication Reconciliation and Education | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/resources/discharge/index.html
    December 01, 2017 - Review System (QSRS) Simulation Improving Hospital Discharge Through Medication … HS015882-01 Overview This project implements a "discharge bundle" consisting of medication reconciliation … The toolkit contains such resources as: Medication reconciliation forms. … originally created October 2012 Internet Citation: Improving Hospital Discharge Through Medication

46. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program … for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose … Checks (CUSP Science of Safety) Key Perinatal Safety Elements Examples Assess appropriateness of medication … SAMPLE Safe Medication Administration for Labor Induction or Augmentation with Oxytocin Category Procedure … Contraindications include— · gestational age less than 39 completed weeks without medication indication

47. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety … Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium … Medication errors are more common in unit-prepared bags, so this practice should be avoided.12 Pharmacy … Acute Care ISMP Medication Safety Alert. … Acute Care ISMP Medication Safety Alert.

48. Automated Outreach & Adherence to Cholesterol-Lowering Medication | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/evidencenow/heart-health/cholesterol/outreach.html
    September 01, 2018 - Management Evidence and Resources Automated Outreach & Adherence to Cholesterol-Lowering Medication … Tools for Change Automated Outreach & Adherence to Cholesterol-Lowering Medication … August 2018 Internet Citation: Automated Outreach & Adherence to Cholesterol-Lowering Medication

49. Translation of Comparative Effectiveness of Depression Medications Into Practice (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/montori.pdf
    September 29, 2013 - knowledge, patient involvement in decision-making and decision making quality, and 6-month measures of medication … Findings The use of the Depression Medication Choice during the encounter, compared to usual depression … Moreover, 51% of patients who used the Depression Medication Choice with their clinician achieve a … Translating comparative effectiveness of depression medications into practice by comparing the depression medication

50. Cholesterol Management Evidence and Resources | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
    March 01, 2021 - Substantial evidence shows that taking a statin medication each day to manage blood cholesterol can reduce … those with high LDL cholesterol levels, and those with diabetes), who have been prescribed a statin medication … Improving Medication Adherence Among Patients with Hypertension: A Tip Sheet for Health Care Professionals … This tip sheet for health care professionals outlines predictors of medication non-adherence and how … to use the SIMPLE method to improve medication adherence among patients.

51. Tool 13: ED Care Plan (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
    May 01, 2015 - when you judge the risks to be greater than the benefits, even if the patient demands the medication … program before prescribing controlled substances] · [An oral or written agreement for chronic pain medication … symptomatic pain without the use of narcotics] · [For safety place a sitter in the room] · [If you feel medication … is indicated, use [medication, dose, route; medication, dose, route]. … Do not use [medication route].

52. Fall Prevention Toolkit (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Medication affecting risk of falls Sedative and psychotropic medication, or medication with drowsiness … For the chart review, check the medication administration record (MAR) and any notes easily accessible … Y Y Y Y N Y Y Y Y Y Y N Y Y N N Y Y Y Y 16/20 Medication administration record … Medication administration record: given night sedation last night? … For any of the 20 patients who are “higher risk”*: Number of higher risk patients: Chart: full medication

53. NPSD Dashboards | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - reports and event-specific dashboards that describe in greater depth specific safety events such as medication … Medication or Other Substance Dashboard Details the incorrect action taken, incorrect action by residual … Medication or Other Substance 2023 Supplement Dashboard Includes information organized by medication … falls and/or mitigate harm from falls, as well as the ability to filter by fall assistance and use of medication … The Medications or Other Substance Event supplement reflects an enhanced analysis of NPSD Medication

54. Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/finklestein.pdf
    December 19, 2014 - are to: 1) Identify the needs, values, and preferences of older adults with diabetes in terms of medication … The increase in diabetes medication literacy was associated with improvements in patient attitudes … and behaviors related to diabetes medications, which resulted in higher medication adherence Study

55. New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
    October 01, 2016 - Comprehensive Medication Therapy Management Services Comprehensive MTM services began at Fairview … RNs note medication changes in the EHR. … ▌pg. 8 Tasks Roles Included Medication reconciliation or management Medication Reconciliation … For medication concerns, patients are referred to the MTM pharmacist. … Medication therapy management: 10 years of experience in a large integrated health care system.

56. Helping Smokers Quit: A Guide for Clinicians (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/clinhlpsmkqt/clinhlpsmksqt.pdf
    May 01, 2008 - Department of Health and Human Services Public Health Service Revised May 2008 open for medication … Encourage use of medication: Recommend use of over-the-counter nicotine patch, gum, or lozenge; or give … Review medication use and problems. Refer to 1-800-QUIT NOW (784-8669). … Suggestions for the Clinical Use of Medications for Tobacco Dependence Treatmenta Medication Precautions … Please see medication package inserts for additional information. bOTC refers to over the counter.

57. EvidenceNOW: Managing Unhealthy Alcohol Use | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/evidencenow/projects/alcohol/index.html
    November 01, 2023 - guidelines recommend routine screening and brief intervention for unhealthy alcohol use, as well as medication-assisted … Medication-assisted treatment for those diagnosed with alcohol use disorder. … Increase use of medication-assisted treatment for patients meeting diagnostic criteria for alcohol use … Medication-Assisted Treatment for Unhealthy Alcohol Use  (PDF, 712 KB) with latest information and frequently

58. AHRQ’s National Advisory Council Identifies Priority Areas for Quality Improvement | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsletters/e-newsletter/844.html
    December 01, 2022 - Medication-Assisted Treatment for Opioid Use Disorder Can Reduce Costs . … Medication-Assisted Treatment for Opioid Use Disorder Can Reduce Costs The use of medication as part … at a safety-net institution in Denver and found that patients with opioid use disorder who initiated medication … They include the Medication-Assisted Treatment for Opioid Use Disorder Playbook , a guide for implementing … medication-assisted treatment in primary care and other ambulatory care settings.

59. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - For instance, in high-risk environments (e.g., medication administration), it may be safest to implement … Medication administration is a task with a specific beginning and an end and is usually done by one … While these strategies may be good solutions for individual nurses on medication rounds, it may not … Association of interruptions with an increased risk and severity of medication admin- istration errors … Are interventions to reduce interruptions and errors during medication administration effective?

60. Create a Safe Medicine List Together (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
    April 10, 2018 - In the primary care setting, medication safety issues include prescribing errors, contraindications, … One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce … It wasn’t the same medication or a similar dose. … I only learned about it because he brought in the medication.” … He was taking double the dose of the same medication.” When should I use it?