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pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - The use of reliable structured data, such as medication prescriptions and laboratory test results that
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Harms such as hospital-acquired infections or medication errors can happen during any stage of care.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/lauby.pdf
December 19, 2014 - the men's
knowledge of medications for their condition, ability
to manage their health, appropriate medication
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pbrn.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - Ineffective or improper use of medications or serious medication errors. … A box contains the following text:
TeamSTEPPS®
High Risk Scenarios: Medication Reconciliation, Discharge … clinical situations that need immediate attention to prevent adverse events among LEP patients include:
Medication
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/root-cause.html
January 01, 2013 - medical provider's or pharmacist's assessment of medications contributing to fall risk (go to Tool 3I, "Medication … 2.5)
___ Minor (complaint of pain; requires ice, dressing, cleaning of wound, elevating of limb, or medication
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pbrn.ahrq.gov/sites/default/files/docs/page/Affiliates.pdf
July 01, 2015 - Recent research initiatives
include medication safety, collaborative management between pharmacists … While some of these issues, including medication safety, are addressed
throughout primary care PBRNs … Medication Safety Research Network of Indiana
(Rx-SafeNet)
Pharmacists' perspectives on HIV testing … (ACCP PBRN)
http://www.accpri.org/pbrn/
Location: Kansas (With 707 Practices Across 50 States)
Medication
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - mental status change
New unsafe behaviors
New gait/balance problem or mobility device
New fall
New medication … Condition data:
Acute Mental Status Change
Behavior: New Unsafe
New Gait/Balance or Device Order
New Fall
Medication … : New Medication or Dose Change
Orthostatic Hypotension/Dehydration
Vertigo/Dizziness
Syncope/Fainting … HREC 1: Mental Instability
HREC 2: Gait and Balance Instability
HREC 3: Fall History
HREC 4: High-Risk Medication … improper use X X
Equipment failure, bed, chair, floor mat alarms
Potential medication
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
April 11, 2018 - • A new diagnosis
• Medication need and proper use
• Home care instructions
• Recommended behavior … Medication need and proper use.
Home care instructions.
Recommended behavior changes. … chronic condition, such as asthma or diabetes
First and last patient of the day
Patients with a new medication
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - associated with drug reaction
∗ Death associated with adverse drug reaction
∗ Death associated with medication … questions:
Causes for concern:
Diagnosis
Documentation/communication
Infection
Medication … Thrombolytic Therapy
• STK-5 Antithrombotic Therapy By End of Hospital Day 2
• STK-6 Discharged on Statin Medication
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pbrn.ahrq.gov/teamstepps/lep/handouts/leputcomesasst.html
December 01, 2012 - Chin: "Take this medication once every 12 hours, with food." The patient looks confused.
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pbrn.ahrq.gov/cpi/about/directions/index.html
December 01, 2017 - Controlled substances (such as illegal drugs or paraphernalia), this does not include prescription medication
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pbrn.ahrq.gov/news/blog/ahrqviews/input-strategic-framework-pcortf.html
March 01, 2022 - tools for providers to detect and treat common mental health issues, as well as offer wider access to medication
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pbrn.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - Screening, counseling, and medication for smoking cessation jumped 7.3 percent.
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pbrn.ahrq.gov/evidencenow/projects/index.html
September 01, 2022 - to improve the use of screening for unhealthy alcohol use, brief intervention for those at risk, and medication
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pbrn.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … reporting systems, risk assessment, safety culture, medical simulation, health information technology, and medication … When I Leave the Hospital is an easy-to-read guide in English and Spanish that helps patients track medication
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pbrn.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Protocol
Deprescribing
Report
Protocol
Computerized Clinical Decision Support To Prevent Medication
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pbrn.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/virginia.html
March 01, 2021 - Medication questions that could be answered by referencing the patient's medical record could be handled
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy/sahl-e-form-user-guide.pdf
December 18, 2014 - Distracter
1. kidney __urine __fever __don’t know
2. occupation __work __education __don’t know
3. medication
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
April 01, 2006 - Process measures (such as medication use, management plans, self-management, planned care):
_________ … These include four asthma process measures (routine care, medication use, advice to quit smoking, and …
Advice to quit smoking
Flu shot (in past 12 months)
Medication … by a patient’s health plan, and so the patient may have to pay out of pocket for certain prescribed medication … should be established by your quality improvement team).
· Increase use of inhaled corticosteroids medication
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - a pharmacist-led hospital-community
collaborative transitions of care (TOC) program to decrease
medication-related