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61. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - More >> Protecting Patients from Drug-Drug Medication Errors Daniel C. Malone, Ph.D. … More >> Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home … More >> Identifying Strategies to Improve Medication Safety at Home Yan Xiao, Ph.D. … More >> Improving Medication Safety for Older Adults Michelle Chui, Pharm.D., Ph.D. … Professor, and Director of Sonderegger Research Center for Improved Medication Use University of Wisconsin

62. Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination (pdf file)
    pbrn.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

63. Tool: Teach-Back | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
    May 01, 2023 - Teach‐backs can be used to explain: Medication instructions. A new diagnosis. … In telling a patient how to take a new medication, a pharmacist or other provider would describe how … a patient should take the new medication, including the dose and time of administration and responses

64. Helping Smokers Quit: A Guide for Clinicians (pdf file)
    pbrn.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.

65. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Grantee Profile on Kathleen Walsh, M.D., M.Sc., Highlights Work To Prevent Pediatric Medication Errors … Walsh is working to prevent medication errors and adverse drug events among children, particularly those … Medication errors that occur outside the hospital can be lethal for children with chronic conditions, … Walsh has identified factors that contribute to medication errors and injuries in children with chronic

66. Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
    July 01, 2023 - /ekX289e3-Uo TeamSTEPPS: Check-Back in Inpatient Surgical Teams (15 seconds) Checking to ensure medication … instructions are described—and heard—correctly is an important safeguard against potential medication

67. Hospital Discharge | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/topics/hospital-discharge.html
    Improving Hospital Discharge Through Medication Reconciliation and Education Improving the Emergency … Recent Research Studies Health literacy-informed communication to reduce discharge medication

68. Blood Thinner Pills: Your Guide to Using Them Safely | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
    March 01, 2023 - It also introduces BEST, an easy way to remember how to fit blood thinner medication into daily life. … Many medication errors are found by patients. … Talk to your doctor about every medication and over-the-counter product that you take. … Tell all your doctors about every medication and over-the-counter product that you take. … A personal, medication wallet card can help you keep track of this list.

69. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
    pbrn.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?

70. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/reports/engage/choosing.html
    April 01, 2018 - strategy uses the “brown bag medicine review” method to engage patients to create a complete and accurate medication … if you have many patients with multiple medications or you have committed to helping patients with medication … This strategy can help you conduct medication reconciliation based on a complete and accurate list of

71. Create a Safe Medicine List Together (pdf file)
    pbrn.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?

72. San Diego Pharmacist Resource and Research Network | Practice-Based Research Networks | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/pbrn-registry/san-diego-pharmacist-resource-and-research-network
    December 08, 2016 - Statement:  To provide pharmacists with information and practice tools to improve quality and safety of medication … health care systems and/or patient experiences Diabetes (Type 1 or 2) Health literacy Immunizations Medication

73. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
    September 01, 2015 - We'll also introduce you to a strategy for incorporating your blood thinner medication into your daily … You may have a busy life, but that shouldn't stop you from following a regular schedule to take your medication … Either way, it is important to remember to take your medication exactly as your doctor prescribed. … alert bracelet or carrying a wallet card as a way to let others know that you are on blood thinner medication … you talk to your clinician about your intake of alcoholic beverages, as they may interfere with your medication

74. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Table of Contents Adverse Drug Events (ADEs): General Medication Topics ADEs: Harms Due to Anticoagulants … , and Perioperative Medicine Venous Thromboembolism Adverse Drug Events (ADEs): General Medication … Unit-Dose Drug Distribution Systems Summary of Evidence (Not reviewed) (Not reviewed) Automated Medication … The Joint Commission’s “Do Not Use” List (Not reviewed) Summary of Evidence (Not reviewed) Medication … Treatment (Not reviewed) (Not reviewed) Summary of Evidence ADEs: Infusion Pumps/Medication

75. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/reports/national-academy-medicine.html
    February 01, 2018 - Preventing Medication Errors: Quality Chasm Series  Released: July 20, 2006 According to one estimate … Sometimes the harm is caused by an error in prescribing or taking the medication, and these damages are … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates

76. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/index.html
    March 01, 2024 - Clinical Handoffs (MATCH) Toolkit features strategies from the field that can help hospitals improve medication … Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) Toolkit includes a set of … medication reconciliation tools to reduce medication errors that frequently occur during care transitions

77. TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
    August 31, 2023 - A concern is raised regarding the patient’s level of alertness due to medication. … The physician had the patient repeat back, in her own words, her medication changes.

78. AHRQ Signals Plan To Establish Healthcare Extension Service | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/888.html
    November 01, 2023 - Report Updates Evidence on Pharmacotherapy for Adults With Alcohol Use Disorder Decisions about medication-assisted … for desired outcomes, tolerance of side effects, contraindications and the potential to adhere to the medication … A multisite qualitative analysis of perceived roles in medication safety: older adults' perspectives. … Primary care teams' reported actions to improve medication safety: a qualitative study with insights

79. Implementing What Works | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/opioids/implementing-what-works.html
    February 01, 2024 - change package is to support efforts by primary care practices and healthcare systems to improve opioid medication … resources for providers treating opioid use disorder in primary care practices, including: Implementing Medication-Assisted … searchable Tools and Resources Collection to support those in primary care settings who are implementing medication-assisted

80. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
    August 01, 2022 - in our database, our redundant safety measure of scanning the bottles to make sure we have the right medication … apparent that there were several root causes that included poor technology for supporting the tasks, poor medication … labeling processes that are not optimal for the medication shortages, and a reliance on using people