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  1. pcmh.ahrq.gov/data/infographics/health-care-quality.html
    September 01, 2018 - 18 Top Performing States: Highest Percentage of Stroke Patients Who Received Blood Clot Prevention Medication
  2. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool11_comm_resource.docx
    September 12, 2016 - adult day health; housing authority or housing with service providers; food banks; pharmacies offering medication … starts within 2-3 days of discharge] [Adult Day provider 2] [Point person] [XXX] [Daily activity, medication … Contact Name, Number: Service: Eligibility: Pharmacy [Name] Contact Name, Number: Service: [e.g., medication … Provides supervised medication-assisted treatment with the use of methadone. … Medication assistance available.
  3. pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.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 … 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
  4. pcmh.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
    December 01, 2020 - Based on a trend analysis, Kaiser Permanente identified the CAHPS “medication communication” composite … external and internal sources, conducted a pilot study of a workflow to improve specific aspects of medication … As a result of these efforts, Kaiser Permanente’s scores for the HCAHPS medication communication composite
  5. pcmh.ahrq.gov/page/engaging-patients-and-families-medical-home-appendix
    June 01, 2010 - Components : Provide information to patient on medication self-management and how to recognize and … Medication reconciliation, Mayo Clinic (Varkey et al., 2007) Safety Purpose: Improve the accuracy … of medication lists and to avoid medication errors. … Physician assistant reviews medication list at the visit, makes changes. … The frequency of no medication lists in the medical record fell to 6% from 26%; medication documentation
  6. pcmh.ahrq.gov/news/newsletters/e-newsletter/885.html
    October 01, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory … Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.
  7. pcmh.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.
  8. pcmh.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.
  9. pcmh.ahrq.gov/sites/default/files/attachments/Care-Mgmt-Issue-Brief-No-15-0018-EF.pdf
    April 01, 2015 - of care (e.g., improving the delivery of appropriate clinical preventive services), safety (e.g., medication … For others, medication errors may be decreased. … with 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
  10. pcmh.ahrq.gov/topics/chronic-conditions.html
    the Country Recent Research Studies An mHealth design to promote medication
  11. pcmh.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
  12. pcmh.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
  13. pcmh.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
    July 01, 2021 - To help primary care practices address the ongoing opioid epidemic in rural areas, AHRQ’s medication-assisted … AHRQ’s Medication-Assisted Treatment for Opioid Use Disorder Playbook serves as a comprehensive guide
  14. pcmh.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.
  15. pcmh.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
  16. pcmh.ahrq.gov/patient-safety/reports/healthaffairs.html
    March 01, 2019 - its commitment to lead patient-safety efforts nationwide, AHRQ has funded studies that aim to reduce medication
  17. pcmh.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - Falls are one of the most frequently reported patient safety events in the NPSD, second only to medication … Low-threshold treatment emphasizes removing the barriers common to conventional OUD treatment and prioritizes “medication
  18. pcmh.ahrq.gov/news/newsletters/e-newsletter/890.html
    November 01, 2023 - Informatics tools in deprescribing and medication optimization in older adults: development and dissemination … What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.
  19. pcmh.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.
  20. pcmh.ahrq.gov/research/findings/index.html
    August 01, 2023 - grants administered since 2000 on a variety of patient safety topics, such as measure development, medication

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