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pcmh.ahrq.gov/news/newsroom/press-releases/spanish-language-app.html
October 01, 2021 - that allows users to document visual information such as a skin rash, upload insurance or prescription medication
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pcmh.ahrq.gov/news/blog/ahrqviews/home-health-quality-improvement.html
December 01, 2022 - Do patients and their families understand medication regimens and administration?
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-schoenthaler.html
March 01, 2024 - improve self-management behaviors by tracking personal information, such as diet, physical activity, medication
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pcmh.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx
January 01, 2011 - Qualitative
Analysis
Root Cause
Analysis
7
7
RED Checklist
Eleven mutually reinforcing components:
Medication … , few minutes with nurse/doctor
Personalized cover page
Updated list of all medicines
MEDICATION
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-schlesinger.pdf
January 01, 2017 - Prescribed
some pain medication. … We discussed pros and
cons and decided to continue the medication
I got a bill from my doctors office
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - between the provider, pharmacist, nurse, and patient (including the
family if applicable) regarding medication … reconciliation and the outpatient medication
regimen
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - Pharmacist:
Reviews medication list of patients at high risk based on medication profile. … How Change Can Be Incorporated Into Routine Care
A newly admitted patient automatically triggers a medication … review using the pharmacy risk scale ( Tool 3I ) to determine whether a full pharmacy evaluation of the medication … Automatic consults to pharmacists if medication risk score exceeds a threshold. … This is particularly true for aspects of care that physicians may need to be involved in, such as medication
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pcmh.ahrq.gov/cpi/about/impact/index.html
April 01, 2017 - medications, interventions, and patient outcomes and patient- and family-reported data on symptoms, medication … frontlines of the opioid epidemic are receiving remote training and expert consultation on delivering medication-assisted
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pcmh.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - Environment: It is a shift change, and everyone is busy, so the respiratory therapist checks the medication
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - The nurse uses two-challenge rule or CUS to advocate to the physician that Sally should receive pain medication … Accuracy – Precision of performance (e.g., correct medication)
Timeliness – How long (e.g., time to incision … 3
4
5
Used check-back once to confirm care plan at end of case
Used check-back to confirm all medication
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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - 24/7 access to their services,
• Providing transportation services to appointments,
• Performing medication … Medication management No improvement was seen in 30-day readmission rates, but a
couple of studies demonstrated … Common activities included in successful bundled interventions involved care coordination
efforts, medication … Role of Primary Care 10
• The postdischarge process at these sites had many common elements, such as medication … expect the
PCP to know everything about their hospital stay by reviewing the hospital records and
medication
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepslhandouts.pdf
July 25, 2012 - Situations
ED
OB/GYN
Surgery
Transitions in care, including intake and discharge
Medication
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
January 01, 2012 - inaccurate and incomplete medical history; ineffective or
improper use of medications or serious medication
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pdf
July 26, 2012 - Settings and Situations
ED
OB/GYN
Surgery
Transitions in care, including intake and discharge
Medication
-
pcmh.ahrq.gov/sites/default/files/attachments/EfficientOrthogonal_032513comp.pdf
March 01, 2013 - The components we are examining
include conducting routine contacts with patients, medication management … practitioner followup within
a week of discharge and monitoring for 2
months post-discharge
4 Brownbag medication … review No brownbag medication review A care manager will perform a brownbag
medication review for members
-
pcmh.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - patients who have previously suffered from diverticulitis; and that mesalamine (an anti-inflammatory medication
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pcmh.ahrq.gov/evidencenow/projects/heart-health/evidence/smoking.html
March 01, 2021 - Task Force
This comprehensive report synthesizes evidence on the use of behavioral counseling and medication
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pcmh.ahrq.gov/health-literacy/improve/precautions/tool3d.html
March 01, 2024 - Medication errors.
Fewer preventive services.
More hospitalizations.
Bad health outcomes.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … AHRQ’s Patient Safety Network outlines strategies providers can use at each stage of the
medication … Toolkit: Linking Older Adults With Medication, Alcohol, and Mental Health
Resources
Guide for Developing … Toolkit: Linking Older Adults With Medication, Alcohol, and Mental Health Resources
13. … Patient Safety Primer: Medication Errors
23. Person-Centered Care
24.
-
pcmh.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication