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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/853.html
March 01, 2023 - Association between opioid tapering and subsequent health care use, medication adherence, and chronic … An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/901.html
February 01, 2024 - Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory … An mHealth design to promote medication safety in children with medical complexity.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication … managing polypharmacy among children with medical complexity: rationale and design of the Pediatric Medication
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preventiveservices.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
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
March 01, 2022 - from the on-call physician to determine whether an underlying
physical health problem or issues with medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Patrick_McCabe.pdf
April 27, 2011 - pediatrician
• New serious condition –
MS, Cancer
Big Problem with MD
• Misdiagnosis or no
diagnosis
• Medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
July 12, 2018 - visits
1 in 9
ED admissions
are related to an
adverse drug event
An estimated
160
million
medication
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preventiveservices.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Hospitals
Adverse drug events: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/clinical-decision-support-tools.pdf
November 16, 2023 - SmartSet (recommended)
SmartSet
11/16/2023 13
SmartSet: UI Diagnoses
Smart Set:
Medications
Medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - X ray
IV fluids
Subcutaneous fluids
NG tube
Oxygen
Respiratory treatment
Respiratory suctioning
Medication … surgery, not listed above
GI bleed
Hypotension
Hypertension
Hypoglycemia
Hyperglycemia
Kidney infection
Medication … high-risk diagnoses or clinical conditions contributing to risk combined
Examples:
A resident with a medication … failure, and presence of oxygen therapy and Foley catheter use during the report week
A resident with a medication … Fall Risk Late-Loss ADL Score ≥12 Cognitive Impairment Medical Conditions** High-Risk Medications*** Medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Just Culture”
Patient Safety Primer: Disruptive and Unprofessional Behavior
Patient Safety Primer: Medication … projects/pppsa.shtml
The Health Research & Educational Trust and its partners at the Institute for Safe Medication … settings improve safety in three areas: working as a team, assessing
where you stand, and creating medication … Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … clinical decision support to minimizing nurse disruption
and providing better patient education and medication
-
preventiveservices.ahrq.gov/evidencenow/heart-health/cholesterol/uspstf.html
September 01, 2018 - Resource title: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication
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preventiveservices.ahrq.gov/questions/about/index.html
December 01, 2020 - synthesized into materials featuring AHRQ’s trusted evidence about diagnostic testing and results, medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - settings improve
safety in three areas: working as a team, assessing where you stand, and creating medication … 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 … clinical decision
support to minimizing nurse disruption and providing better patient education and medication … Patient Safety Primer: Medication Errors
14.
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preventiveservices.ahrq.gov/talkingquality/measures/setting/long-term-care/home-health/measurement.html
December 01, 2022 - It covers topics such as patient care, communication, and pain and medication.
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preventiveservices.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
-
preventiveservices.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
-
preventiveservices.ahrq.gov/patient-safety/reports/engage/strategies.html
April 01, 2018 - Together :
Creates a complete and accurate medicine list, which is the first line of defense against medication
-
preventiveservices.ahrq.gov/ncepcr/research/health-it/index.html
September 01, 2022 - Increasing Access to MAT of Opioid Use in Rural Primary Care Practices : AHRQ initiative to increase medication-assisted
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preventiveservices.ahrq.gov/cpi/about/organization/nac/kripalani.html
March 01, 2024 - hospital patients, with a focus on health literacy, social determinants of health, care coordination, and medication