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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/898.html
January 01, 2024 - developed by AHRQ supports efforts by primary care practices and healthcare systems to improve opioid medication … patient safety event reports, which may lead to better identification of important medication safety … Researchers analyzed 3,861 medication-related reports using data from urban and rural hospitals to measure … patient safety events are categorized and identify patterns that can impact patient medication safety … tool for opioid use in adults: results from a validation study of the Tobacco, Alcohol, Prescription Medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
March 01, 2020 - also included non-medication-related post-
discharge questions. … In
Connecticut: improving
patient medication
management in
primary care. … Several aspects of medication management interventions remain unexplored. … Medication use risk management: hospital meets
home care. J Nurs Care Qual 2001;15(2):50-7. … In Connecticut: improving patient medication
management in primary care.
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preventiveservices.ahrq.gov/patient-safety/resources/discharge/index.html
December 01, 2017 - Review System (QSRS)
Simulation
Improving Hospital Discharge Through Medication … HS015882-01
Overview
This project implements a "discharge bundle" consisting of medication reconciliation … The toolkit contains such resources as:
Medication reconciliation forms. … originally created October 2012
Internet Citation: Improving Hospital Discharge Through Medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - Improving Medication Safety
AHRQ funded several projects focused on the use of technology to improve … medication safety in a variety of
healthcare settings … administration record)
system on various kinds of medication errors. … a communitywide electronic medication
list and shared care plan. … Medication
administration errors decreased, and few pump-related
errors were made.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - MEDICATION OR OTHER SUBSTANCE
The Medication or Other Substance module in CFER-H V1.2 collects reports … or substance
Medication or substance known to be
contraindicated for patient
Medication or substance … Medication or substance known to
be an allergen to patient and Incidents involving Medication or substance … The stage of the medication use process most frequently identified as the origination of medication … The stage of the medication process least frequently identified as the origination of medication
events
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preventiveservices.ahrq.gov/news/newsroom/case-studies/201519.html
July 01, 2015 - July 2015
Influenced by AHRQ-sponsored research showing how clinical pharmacy services can reduce medication-related … Cartwright to start a clinical pharmacy program in the ED in order to reduce medication-related errors … “I review the medication orders that physicians write,” noted Dr. Cartwright. … “I’m involved with underdose and overdose prevention, but I also perform medication therapy consults … toxicology consults, therapy change recommendations, resident education, discharge counseling, and medication
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate
AHRQ Safety … Program for Perinatal Care
Safe Medication Administration
Magnesium Sulfate
Safe Medication Administration—Magnesium … Medication errors are more common in unit-prepared bags, so this practice should be avoided.12
Pharmacy … Acute Care ISMP Medication Safety Alert. … Acute Care ISMP Medication Safety Alert.
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preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - Medication Management : a strategy for engaging with patients and caregivers to create a complete and … accurate medication list using the brown bag method. … A complete and accurate medication list is the foundation for addressing medication reconciliation and … medication management issues.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
May 01, 2017 - .
• Disinfect the top (rubber septum) of any medication vial with
alcohol before piercing it with a … on one patient only.
• Use an intravenous solution bag and tubing for one
patient only.
• Prepare medication … If medication is used at the
bedside, throw it out after it is used on one patient. … • Use a single-dose vial of medication whenever possible.
• Dedicate a multiuse vial to one patient … if medication is drawn
up in the patient care area.
• Always use a new, sterile needle and new, sterile
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preventiveservices.ahrq.gov/evidencenow/projects/heart-health/evidence/cholesterol.html
March 01, 2021 - Substantial evidence shows that taking a statin medication each day to manage blood cholesterol can reduce … those with high LDL cholesterol levels, and those with diabetes), who have been prescribed a statin medication … Improving Medication Adherence Among Patients with Hypertension: A Tip Sheet for Health Care Professionals … This tip sheet for health care professionals outlines predictors of medication non-adherence and how … to use the SIMPLE method to improve medication adherence among patients.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Medication affecting risk of falls
Sedative and psychotropic medication, or medication with drowsiness … For the chart review, check the medication administration record (MAR) and any notes easily accessible … Y
Y
Y
Y
N
Y
Y
Y
Y
Y
Y
N
Y
Y
N
N
Y
Y
Y
Y
16/20
Medication administration record … Medication administration record: given night sedation last night? … For any of the 20 patients who are “higher risk”*:
Number of higher risk patients:
Chart: full medication
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preventiveservices.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - reports and event-specific dashboards that describe in greater depth specific safety events such as medication … Medication or Other Substance Dashboard
Details the incorrect action taken, incorrect action by residual … Medication or Other Substance 2023 Supplement Dashboard
Includes information organized by medication … falls and/or mitigate harm from falls, as well as the ability to filter by fall assistance and use of medication … The Medications or Other Substance Event supplement reflects an enhanced analysis of NPSD Medication
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preventiveservices.ahrq.gov/evidencenow/projects/alcohol/index.html
November 01, 2023 - guidelines recommend routine screening and brief intervention for unhealthy alcohol use, as well as medication-assisted … Medication-assisted treatment for those diagnosed with alcohol use disorder. … Increase use of medication-assisted treatment for patients meeting diagnostic criteria for alcohol use … Medication-Assisted Treatment for Unhealthy Alcohol Use (PDF, 712 KB) with latest information and frequently
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preventiveservices.ahrq.gov/news/newsroom/press-releases/alcohol-use-disorders.html
November 01, 2023 - The new review recommends that decisions about medication-assisted treatment for AUD, including the use … desired outcomes, tolerance of side effects, contraindications, and the potential to adhere to the medication … incidence, only 0.9 percent of Americans who reported having AUD in the past year indicated they received medication-assisted … strength of evidence across multiple outcomes, as well as the relative ease of use as a once-daily oral medication … Because there are too few studies, very little evidence exists to evaluate the effectiveness of medication
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preventiveservices.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
April 01, 2018 - Institute of Medicine, Preventing Medication Errors , Quality Chasm Series. … Medication Errors . 2nd edition. Washington, DC: American Pharmacists Association; 2007. … Institute for Safe Medication Practices. Available at www.ismp.org. Accessed March 6, 2008. … Interventions to enhance patient adherence to medication prescriptions. … Beliefs, social normative influences and compliance with antihypertensive medication.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - care facilities can minimize such safety problems as health care-associated infections, patient falls, medication … The toolkit:
Targets six areas of safety—infections, falls, medication errors, security, injuries of … staff workflow, patient treatment protocols, and room locations to decide where to place isolation and medication … materials to reduce infection risk, how to address noise and light problems that may distract from correct medication
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preventiveservices.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
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preventiveservices.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapa.html
April 01, 2018 - patient-provider partnership council in a community setting that will develop interventions to improve medication … Develop strategies to improve medication list accuracy in outpatient medical records at the clinics. … Implement medication safety strategies that could be used by patients in the community and by providers … Measure medication list accuracy in outpatient medical records in the clinics.
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preventiveservices.ahrq.gov/ncepcr/research/behavioral-health/index.html
February 01, 2024 - Highlighted Resources
Medication-Assisted Treatment for Opioid Use Disorder Playbook: Practical guide … for implementing medication-assisted treatment (MAT) in primary care and other ambulatory care settings … change package supports efforts by primary care practices and healthcare systems to improve opioid medication
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preventiveservices.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapf.html
April 01, 2018 - I feel the council identified problems and barriers to safe medication management.
1 … I feel my participation on the council will improve my own safe medication management or the safe medication … I feel the ideas generated today will develop into interventions to successfully improve medication safety