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  1. 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
  2. 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.
  3. 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
  4. 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.
  5. 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
  6. 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
  7. 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.
  8. 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.
  9. 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
  10. 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.
  11. 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
  12. 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 medicationMedication 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
  13. 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
  14. 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
  15. 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.
  16. 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
  17. 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
  18. 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.
  19. 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
  20. 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

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