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teamstepps.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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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - associated with drug reaction
∗ Death associated with adverse drug reaction
∗ Death associated with medication … questions:
Causes for concern:
Diagnosis
Documentation/communication
Infection
Medication … Thrombolytic Therapy
• STK-5 Antithrombotic Therapy By End of Hospital Day 2
• STK-6 Discharged on Statin Medication
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/846.html
January 01, 2023 - A failure in the medication delivery system—how disclosure and systems investigation improve patient … Association between hospital-physician vertical integration and medication adherence rates.
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teamstepps.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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teamstepps.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
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teamstepps.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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teamstepps.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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teamstepps.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
-
teamstepps.ahrq.gov/news/blog/ahrqviews/ahrq-in-2020.html
January 01, 2021 - Additionally, AHRQ supported development of the Medication-Assisted Treatment (MAT) for Opioid Use Disorder … addition, AHRQ’s comprehensive Making Healthcare Safer III volume catalogs 47 practices that include medication
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teamstepps.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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teamstepps.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.
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teamstepps.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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teamstepps.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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teamstepps.ahrq.gov/research/findings/studies/index.html?page=484
January 01, 2024 - )
Medical Expenditure Panel Survey (MEPS)
(189)
Medical Liability
(26)
Medicare
(573)
Medication … (1681)
Medication: Safety
(231)
Men's Health
(54)
Methicillin-Resistant Staphylococcus aureus … The objective of the study was to evaluate the Managing Your Medications (MYM) booklet to improve medication … Keywords: Elderly, Education: Patient and Caregiver, Health Literacy, Medication
Lee SY , Weiner
-
teamstepps.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
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teamstepps.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
-
teamstepps.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
-
teamstepps.ahrq.gov/practiceimprovement/index.html
August 01, 2022 - Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Tools and Resources
-
teamstepps.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
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Factors*
Staff nurses
3G – STRATIFY Scale for Identifying Fall Risk Factors*
Staff nurses
3I – Medication … Regular review of medication can help to prevent patient falls. … A patient who is taking psychotropic medication is at higher risk for falling. … Medication review should be included in the assessment.