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  1. www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
    January 01, 2024 - Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research … TITLE PAGE Project Title: Addressing methodological and ethical issues in pediatric medication safety … Also, the AHRQ patient safety framework lists medication errors as a priority research area and has … Pediatric medication safety is a timely issue and has recently been at the forefront of the public’s … The conference helped me understand the issues surrounding pediatric medication safety research.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - Priority area 1: increase the number of reported medication errors The average monthly number of medication … increase in intercepted nursing medication errors (15.9 to 22.3 percent), intercepted physician medication … Total medication errors Medication error rate / 100 admissions ADE /100 admissions Intercepted … in intercepted medication errors and physician-attributed medication errors. … Comparison of medication errors for Table 1.
  3. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide39.html
    October 01, 2014 - Combining Counseling and Medication: Recommendation: The combination of counseling and medication … is more effective for smoking cessation than either medication or counseling alone. … Therefore, whenever feasible and appropriate, both counseling and medication should be provided to patients … : There is a strong relation between the number of sessions of counseling when it is combined with medication … Therefore, to the extent possible, clinicians should provide multiple counseling sessions, in addition to medication
  4. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide15.html
    October 01, 2014 - Combining Counseling and Medication Recommendation: The combination of counseling and medication is … more effective for smoking cessation than either medication or counseling alone. … Therefore, whenever feasible and appropriate, both counseling and medication should be provided to patients … : There is a strong relation between the number of sessions of counseling when it is combined with medication … Therefore, to the extent possible, clinicians should provide multiple counseling sessions, in addition to medication
  5. www.ahrq.gov/sites/default/files/2024-12/doucette-report.pdf
    January 01, 2024 - Keywords: medication therapy management, MTM, comprehensive medication review, CMR, targeted intervention … , medication adherence 2 PURPOSE Our demonstration project set out to improve the value of medication … (s) as directed (e.g., can’t afford medication, forgets to take medication, thinks that there are side … All the medication adherence measures increased over time. … Conclusions Overall, medication use improved during the study.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - medication errors are not reported; and the estimated percentage of medication errors actually reported … orders were written—comprising almost 7 medication orders per patient day and close to 31 medicationmedication orders are not legible … definition of a medication error … Medication Administration Error Reporting Survey 485 • Medication packaging • Nurse staffing
  7. www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
    January 01, 2024 - Medication administration citations were the top regulatory issue, so improving medication administration … of order Verbal discussion of medication with patient Medication administered to wrong patient ( … Factors related to errors in medication prescribing. … Medication Errors. American Pharmaceutical Assoc. … Medication Error Frequency by Stage and Medication Error Category Category Prescribing/Ordering Dispensing
  8. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide151.html
    October 01, 2014 - Patient selection Appropriate as a second-line medication for treating tobacco use Precautions … package insert for complete list) Pregnancy —Pregnant smokers should be encouraged to quit without medication … As an antihypertensive medication, clonidine can be expected to lower blood pressure in most patients … Therefore, clinicians should monitor blood pressure when using this medication.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - Known as Barcode Medication Administration (BCMA), the software was designed to improve medication … As a handheld barcode reader registers each medication, the software verifies the correct medication … Panel C: Nursing Medication Order Button pop-up window. … administration cycle (or medication “pass”). … Human factors issues Dual versus single medication administration records Dual medication systems
  10. www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
    January 01, 2024 - of patient medication lists, increasing use of EHR decision support, adopting medication refill protocols … Results Medication safety measure development The medication safety measure set resulting from the … Lists • Implement a process for patient review of EHR medication list … • Distribute printed medication list at the end of each visit. … • Apply medication monitoring protocols.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
    January 01, 2004 - error:5 Analysis of New York Medication Errors 133 A medication error is any preventable event … Microsoft Access was also utilized to extract those medication error cases submitted without a medication … Analysis of New York Medication Errors 135 Figure 1. … closely resemble those in the ISMP medication alerts. … The options proposed by the medication panel to be considered when dealing with unintended medication
  12. www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
    January 01, 2024 - Scope: Creating an accurate medication list is the first requirement in medication reconciliation, requiring … Interventions included education, personal medication lists, and medication bags. … Results: After disseminating over 16,600 medication lists and 7,800 medication bags at over 80 educational … Key words: patient-centered care; medication reconciliation; accurate medication list 2 PURPOSE … and 7% brought in both their medication list and a medication bag.
  13. www.ahrq.gov/patient-safety/settings/hospital/match/figure-6.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure … 6: Screenshot 2: Nursing—Medication Reconciliation Previous Page Next Page Table of Contents … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
  14. www.ahrq.gov/patient-safety/settings/hospital/match/figure-7.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure … 7: Screenshot 3: Pharmacy—Medication Reconciliation Previous Page Next Page Table of Contents … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
  15. www.ahrq.gov/patient-safety/settings/hospital/match/figure-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure … 5: Screenshot 1: Medication Management Essentials Previous Page Next Page Table of Contents … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
  16. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-5.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure … 5: Screenshot 1: Medication Management Essentials Previous Page Next Page Table of Contents … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
  17. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-6.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure … 6: Screenshot 2: Nursing—Medication Reconciliation Previous Page Next Page Table of Contents … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
  18. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-7.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure … 7: Screenshot 3: Pharmacy—Medication Reconciliation Previous Page Next Page Table of Contents … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
  19. www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-video.html
    May 01, 2017 - Medication Management Strategy: Video Patient and Family Engagement for Primary Care In 2015 … In this webinar, Kelly Smith, Ph.D., describes the Medication Management intervention, which is one strategy
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin AHRQ Safety Program … for Perinatal Care Safe Medication Administration Oxytocin Safe Medication Administration—Oxytocin Purpose … Checks (CUSP Science of Safety) Key Perinatal Safety Elements Examples Assess appropriateness of medication … SAMPLE Safe Medication Administration for Labor Induction or Augmentation with Oxytocin Category Procedure … Contraindications include— · gestational age less than 39 completed weeks without medication indication

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