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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.
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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.
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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
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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
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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.
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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 medication … medication orders are not
legible … definition of a medication error … Medication Administration Error Reporting Survey
485
• Medication packaging
• Nurse staffing
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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
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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.
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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
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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.
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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
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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