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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
July 25, 2008 - Prologue: Technology and Medication Safety
Prologue
Technology and Medication Safety
Mary L. … use of technology—
principally health information technology (health IT)—and strategies to enhance
medication … The second half of this volume is devoted to medication safety. … Medication errors are a frequent cause of adverse drug events, and they can occur at any
point in the … Authors in this section approach the problem of medication safety from several different
angles.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/injectionsafety.pdf
January 03, 2014 - Injection Safety/Safe Medication Handling
Injection Safety/Safe Medication Handling
The Centers … • Medications should be prepared only in a dedicated medication area and never at the dialysis station … • Medication vials should always be discarded whenever sterility is compromised or questionable. … www2a.cdc.gov/vaccines/ed/shtoolkit/
http://www2a.cdc.gov/vaccines/ed/shtoolkit/
Injection Safety/Safe Medication
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-9.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Plan
Tips for Conducting a Patient Medication Interview a
I. … Full dosing information should be captured, if possible, for each medication. … This includes:
Name of the medication.
Strength.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-9.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Plan
Tips for Conducting a Patient Medication Interview a
I. … Full dosing information should be captured, if possible, for each medication. … This includes:
Name of the medication.
Strength.
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www.ahrq.gov/pqmp/measures/medication-reconciliation-desirable-attributes2.html
August 01, 2021 - Medication Reconciliation in Pediatric Mental Health Care Settings, Set I: Attributes of Medication Reconciliation … by Organizational Self-report
Measure Domain: Medication Reconciliation
Measure Sub-Domain … : Medication Reconciliation Desirable Attributes
PQMP COE: CAPQuaM
Associated NQF # and Name:
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www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting … System
Pediatric Medication Safety:
Analyses from the MEDMARX
Medication Error Reporting System … That is, they capture
reported medication errors but do not capture the overall number of medication … for Medication Error Reporting and Prevention Index for Categorizing Medication Errors
category … medication errors.
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www.ahrq.gov/npsd/data/dashboard/medication-supplement.html
September 01, 2023 - Medication or Other Substance Supplement Dashboard
Learn more about how the dashboards are set … This dashboard includes information organized by medication events at a glance, including description
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Unfortunately, many of these medication errors are associated with direct harm to patients. … [Insert organization] is committed to improving medication management, and a critical step is medication
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Unfortunately, many of these medication errors are associated with direct harm to patients. … [Insert organization] is committed to improving medication management, and a critical step is medication
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … for medication reconciliation are essential. … Medication Reconciliation Upon Admission: High-Level Process Map AFTER Redesign
Medication Reconciliation … &mbsp
Medication List the names of any medications you are taking. … Route How are you taking this medication? (by mouth, injection, patch, etc.)
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … for medication reconciliation are essential. … Medication Reconciliation Upon Admission: High-Level Process Map AFTER Redesign
Medication Reconciliation … &mbsp
Medication List the names of any medications you are taking. … Route How are you taking this medication? (by mouth, injection, patch, etc.)
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … orders on admission prior to redesign of a sound medication reconciliation process. … No standardized, consistent process for medication reconciliation. … Nurse reviews medication orders prior to administration. … Pharmacist reviews medication orders prior to verification and dispensing.
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … orders on admission prior to redesign of a sound medication reconciliation process. … No standardized, consistent process for medication reconciliation. … Nurse reviews medication orders prior to administration. … Pharmacist reviews medication orders prior to verification and dispensing.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-6b.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix … , Example of Metrics on Admission: Illinois Hospital Association Medication Reconciliation Collaborative … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-6b.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix … , Example of Metrics on Admission: Illinois Hospital Association Medication Reconciliation Collaborative … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure … 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign (Text Description … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … orders during discharge prior to redesign of a sound medication reconciliation process.
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure … 2: Medication Reconciliation Upon Discharge High Level Process Map Before Redesign (Text Description … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … orders during discharge prior to redesign of a sound medication reconciliation process.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Admission
Medication History :
Who obtains a medication history? … What is captured during a medication history interview?
When is a medication history obtained? … Comparison (Reconciliation) :
Who compares (reconciles) medication orders to medication histories … Resolution :
Who follows up on unintended medication discrepancies? … Where is the intent/plan for each medication documented in relation to the medication orders in preparation
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Admission
Medication History :
Who obtains a medication history? … What is captured during a medication history interview?
When is a medication history obtained? … Comparison (Reconciliation) :
Who compares (reconciles) medication orders to medication histories … Resolution :
Who follows up on unintended medication discrepancies? … Where is the intent/plan for each medication documented in relation to the medication orders in preparation
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - should be considered as you design the medication reconciliation process:
Develop a single medication … medication reconciliation are essential. … medication orders and a patient's prescription/home medication list all in one location. … A medication profile could be pulled into forms or presented when patients' current medication lists … Updating the patient's pre-admission medication list to reflect the patient's medication regimen upon