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www.ahrq.gov/news/newsroom/case-studies/cquips0905.html
October 01, 2014 - Minneapolis Hospitals Use AHRQ Research to Help Reduce Medication Errors in Emergency Departments … practice the findings of AHRQ-sponsored research suggesting that clinical pharmacy services can reduce medication … ensures timely pharmacist consultation, attendance at trauma care and resuscitation, and review of medication … responsibilities were minimized, so that attention could be focused on maintaining surveillance of medication … "Their queue of medication orders follows them electronically," explains Strykowski.
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www.ahrq.gov/research/findings/final-reports/index.html?page=16
January 01, 2024 - grants administered since 2000 on a variety of patient safety topics, such as measure development, medication … Safety, Patient and Family Engagement Publication Date: June 2007
Medication Reconciliation … Grant Number: U18 HS 015904 Topic(s): Communication and Teamwork, Medication Safety Publication Date … : June 2007
Embracing the PBRN Model to Improve the Medication Use Process ( application/pdf … Safety Publication Date: June 2007
Using Barcode Technology to Improve Medication Safety
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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/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide19.html
October 01, 2014 - Medication
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
January 01, 2024 - 14.5%
Medication or Other Substance Other area within the facility 32,057 9.5%
Medication or Other … Substance Unknown 2,508 0.7%
Medication or Other Substance Other location 6,367 1.9%
Medication or … or Other Substance Communication 5,835 4.3%
Medication or Other Substance Data 1,562 1.2%
Medication … Medication or Other Substance Under 18 Unknown Severe Harm * *
Medication or Other Substance Under … 0.1%
Medication or Other Substance Adult (18-64 years) Female Mild Harm 19,851 28.0%
Medication or
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medications_Supplement_Dashboard_Data_2023.xlsx
January 01, 2023 - /substance Monitoring 57 1.0%
Incorrect medication/substance Other stage 73 1.2%
Incorrect medication … medication/substance Purchasing 1 0.0%
Incorrect medication/substance Storing 35 0.6%
Incorrect medication … /substance Communication 124 2.8%
Incorrect medication/substance Data 48 1.1%
Incorrect medication/ … /substance Mulitple 703 15.7%
Incorrect medication/substance Other 2,910 65.1%
Incorrect medication … medication/substance Purchasing 9 0.3%
Incorrect medication/substance Storing 131 4.5%
Incorrect medication
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www.ahrq.gov/news/newsroom/case-studies/ockt0501.html
October 01, 2014 - Ohio Health Plan Promotes Safer Medication Practices With AHRQ Brochures
Search All Impact Case Studies … August 2004
SummaCare, Inc., an Ohio-based health plan, has implemented a program to promote safer medication … Several interventions, including the AHRQ publications, were implemented simultaneously to promote safe medication … "I feel that by improving patient and physician awareness of medication errors, they can be reduced,"
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15851-Sirio-draft-1.pdf
January 01, 2010 - impact on patient medication adherence and
patient satisfaction with medication use. … Hypothesis 1D: Patients who participate in the medication education program will have
improved medication … The combination of medication information
with pharmaceutical counseling and medication reminder cards … verbal and written medication education by nursing throughout the
hospital stay improved medication … Initial medication education (i.e., distribution
of medication information leaflet; review of drug,
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma
1
Education … in Proper Use of New Asthma Medication
Delivery Device for Children with Asthma
Section 1. … Measure Name
Education in Proper Use of New Asthma Medication Delivery Device for Children with Asthma … Asthma medication delivery can be further complicated in the pediatric population when
medication has … • Type of asthma medication and associated delivery device.
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www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
January 01, 2024 - patient experiences one medication error a day.7 This lack of reliability in hospitals’
medication … Incidence and Prevalence of Medication Errors and Medication Error Reporting
Due to the variety of terminology … Taxonomy of medication errors. … Medication errors observed in 36
health care facilities. … Medication error information collected prior to project
Medication error information collected CAHs
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
January 01, 2019 - or Other Substance Death 0.0% 139
Medication or Other Substance Severe Harm 0.0% 298
Medication or … Other Substance Moderate Harm 0.8% 4,913
Medication or Other Substance Mild Harm 7.6% 47,556
Medication … or Other Substance Unknown Harm 0.8% 1,009
Medication or Other Substance Death 0.1% 139
Medication … or Other Substance Severe Harm 0.2% 298
Medication or Other Substance Moderate Harm 3.9% 4,913
Medication … or Other Substance No Harm 20.0% 72,356
Medication or Other Substance Mild Harm 21.0% 47,556
Medication
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-12.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. … Medication errors are the most common health care errors. … The Institute for Safe Medication Practices
Institute for Safe Medication Practices (ISMP) is the … Nation's only nonprofit organization devoted entirely to medication error prevention and safe medication
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-12.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. … Medication errors are the most common health care errors. … The Institute for Safe Medication Practices
Institute for Safe Medication Practices (ISMP) is the … Nation's only nonprofit organization devoted entirely to medication error prevention and safe medication
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www.ahrq.gov/funding/grantee-profiles/grtprofile-zhou.html
July 01, 2024 - Zhou has used AHRQ funding to conduct groundbreaking patient safety research on medication reconciliation … “This led to an interest in medication-related alerts, drug-drug interactions, and drug-allergy interactions … This helps prevent medication prescribing errors. … In fact, this project included more than just medication allergy information; it also included food and … Errors and Adverse Drug Events Medication Safety Consistent with its mission, AHRQ provides a broad
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-11.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. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … reconciliation form
Monitor physician compliance for completing the medication reconciliation form
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-11.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. … High-Risk Situations for Medication Reconciliation
Conclusion
References
Appendix: The MATCH Work … reconciliation form
Monitor physician compliance for completing the medication reconciliation form
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www.ahrq.gov/health-literacy/improve/pharmacy/resources.html
March 01, 2023 - Connecting pharmacy and literacy: the North Carolina Medication Information Literacy Project. … Health literacy: A barrier to pharmacist-patient communication and medication adherence. … Health literacy, medication errors, and health outcomes: is there a relationship? … Functional health literacy and medication use: the pharmacist's role. … Institute of Medicine " Standardizing medication labels: confusing patients less.
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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-Miller_93.pdf
March 12, 2008 - the medication is scanned. … all medication orders before dispensing a medication, removing it from
floor stock, or removing it … The barcodes from the
medication and patient armband are scanned prior to administration of the medication … A medication error was defined using the
National Coordinating Council for Medication
Error Reporting … The medication
safety team is also reinforcing the importance
of utilizing the electronic medication
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15886-Noskin-draft-1.pdf
March 01, 2008 - Key Words: medication reconciliation, medication errors, adverse drug events,
health literacy, medication … The research pharmacist's medication history was compared with the physician's
medication history and … orders and medication history. … The presence of a medication
list may help prevent discrepancies in patients’ medication histories. … Medication reconciliation: a practical
tool to reduce the risk of medication errors.
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www.ahrq.gov/patient-safety/resources/match/matchap6a.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Confirm a medication list was collected from the patient upon arrival to (list must include medication … lists collected and completed on outpatients requiring medication reconciliation. … Denominator: Number of outpatients requiring medication reconciliation.