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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
November 11, 2019 - Reviews
Medication reviews involving both pharmacists and clinicians effectively decreased medication … Average monthly medication costs declined from $874 to $843 (p<0.0001), scheduled
medication costs from … Impact of pharmacist-conducted comprehensive medication reviews for
older adult patients to reduce medication … Impact of pharmacist-conducted comprehensive medication reviews for
older adult patients to reduce medication … medication
administration costs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
January 01, 2005 - The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care
247
The Impact … of Personal Digital Assistant
Devices on Medication Safety in Primary Care
Kimberly A. … read a medication
name, dose, or regimen has resulted in injuries and death. … Preventing medication
prescribing errors. Ann Pharmacother, 1991;25:1388.
9. … Impact of PDAs on Medication Safety
263
39. Whiting R.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide23.html
October 01, 2014 - Medication Recommendation
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
April 01, 2018 - Institute of Medicine, Preventing Medication Errors , Quality Chasm Series. … Medication Errors . 2nd edition. Washington, DC: American Pharmacists Association; 2007. … Institute for Safe Medication Practices. Available at www.ismp.org. Accessed March 6, 2008. … Interventions to enhance patient adherence to medication prescriptions. … Beliefs, social normative influences and compliance with antihypertensive medication.
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www.ahrq.gov/patient-safety/resources/match/matchap4.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. … (2) Review current medications and reconcile with patient's home medication list. … Update medication orders as appropriate for new level of care. … Update medication orders as appropriate for new care setting.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
January 01, 2023 - 0.0%
Medication or Other Substance Other area within the facility 29,879 332,652 9.0%
Medication or … 6,997 144,367 4.9%
Medication or Other Substance Supervisor/Support 121 144,367 0.1%
Medication or … Medication or Other Substance Adult (18-64 years) Male Mild Harm 16,328 59,739 27.3%
Medication or … 13.6%
Medication or Other Substance Older adult (75-84 years) Unknown Death 3 1,623 0.2%
Medication … Medication or Other Substance Aged adult (85+ years) Male Moderate Harm 235 6,910 3.4%
Medication or
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Reviews
Medication reviews involving both pharmacists and clinicians effectively decreased medication … Average monthly medication costs declined from $874 to $843 (p<0.0001), scheduled
medication costs from … Impact of pharmacist-conducted comprehensive medication reviews for
older adult patients to reduce medication … Impact of pharmacist-conducted comprehensive medication reviews for
older adult patients to reduce medication … medication
administration costs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal … Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
1
Learning Objectives … Admin.
7
Rationale for Safe Medication Administration Tool
Oxytocin is a high-alert medication. … high-alert medication. … Acute Care ISMP Medication Safety Alert.
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www.ahrq.gov/patient-safety/resources/match/matchfig11.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Independent reviewer evaluation is in addition to current medication reconciliation process. … reconciliation failures) with the current medication reconciliation process.
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www.ahrq.gov/news/newsroom/case-studies/201614.html
October 01, 2016 - AHRQ’s CUSP Helps Sinai Health System Reduce Infections and Medication Errors
Search All Impact Case … CUSP also helped address a problem with inpatient medication errors related to bar code scanning in Schwab … While the hospital had been using medication bar code scanning at patients' bedsides for several years … Because bedside medication bar code scanning is vital for patient safety, the hospital’s nurse managers … the nurses in maintaining this high rate," said Zahra Khudeira, PharmD, B.C.P.S., C.P.P.S., Sinai's medication
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www.ahrq.gov/research/findings/final-reports/index.html?page=15
January 01, 2024 - grants administered since 2000 on a variety of patient safety topics, such as measure development, medication … factors approaches to improve patient safety, patient safety measure development and implementation, medication … Grant Number: U18 HS 015886 Topic(s): Medication Safety Publication Date: December 2007
Shared … Safety, Patient and Family Engagement, Safe Practices Publication Date: December 2007
Medication … Grant Number: UC1 HS 14281 Topic(s): Medication Safety, Nursing Homes Publication Date: September
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www.ahrq.gov/research/findings/final-reports/index.html?page=5
January 01, 2024 - grants administered since 2000 on a variety of patient safety topics, such as measure development, medication … factors approaches to improve patient safety, patient safety measure development and implementation, medication … Grant Number: R18 HS 24208 Topic(s): Medication Safety Publication Date: September 2018
Encoding … Grant Number: R18 HS 023464 Topic(s): Medication Safety, Nursing Homes Publication Date: September … Grant Number: R01 HS 021264 Topic(s): Medication Safety, Older Adults Publication Date: July 2018
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - 2,228,834
Medication or Other Substance Unsafe Condition 6.1% 28,270 2,228,834
Perinatal Incident … 1,567,355
Medication or Other Substance Moderate Harm 2.8% 7,839 1,567,355
Medication or Other Substance … Severe Harm 0.2% 620 1,567,355
Medication or Other Substance Death 0.1% 271 1,567,355
Medication or … 1,567,355
Medication or Other Substance Moderate Harm 19.0% 7,839 1,567,355
Medication or Other Substance … Severe Harm 9.7% 620 1,567,355
Medication or Other Substance Death 3.4% 271 1,567,355
Medication or
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - 1,760,058
Medication or Other Substance Unsafe Condition 4.8% 17,860 1,760,058
Perinatal Incident … 1,267,662
Medication or Other Substance Moderate Harm 3.3% 7,426 1,267,662
Medication or Other Substance … Severe Harm 0.2% 516 1,267,662
Medication or Other Substance Death 0.1% 183 1,267,662
Medication or … 1,267,662
Medication or Other Substance Moderate Harm 21.5% 7,426 1,267,662
Medication or Other Substance … Severe Harm 10.5% 516 1,267,662
Medication or Other Substance Death 3.3% 183 1,267,662
Medication
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - 1,456,736
Medication or Other Substance Unsafe Condition 3.9% 12,846 1,456,736
Perinatal Incident … 1,075,547
Medication or Other Substance Moderate Harm 3.6% 7,297 1,075,547
Medication or Other Substance … Severe Harm 0.2% 486 1,075,547
Medication or Other Substance Death 0.1% 183 1,075,547
Medication or … 1,075,547
Medication or Other Substance Moderate Harm 22.3% 7,297 1,075,547
Medication or Other Substance … Severe Harm 10.7% 486 1,075,547
Medication or Other Substance Death 3.3% 183 1,075,547
Medication
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/21093-Lambert-draft-1.pdf
November 20, 2017 - The algorithm flags possible medication errors if
three conditions occur: (1) a medication (Drug A) … In five of the 16 orders (31%), no medication
error occurred. … Cycloserine was the intended medication. … Automated detection of look-alike/sound-alike medication errors. … regimen;
2) have fewer discrepancies in their medication lists; 3) take their medication regimen more
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www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
January 01, 2024 - Methods
A medication reconciliation pilot was completed. … ’s focus on medication management. … TIER does not provide a
medication module; instead, medication information is typed into the provider … would allow Riverbend to adopt a medication module. … reports.
4
Methods
A Medication Reconciliation Pilot
A Collaborative Medication Management
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www.ahrq.gov/news/newsroom/case-studies/cquips31311.html
June 01, 2013 - Specifically, the program sought to: Validate medication reconciliation. … Resolve medication access issues during transition. Coordinate a comprehensive counseling approach. … The card shows the name and image of the medication, what condition the medication is treating, and how … As a result of the successful implementation of Medication REACH, a dedicated pharmacist was hired to … Medication REACH has since expanded across the Einstein Healthcare Network.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide21.html
October 01, 2014 - Use of a proactive quitline in combination with medication. … Combining counseling and medication
Medication alone.
Counseling alone. … Medication and counseling combined.
Medications
Placebo medication. … Long-term medication.
Single medication.
Combination of medication.
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www.ahrq.gov/patient-safety/resources/match/matchtab4.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table … 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 … Medication List at Discharge
Numerator: # of patients provided an updated home medication list at discharge