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361. Statin Therapy Measure Narative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cholesterol-narrative.pdf
     December 31, 2018 - with a fasting or direct LDL-C level of 70-189 mg/dL; who were prescribed or are already on statin medication … Numerator The number of patients with a statin medication (Statin RXNORM Value Set) current on the … medication list or prescribed a statin medication during the measurement period. … Denominator Exceptions • Patients with adverse effect, allergy or intolerance to statin medication … LDL-C result < 70 mg/dL for patients with a diabetes diagnosis who are not currently receiving statin medication

362. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
     April 22, 2004 - , medications, medication administration record (MAR), medication stock room, patient rooms, and identification … The action of administering a medication to a patient is a transformation of an input (i.e., a medication … For example, the output of administering a medication is a medicated patient. … medication to MAR, locate patient, identify patient, administer medication, and document administration … Medication errors observed in 36 health care facilities.

363. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
     March 30, 2008 - Introduction Various technologies exist to increase patient safety associated with medication use. … Medication administration. 14. Documentation of medication administration. 15. … Committee on Identifying and Preventing Medication Errors. Preventing medication errors. … Role of computerized physician order entry systems in facilitating medication errors. … Medication errors related to computerized order entry for children.

364. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
     March 19, 2008 - ) • Associated multiday medication administration records (MARs). … Prevention of medication errors in the pediatric inpatient setting. … Prevention of medication errors in the pediatric inpatient setting. … The Institute for Safe Medication Practices. … ISMP Medication Safety Self Assessment® for Hospitals.

365. Appendix E. Category Definitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appe.html
     March 01, 2017 - Diagnostic errors, management of test results Definition: Errors in diagnosis, medication, and communication … Medication prescription, management, drug interactions, adherence Definition: Medication management … Antibiotic, opioid, and other medication overuse Definition: The overuse of antibiotics and opioids … Medication lists, reconciliation, programs to enhance adherence Definition: Health information technology

366. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=19
     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: R13 HS 14836 Topic(s): Medication Safety, Safe Practices Publication Date: May 2005 … Grant Number: UC1 HS 14295 Topic(s): Health Information Technology and Health Information Exchange, Medication … Grant Number: U18 HS 012019 Topic(s): Diagnostic Safety, Medication Safety Publication Date: March

367. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
     September 01, 2025 - communicate, and continue operations during unexpected conditions, such as changes in the availability of medication … Opportunities: Optimize and standardize equipment interfaces, medication carts, workstations, and emergency … Examples Resuscitation Cart Medication Drawer Redesign. … Resources Towards a More Patient-Centered Approach to Medication Safety . * Mapping the Care Transition … Information Engineering   University of Virginia   Kayla Waldron, Pharm.D., M.S., BCPS, Director of Medication

368. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - MEDICATION OR OTHER SUBSTANCE The Medication or Other Substance module in CFER-H V1.2 collects reports … Medication or substance known to be an allergen to patient and Incidents involving Medication or substance … The stage of the medication use process most frequently identified as the origination of medication … The stage of the medication process least frequently identified as the origination of medication events … Contributed to Fall Medication Contributed to Fall Medication or Other Substance Extent of Harm

369. Final Progress Report: Risks of Inaccurate or Incomplete Preoperative Assessments in Freestanding ASCs (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
     January 01, 2024 - Medication ordering and administration processes – Medication errors harm an estimated 1.5 million people … Medication reconciliation – Medication reconciliation is a process designed to prevent medication errors … The ASCs took different approaches to obtaining current medication and medication allergy histories. … Other ASCs took the initial medication history onsite. … Setting up a medication reconciliation system.

370. Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
     June 02, 2025 - ADHD-focused evidence-based behavior therapy prescription date Note Recommendations 10 ADHD treatment medication … prescribed Note, or medication history Follow-up report about behavioral therapy 11 Documentation … patient determined to be at risk for harming themselves or others) Note Prescription documentation or medication

371. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
     June 02, 2025 - In the primary care setting, medication safety issues include prescribing errors, contraindications, … One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce … It wasn’t the same medication or a similar dose. … I only learned about it because he brought in the medication.” … He was taking double the dose of the same medication.” 4 When should I use it?

372. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html?page=6
     First ‹ previous ‹‹ 1 2 3 4 5 6 7 Medication … Reconciliation in Pediatric Mental Health Care Settings, Set I: Attributes of Medication Reconciliation … by Organizational Self-report Measure Domain: Medication Reconciliation Measure Subdomain: Medication

373. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
     January 01, 2003 - assistants (WMAs) with built-in barcode scanners to support medication administration. … Each medication container barcode then was scanned to verify that the medication, dose, route, and administration … If the scanned information associated with the medication did not match the patient’s medication orders … of scanning and simulating the administration of the medication … Using information technology to reduce rates of medication errors in hospitals.

374. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=0
     September 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 026874 Topic(s): Medication Safety Publication Date: March 2024 Preventing … Grant Number: R18 HS 27331 Topic(s): Medication Safety, Patient and Family Engagement Publication Date … Number: R18 HS 026644 Topic(s): Diagnostic Safety, Human Factors Approaches To Improve Patient Safety, Medication

375. Urinary Incontinence EHR Materials (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/ui-ehr-materials.docx
     June 02, 2025 - This medication may take up to 6 weeks to reach its full effect, so please be patient, and give the medicine … This medication can also cause more serious side effects, like dizziness or confusion; if you experience … these side effects, please stop taking the medication and call our office to let us know. … Because of this risk, you should discuss this medication with your doctor at your annual physical or … If you experience memory changes, stop taking the medication and let us know. 

376. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapf.html
     April 01, 2018 - I feel the council identified problems and barriers to safe medication management. 1                    … I feel my participation on the council will improve my own safe medication management or the safe medication … I feel the ideas generated today will develop into interventions to successfully improve medication safety

377. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=7
     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 … Publication Date: February 2017 Addressing methodological and ethical issues in pediatric medication … Grant Number: R13 HS 024471 Topic(s): Medication Safety, Pediatrics Publication Date: November 2016 … Grant Number: R01 HS 18372 Topic(s): Medication Safety Publication Date: July 2016 ESDP in

378. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=1
     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 … last » Last » Identifying and Reducing Errors in Perioperative Anesthesia Medication … Grant Number: R18 HS 026625 Topic(s): Human Factors Approaches To Improve Patient Safety, Medication … Grant Number: R03 HS 027510 Topic(s): Medication Safety Publication Date: June 2023 Safety

379. Case Example #3: Fairview Health Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
     July 01, 2019 - performing medication reconciliation throughout the visit by disease or condition. … RNs note medication changes in the EHR. … Medication reconciliation or management Medication Reconciliation : All staff who interact with the … For medication concerns, patients are referred to the MTM pharmacist. … Medication therapy management: 10 years of experience in a large integrated health care system.

380. Section 5: Evidence, Attachment 1: AAP Guideline Evidence (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
     January 01, 2009 - Many young children with ADHD may still require medication to achieve maximum improvement, and medication … However, only 1 study has carefully assessed medication use in preschool-aged children. … If children do not experience adequate symptom improvement with behavior therapy, medication can be … Evidence suggests that the rate of metabolizing stimulant medication is slower in children 4 through … Effects of stimulant medication on growth rates across 3 years in the MTA follow-up.