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381. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-1.html
     July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix … Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … 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

382. Appendix, Questions to Ask When Developing Your Design Team and Rationale | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-1.html
     July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix … Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication … 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

383. Existing Measures for ADHD (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-3.pdf
     January 12, 2017 - of medical records of attention deficit hyperactivity disorder (ADHD) patients on psychostimulant medication … whose medical records are reviewed Process Follow-up care for children prescribed ADHD medication … who remained on the medication for at least 210 days and who, in addition to the visit in the initiation … during the 12- month Intake Period, who remained on the medication for at least 210 days Process … , who remained on the medication for at least 210 days.

384. Existing Measures for ADHD Prior to PQMP (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-3.pdf
     February 02, 2017 - of medical records of attention deficit hyperactivity disorder (ADHD) patients on psychostimulant medication … whose medical records are reviewed Process Follow-up care for children prescribed ADHD medication … who remained on the medication for at least 210 days and who, in addition to the visit in the initiation … during the 12- month Intake Period, who remained on the medication for at least 210 days Process … , who remained on the medication for at least 210 days.

385. Discussion of Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/findings.html
     March 01, 2017 - , and administration stages of medication management. … on: Medication reconciliation, 102–105 Patient medication lists, 67 , 69 , 70 , 106–109 Pharmacist-led … adherence and medication safety by engaging patients through medication lists, few of these strategies … Interventions To Support Medication Safety Approaches to improve medication safety in primary care … with patients on medication reconciliation activities, Access to medication history through an electronic

386. Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17123-Weingart-draft-1.pdf
     January 01, 2022 - Results: Each stage of the medication use process poses risks to oral chemotherapy safety. … Key Words: failure modes and effects analysis, oral medication, antineoplastic drug, medication error … , and type of medication error. … Medication errors, by stage of medication process Medication Error Ordering Dispensing Administration … Medication errors involving oral chemotherapy. Unpublished manuscript.

387. Technologically Enhanced Community Health Worker Delivery of Personalized Decision Aid: iDecide.Decido (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/heisler.pdf
     December 19, 2014 - The project developed and evaluated a tailored, interactive diabetes medication decision aid for CHWs … AHRQ diabetes medications consumer summaries to build an interactive, computer-tailored diabetes medication … Findings Both the iDecide group and the print summaries group reported improved medication decisional … conflict, medication knowledge, satisfaction with clarity and helpfulness of medication information … , medication adherence, and diabetes care self-efficacy.

388. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
     January 01, 2003 - Abstract Objective: This study was undertaken to describe physicians’ views regarding ambulatory medication … Much of this early work has focused on medication errors in hospital settings, which represent closed … error.5 Another recent study also found that adverse medication events might be quite common in the … Another concern frequently mentioned was the safety of chronic medication use (nine mentions). … Institute for Safe Medication Practices.

389. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=13
     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: P20 HS 017123 Topic(s): Measure Development, Medication Safety Publication Date: August … Grant Number: PS/P20 HS 17143 Topic(s): Measure Development, Medication Safety, Patient and Family … Grant Number: R03 HS 016789 Topic(s): Medication Safety Publication Date: March 2009 Making

390. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=4
     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 023774 Topic(s): Medication Safety Publication Date: July 2019 Advancing … Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research ( application/ … Grant Number: R18 HS 023459 Topic(s): Communication and Teamwork, Medication Safety Publication Date

391. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17904-Hall-report.pdf
     September 18, 2023 - Additional outcome measures were to include diagnostic study and medication delivery turnaround times … The first task of the group was to document, using flow diagrams, the current processes of medication … Medication Delivery Process Overview (Site A) [large arrows represent gaps in the process] Figures 2 … Percent of Medication Orders with Events, by Site 0% 1% 2% 3% 4% 5% 6% Medication Delivery Events … processes (from order entry through medication administration).

392. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev.pdf
     May 01, 2024 - medication safety in a variety of healthcare settings … administration record) system on various kinds of medication errors. … a communitywide electronic medication list and shared care plan. … adverse effects associated with appropriate medication use. … Medication administration errors decreased, and few pump-related errors were made.

393. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
     July 01, 2024 - medication safety in a variety of healthcare settings … administration record) system on various kinds of medication errors. … a communitywide electronic medication list and shared care plan. … adverse effects associated with appropriate medication use. … Medication administration errors decreased, and few pump-related errors were made.

394. CHIPRA 201: Section 2, Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-2-tech-specs.pdf
     March 12, 2019 - children, ages 1 through 17 years old with asthma of any severity, who are prescribed and dispensed a new medication … were identified as having asthma, regardless of severity, who are prescribed and dispensed a new medication … proper use Charting example: “patient instructed in proper technique for use” New medication A … prescribed and dispensed inhaled asthma medication requiring a specific delivery device not previously … Asthma Measure 5: Education in Proper Use of New Asthma Medication Delivery Device for Children

395. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory … Physical Space and Environment, #2, Institute for Safe Medication Practices (ISMP) Medication Safety … Institute for Safe Medication Practices (ISMP) Medication Safety Self Assessment® for Community/Ambulatory … PROTECT Initiative: Advancing Children’s Medication Safety Composite Measure 6. … Patient Safety Primer: Medication Errors and Adverse Drug Events 9.

396. MYQI Guide on Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/monahrq/myqi/readmissions.html
     September 01, 2017 - to Reduce Readmissions Case Studies and Lessons Learned Best Practices Coordinating Care Medication … reconciliation Medication reconciliation is the process of comparing a patient's medication orders … Reconciliation helps avoid medication errors such as omissions, duplications, dosage errors, or drug … Comprehensive toolkit on medication reconciliation Training and template materials for medication … Poorly managed transitions frequently lead to hospital readmissions, medication errors, and avoidable

397. Figure 1. Confirmatory Factor Analysis (CFA) Two-Factor Model Structure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-section-6-figure-1.pdf
     January 17, 2018 - Health Plan model Legend f1= Counseling on Transition Self-Management f2= Counseling on Prescription Medication … .090 6.615 <.001 Q67 .561 .112 5.027 <.001 Q8 .665 .130 5.128 <.001 Counseling on Prescription Medication … .076 6.306 <.001 Q67 .694 .093 7.489 <.001 Q8 .551 .114 4.809 <.001 Counseling on Prescription Medication … .1 7.515 <.001 Q67 .447 .105 4.269 <.001 Q8 .469 .113 4.152 <.001 Counseling on Prescription Medication … Plan n=250 n=323 Counseling on Transition Self-management 29% 32% .46 Counseling on Prescription Medication

398. Children's Hospital of Pittsburgh of the University of Pittsburgh | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/priorities-in-action/childrens-hospital-of-pittsburgh-of-upmc.html
     March 01, 2017 - inability of young children to properly communicate with hospital staff regarding adverse effects of medication … The initial step was implementing the CPOE system, which provided key decision support for medication … All medication doses prescribed to them during their stay are marked with the same unique barcode. … This process ensures that the right dosage of the right medication is provided to the right patient at … Preventing pediatric medication errors. (2008).

399. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
     January 01, 2003 - The nontext rules are subdivided into five categories: medication, laboratory, medication-laboratory … A medication error was defined as any error that occurred in the medication use process (including ordering … the medication use process. … If the patient’s medication list contained a medication that was involved in the rule-set within this … patients for medication induced effects or medication errors is easily apparent.

400. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
     March 01, 2020 - Institute for Safe Medication Practices. … as an unauthorized medication. … bolus, or continuous medication infusion. … Administration System" OR BMA)) AND ((MH "Medication Errors") OR (AB "Medication Error*" OR " … Administration System" OR BMAS)) AND ((MH "Medication Errors") OR (AB "Medication Error*" OR