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401. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
     January 01, 2024 - Preventing Medication Errors: Quality Chasm Series. … Demystifying medication safety: making sense of the terminology. … Medication Use Leading to Emergency Department Visits for Adverse Drug Events in Older Adults. … Conflicts and concordance between measures of medication prescribing quality. Medical Care. … Improving Medication Safety in Primary Care Using Electronic Health Records.

402. University of Tennessee Pharmacist Practice Based Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/university-tennessee-pharmacist-practice-based-research-network.html
     January 01, 2012 - Mission Statement: To provide a forum for pharmacists to conduct collaborative research focused on medication … To optimize medication use and clinical pharmacist practice that results in high quality, reproducible … Coordination of care for complex patients Diabetes (Type 1 or 2) Health literacy Immunizations Medication

403. Perinatal Safety Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies.html
     July 01, 2023 - 705.5 KB; Text Version ) Tool: Rapid Response Systems ( Word , 626.5 KB; Text Version ) Safe Medication … Administration Safe Medication Administration: Slide Presentation ( PowerPoint , 1.27 MB; Text … Version ) Safe Medication Administration: Facilitator Guide ( Word , 1.65 MB; PDF , 1.13 MB; Text

404. Voluntary Adverse Event Reporting in Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
     January 01, 2007 - dose Medication error Medication dose omitted 4 0.46 0.59 0 – 1.60 2.29 7 Table 3. … administered Medication error Wrong drug name 15 1.71 2.20 0 – 2.67 2.48 Wrong dose of drug Medication … errors to implement change in their medication use process. … Medication errors and adverse drug events in pediatric inpatients. … Pediatric medication order error rates related to the mode of order transmission.

405. Menu of Implementation Strategies - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
     June 02, 2025 - Pharmacy Consultant Monthly Medication Review 8. … Pharmacy Consultant Monthly Medication Review 4. … Pharmacy Consultant Monthly Medication Review 6.

406. Final Progress Report: Electronic Clinical Surveillance To Measure and Improve Safety in Ambulatory Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
     January 01, 2024 - diagnosis (delayed diagnosis of chronic kidney disease (CKD)), treatment (potentially inappropriate medication … Qualitative analyses included 15 providers for delayed diagnosis of CKD, 22 providers for medication … For analyses of medication use after a fall, we focused on patients age 65 and older to be consistent … with the HEDIS® measure’s focus on medication use among the elderly. … Additionally, one measure (medication use after falls) focused specifically on the elderly population

407. 122. Treatment Recommendations: Medications (Continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide122.html
     October 01, 2014 - Meta-analysis (2008): Effectiveness and abstinence rates for various medications and medication combinations … compared to placebo at 6-months post-quit (n = 86 studies) Medication Number of arms Estimated

408. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
     May 01, 2024 - PROMIS Learning Lab: Partnership in Resilience for Medication Safety (R18) PI: Yan Xiao Organization … The PROMIS Lab is intended to develop and test strategies to reduce medication-related harms in older … Improving Medication Safety for Medically Complex Children with mHealth  Across Caregiving Networks ( … accuracy and reduce medication-related adverse events. … Understanding CancelRx: Impact on Clinical Workflows, Medication Safety Risks,  and Patient Outcomes

409. Measure 1, Section 14, Attachment 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
     January 01, 2011 - , and this study provided evidence that medication was far more likely to be a recommended treatment … Researchers noted that this is too few visits to allow for medication adjustment or promote adherence … Observations from this study suggest that the prevalence of medication treatment for ADHD is higher … Lastly, the researchers noted a lower likelihood of consistent medication use in the poorest children … • Jensen, et al also point out that both medication and educational services for 24 and 36 months

410. Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
     January 01, 2024 - Key Words: Polypharmacy, Aging, Geriatrics, Emergency Department, Medication Safety Purpose The purpose … of this study was to achieve the following aims focused on improving medication for older adults (≥ … .1,2 Multiple studies have demonstrated the risk of receiving a new potentially inappropriate medication … RESULTS Principal Findings: EQUIPPED is a medication safety program that is adaptable across health … Discussion: All three sites successfully implemented the core components of the EQUIPPED medication

411. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
     January 01, 2024 - Key Words: medication error, children B. … Potential Medication Dosing Errors in Outpatient Pediatrics. … Medication errors and adverse drug events in pediatric inpatients. … (10) Institute for Safe Medication Practices. … Pediatric medication errors: what do we know? What gaps remain?

412. Treating Tobacco Use and Dependence: 2008 Update - Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/index.html
     October 01, 2014 - 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and Dependence Combinations: Medication … and Counseling Combinations: Medication and Counseling (continued) Treatment Recommendations—Counseling … Strength of Evidence for Recommendations Pro-Active Quitlines Pro-Active Quitlines (continued) Medication … Varenicline Nicotine Lozenge Relative Efficacy Medication Recommendation Specific Populations

413. Learndefects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
     June 02, 2025 - (Protocol for mixing medication concentrations is posted above the medication bin.) … (Staff member was comfortable expressing his or her concern regarding high medication dose.) … (Nurse knew dose ordered was not standard for that medication.) … (New nurse asked preceptor to help him or her mix the medication concentration.) … (Pharmacists knew and followed the protocol for stat medication orders.)

414. Table 4. Meaningful Use Measures that Assess Care Coordination* | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab4.html
     June 01, 2014 - From Another Setting of Care or Provider of Care or Believes an Encounter is Relevant Should Perform Medication … Reconciliation g The EP/EH performs medication reconciliation for patient transitions of care to … Atlas Domains: Facilitate transitions across settings, Medication management eMeasure specifications … available: N/A The EP/EH performs medication reconciliation for patient transitions of care … Atlas Domains: Facilitate transitions across settings, Medication management eMeasure specifications

415. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
     April 30, 2008 - ; (2) patients with dementia or psychosis who may lack the mental capacity to take their medication … ; and (4) patients on other medications that may amplify the effects of opioid medication. … Based on available information in VistA, the system issues specific medication dosing schedules for … from one opioid medication to another. … , or discontinuing opioid medication—the system provides detailed recommendations for the choice of

416. Aspirin Workflow (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/aspirin-workflow.pdf
     June 02, 2025 - Aspirin Workflow Aspirin M A Information Criterion IVD is on Problem List AND Aspirin is not on: • Medication … List • Medication Allergy List • Contraindication on Problem List Clinical Condition Guideline Failed

417. New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
     October 01, 2016 - Comprehensive Medication Therapy Management Services Comprehensive MTM services began at Fairview … RNs note medication changes in the EHR. … ▌pg. 8 Tasks Roles Included Medication reconciliation or management Medication Reconciliation … For medication concerns, patients are referred to the MTM pharmacist. … Medication therapy management: 10 years of experience in a large integrated health care system.

418. Section 8.B, Eligible Population and Performance Rates (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-section-8b.pdf
     June 02, 2025 - Population and Performance Rates Performance rates for the Use of Multiple Concurrent Antipsychotic Medication … Use of Multiple Concurrent Antipsychotic Medication in Children by state General Population Foster … Use of Multiple Concurrent Antipsychotic Medication in Children by Health Plan (General Population only

419. IMPLEMENT CA Asthma Collaborative Data Collect ion Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/chart-review-tool.pdf
     June 02, 2025 - Previous Page Visit type (Please select one) I f patie nt is not already on controller medication … Was a controller medication prescribed? Which medication was prescribed?

420. Hlthy_Hrts_MsrmntHndout (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/measure-handout-mw.pdf
     June 02, 2025 - the Prevention and Treatment of Cardiovascular Disease The number of patients with a statin medication … (Statin RXNORM Value Set) current on the medication list or prescribed a statin medication during