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www.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
July 01, 2023 - /ekX289e3-Uo
TeamSTEPPS: Check-Back in Inpatient Surgical Teams (15 seconds)
Checking to ensure medication … instructions are described—and heard—correctly is an important safeguard against potential medication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/workforce-executive-summary.pdf
October 01, 2016 - Health
Center
Rural
Vermont
Small Federally
Qualified Health
Center
Rural,
underserved
Medication … (See
Cherokee, Foresight and Henry Ford Case Example Reports)
Key Finding 3: Medication Management … and pharmacy technicians coach patients in taking their medications
appropriately and troubleshoot medication … In remote areas,
onsite automated dispensing units fill medication prescriptions in clinic. … Patients receive
pharmacist interventions for medication education and counseling, specialty visits
-
www.ahrq.gov/sites/default/files/publications/files/workforce_executive_summary_0.pdf
October 01, 2016 - Health
Center
Rural
Vermont
Small Federally
Qualified Health
Center
Rural,
underserved
Medication … (See
Cherokee, Foresight and Henry Ford Case Example Reports)
Key Finding 3: Medication Management … and pharmacy technicians coach patients in taking their medications
appropriately and troubleshoot medication … In remote areas,
onsite automated dispensing units fill medication prescriptions in clinic. … Patients receive
pharmacist interventions for medication education and counseling, specialty visits
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/state-snapshot-infogr.pdf
June 02, 2025 - assistance to patients and their families, and
ensuring stroke patients receive blood clot prevention
medication … TOP-PERFORMING STATES: HIGHEST
PERCENTAGE OF STROKE PATIENTS
WHO RECEIVED BLOOD CLOT
PREVENTION MEDICATION
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6m.html
June 01, 2014 - coordination
□
Health care home
Care management
Medication … goals: 4, 8
Support self-management goals: 6, 9, 14, 15
Teamwork focused on coordination: 3
Medication … coordination
□
Health care home
Care management
Medication … coordination
Health care home
Care management
Medication … coordination
Health care home
Care management
Medication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - The Institute of Medicine’s report, Preventing Medication Errors 2007, states that poor
communication … All groups also expressed interest in having access to medication safety information
(77.8 percent); … Thus, the PHR can play an important role in medication reconciliation,
particularly, if medication data … Once stored in a PHR database, medication lists can be integrated and patients can periodically
review … Institute of Medicine, Preventing medication errors.
-
www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
January 01, 2024 - A formal risk assessment analysis of chemotherapy medication administration
processes was undertaken … Medication errors were highlighted in the report and were stated to account for over 7000
deaths and … Sequence: 10 Deliver Drug
Accomplished by: Pharmacy
Sequence: 10.1 Prepare Medication Staging … Check and verify that the medication is the correct med for the patient.
3. … Conclusions
With an especially high-risk medication process in use daily here at St.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
March 01, 2020 - different kinds of diabetes patient safety practices are addressed—both intended to
improve diabetes medication … One practice focuses on provider administration of
medication in the hospital setting when patients … In this update, we more narrowly focus on medication
management in hospitals and how to better equip … Medication errors common for hospital diabetes. … problems relating to
hypoglycaemia and medication non-adherence.
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide104.html
October 01, 2014 - Medication alone
6
1.0
23.2
Medication and quitline counseling
6
1.3 (1.1, 1.6)
28.1
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
June 01, 2018 - Integration of medication information.
Use of electronic health records. … But important medication information is given to patients in a haphazard way ( Persell, 2013 ). … provider, so the patient is the primary source of medication information. … Medication lists, 71.0% to 85.4%.
Nursing notes, 66.5% to 81.4%. … EHR-based medication support and nurse-led medication therapy management: rationale and design for a
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
June 15, 2003 - safety and infection control, and
to adopt common reporting systems for identifying medication errors … The region’s stakeholders agreed upon two patient safety goals: the complete
elimination of medication … For MEDMARXSM, the methods used to identify potential medication errors
vary across hospitals. … Data entry into MEDMARXSM of types of medication errors and additional
nonrequired information is not … Medication
errors: experience of the United States Pharmacopeia
(USP) MEDMARXSM reporting system.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8a.html
October 01, 2014 - The clinical process measures examined in this review include medication use, action plan development … and use, management practices, and adherence to medication. … Impact on Medication Use
In-Person Care Management. … Four studies examined the effect of in-person care management on medication use. 1,2 , 16,17 Two of … One study showed that, when indicated, provider profiling and feedback helped increase medication use
-
www.ahrq.gov/patient-safety/reports/national-academy-medicine.html
February 01, 2018 - Preventing Medication Errors: Quality Chasm Series Released: July 20, 2006
According to one estimate … Sometimes the harm is caused by an error in prescribing or taking the medication, and these damages are … Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older … Overall Rate: In 2012, 1.5% of adults age 65 and over were prescribed at least 1 medication from 11 … Trends:
From 2002 to 2012, the percentage of adults age 65 and over who were prescribed at least 1 medication … From 2002 to 2012, the percentage of men age 65 and over who were prescribed at least 1 medication from … Disparities: In all years from 2002 to 2012, men were less likely than women to be prescribed at least 1 medication
-
www.ahrq.gov/patient-safety/reports/engage/choosing.html
April 01, 2018 - strategy uses the “brown bag medicine review” method to engage patients to create a complete and accurate medication … if you have many patients with multiple medications or you have committed to helping patients with medication … This strategy can help you conduct medication reconciliation based on a complete and accurate list of
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/unhealthy-alcohol-use.pdf
January 01, 2019 - guidelines recommend routine
screening and brief intervention for unhealthy alcohol use, as well
as medication-assisted … alcohol use
• Brief interventions and referral to treatment for
those who screen positive
• Medication-assisted … treatment in
patients who screen positive for unhealthy alcohol use in primary
care
• Increase use of medication-assisted
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide115.html
October 01, 2014 - Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the combination of counseling and medication … Counseling alone
11
1.0
14.6
Medication and counseling
13
1.7 (1.3, 2.1)
22.1 (18.1
-
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
May 01, 2023 - Teach‐backs can be used to explain:
Medication instructions.
A new diagnosis. … In telling a patient how to take a new medication, a pharmacist or other provider would describe how … a patient should take the new medication, including the dose and time of administration and responses
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - , 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 … Lastly, the researchers noted a lower likelihood of consistent medication use in the
poorest children … Researchers noted that this is too few visits to allow for medication adjustment or promote
adherence … • Jensen, et al also point out that both medication and educational services for 24 and 36 months
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - use process and safety, implications of medication
errors, teamwork in health care, and medical error … The physicians’ top-ranked
topics were proven medication safety practices; legal, tort, and malpractice … Medication error
course work was categorized under six domains: human factors research, medical
errors … , medication errors, quality or process improvement, root-cause analysis,
and failure mode and effects … Medication error
instruction in schools of pharmacy curricula: a
descriptive study.