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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Using qualitative methods to inform our work,
medication safety decision support and provider education … order entry and
supporting clinician education to improve medication safety in ambulatory care. … for each medication targeted). … • Background and rationale for alerts at medication order entry. … The impact of
computerized physician order entry on medication
error prevention.
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www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
January 01, 2024 - When more than one test was
recommended for a selected medication, monitoring within a medication sometimes … Medication errors are a major source of morbidity and mortality. … Conclusions: Baseline assessment of cardiovascular medication monitoring is variable. … Quality measurement of medication monitoring in the
"meaningful use" era. … Potential of health it for prescribing and monitoring medication for older
adults.
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www.ahrq.gov/research/findings/studies/index.html?page=378
January 01, 2024 - Keywords: Electronic Health Records (EHRs), Adverse Drug Events (ADE), Medication, Medication: Safety … The investigators found that MMH was associated with improved medication adherence, perceived quality … The feasibility of text reminders to improve medication adherence in adolescents with asthma. … They concluded that medication adherence is modifiable via improved care transitions. … Timing of first postdischarge follow-up and medication adherence after acute myocardial infarction.
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www.ahrq.gov/research/findings/studies/index.html?page=468
January 01, 2024 - Keywords: Medication: Safety, Medication, Electronic Health Records (EHRs), Health Information Technology … Keywords: Hepatitis, Adverse Events, Medication, Risk
Smith SR AHRQ Author: Smith SR … It found that providers discussed asthma control medication risks during 23% of visits. … The author examined the impact of obesity on medication use and expenditures among nonelderly adults … The impact of obesity on medication use and expenditures among nonelderly adults with asthma.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide19.html
October 01, 2014 - Effectiveness of combining counseling and medication relative to either counseling or medication alone … Effectiveness of various medication combinations.
Effectiveness of long-term medications.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex11.html
July 01, 2018 - members to track medications and health records 190-192 , 195,196
Providing patients with daily medication … lists, post-discharge medication lists, or post-discharge medical records; participating in medication … reconciliation
Patient, family
Increases in number of medication lists reconciled. 196
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www.ahrq.gov/funding/grantee-profiles/grtprofile-schiff.html
July 01, 2017 - "We can reduce medication errors by including a key piece of information that is currently missing from … prescriptions: the reason for the medication." … The learning network developed recommendations on areas of ambulatory safety risk (test, referral, medication … Schiff’s research focuses on changing how prescriptions are written to include why the medication … He believes that understanding the purpose of a medication is essential so that physicians, pharmacists
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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
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - of researchers at AHRQ have published studies on patient safety, such as documenting the impact of medication … Providers gave different instructions 24
Got an infection after treatment 24
Doctor gave wrong medication … 18
Test results were not shared 17
Pharmacy gave wrong medication 9
Fell down 8
Got a bed sore … 8
Accidentally took too much medication 5
23
Top Allegation Types
Surgery/Procedure-Related … 29.2%
Diagnosis-Related 27.3%
Medical Treatment 12.5%
Medication-Related 8.8%
Patient Environment
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www.ahrq.gov/chain/practice-tools/index.html
March 01, 2017 - All Practice Tools
Clinicians and Their Chronically Ill Pediatric Patients Together Can Improve Medication … Clinicians can take a more active role in promoting medication adherence among their chronically ill … pediatric patients with monitoring devices that track medication adherence.
… The Rutgers CERT Helps Establish Updated Parameters for Psychotropic Medication Use in Texas Foster Children … Rutgers CERT recently collaborated on the update of the State’s oversight protocol , Psychotropic Medication
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapa.html
April 01, 2018 - patient-provider partnership council in a community setting that will develop interventions to improve medication … Develop strategies to improve medication list accuracy in outpatient medical records at the clinics. … Implement medication safety strategies that could be used by patients in the community and by providers … Measure medication list accuracy in outpatient medical records in the clinics.
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool17.html
March 01, 2014 - Wellness facility or gym membership
Average cost $40/month
$140 out-of-pocket monthly medication … expenses*
Medication to treat diabetes
Daily test strips to use with glucometers
Medication … to treat high blood pressure
Medication to treat high cholesterol
Medication to treat depression/ … $20 additional monthly cost for erectile dysfunction
At least 50% diabetic cases affected by ED
Medication … Impact of type 2 diabetes mellitus on prescription medication burden and out-of-pocket healthcare expenses
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - Preventing
medication errors. … Potential
medication dosing errors in outpatient pediatrics. … Pediatric
medication errors: What do we know? What gaps
remain? … Medication sample labeling
practices. … Medication
discrepancies in an outpatient electronic medical
record.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide32.html
October 01, 2014 - Counseling and medication are effective when used by themselves for treating tobacco dependence. … However, the combination of counseling and medication is more effective than either alone. … Thus, clinicians should encourage all individuals making a quit attempt to use both counseling and medication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/tjia_r21grant.pdf
September 01, 2013 - study evaluated the
prevalence, cost, and patient and facility factors associated with
inappropriate medication … Evaluate the prevalence and cost of inappropriate medication use
among nursing home residents with advanced … Identify nursing home resident and facility characteristics
associated with use of inappropriate medication … Evaluate the prevalence, cost,
and patient and facility factors
associated with inappropriate
medication … Implications
Because of the disproportionate burden and cost of medication use and the high frequency
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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
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www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk213.html
October 01, 2014 - Diabetes Planned Visit
2.13 Blood Pressure Titration Protocol Flow Sheet
2.14 Blood Pressure Control Medication … This document provides guidance for prescribing medication to control blood pressure. … creatinine >30% above baseline ________
Physician/NP Orders
Diagnosis: ___ HTN__ DM-uncontrolled
Medication … ___________
Other: __________________________________________ Signature: __________________
Date
Medication … Physician/NP signature: ________________________________________________
Date
Medication
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6s.html
June 01, 2014 - coordination
Health care home
Care management
Medication … Reconciled Medication List Received by Discharged Patients
Care Coordination Measure Mapping Table … In another study, 14% of older patients that experienced a medication discrepancy were readmitted within … 30 days of initial discharge, compared to only 6% among those patients without a medication discrepancy … Create a proactive plan of care
Monitor, follow up, and respond to change
Medication Management
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www.ahrq.gov/news/newsroom/case-studies/coe0902.html
October 01, 2014 - Familiar, "When the primary care provider prescribes an antidepressant, patient education is vital to medication … Many of our patients believe they can take antidepressant medication as needed rather than as prescribed … , can discontinue medication if it's not immediately effective, or discontinue medication as soon as … He continues, "The guides' information on medication costs is critical, because prescriptions that go