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  1. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-l.html
    May 01, 2017 - Disinfect the top (rubber septum) of any medication vial with alcohol before piercing it with a sterile … Prepare medication in clean area, separate from patient care area and away from used items. … If medication is used at the bedside, throw it out after it is used on one patient . … Use a single-dose vial of medication whenever possible. … Dedicate a multiuse vial to one patient if medication is drawn up in the patient care area.
  2. 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.
  3. 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.
  4. 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.
  5. 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
  6. www.ahrq.gov/news/newsroom/case-studies/201418.html
    October 01, 2014 - develop "decision aids" to help patients with those conditions engage in discussions to identify which medication … More than 100 primary care clinicians used the diabetes decision aid, which consists of seven medication … "Results showed improved patient engagement and greater knowledge of medication-related treatment options … are unique because of their focus on facilitating discussion between patients and physicians about medication
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/montori.pdf
    September 29, 2013 - knowledge, patient involvement in decision-making and decision making quality, and 6-month measures of medication … Findings The use of the Depression Medication Choice during the encounter, compared to usual depression … Moreover, 51% of patients who used the Depression Medication Choice with their clinician achieve a … Translating comparative effectiveness of depression medications into practice by comparing the depression medication
  8. www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/nih-specific-plan_nqs2013.pdf
    July 01, 2013 - Current-Year Activities Metrics Future-Year Plans** Vision/End Goals Practical Interventions to Improve Medication … Institutes of Health (NIH) Adherence Research Network identifies increased adherence to recommended medication … NIDCD, NIDDK, NIMH, NINR, and NCCAM1) will award grants on practical interventions to improve medication … • Evaluate the effectiveness and feasibility of interventions to improve medication adherence in … • Develop tools and best practices for increasing patient engagement in medication regimens (P2
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
    May 01, 2017 - . • Disinfect the top (rubber septum) of any medication vial with alcohol before piercing it with a … on one patient only. • Use an intravenous solution bag and tubing for one patient only. • Prepare medication … If medication is used at the bedside, throw it out after it is used on one patient. … • Use a single-dose vial of medication whenever possible. • Dedicate a multiuse vial to one patient … if medication is drawn up in the patient care area. • Always use a new, sterile needle and new, sterile
  10. 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.
  11. www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
    April 01, 2018 - Implementing Reduced Work Hours to Improve Patient Safety' 'Improving Hospital Discharge Through Medication … Reconciliation and Education' 'Improving Medication Adherence' 'Improving Medication Safety … 'Mistake-Proofing the Design of Health Care Processes' 'Multidisciplinary Training for Medication … Central Line Bloodstream Infections and Ventilator-Associated Pneumonia' 'Reducing Discrepancies in Medication … Leadership Structures and Systems Lean Six Sigma Medical Knowledge and Patient Safety Medication
  12. www.ahrq.gov/hai/tools/perinatal-care/modules/strategies.html
    May 01, 2017 - 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 Version
  13. www.ahrq.gov/patient-safety/reports/engage/results.html
    March 01, 2017 - of opioids, antibiotics Errors in medication reconciliation Limited understanding of medications … Improve medication understanding and use. … Informants recommended using teach-back whenever a new medication is prescribed, an old medication is … , for a total of 64 articles (68.0%) on medication issues. … Other commonly reported interventions included medication reconciliation and medication lists, models
  14. www.ahrq.gov/patient-safety/resources/resdesign-tool/tkappb.html
    August 01, 2016 - Charting (meds sheet) Documenting on the patient's medication sheet (usually performed by a nurse). … Obtains medication Obtaining medication(s) from the pharmacy or a medication distribution system. … Pyxis med station Automated medication-dispensing station. … Review med sheet Reviewing the patient's medication sheet (usually performed by a nurse). … Travel medications Traveling to a medication station or a medication room with the purpose of obtaining
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
    August 03, 2017 - Medication affecting risk of falls Sedative and psychotropic medication, or medication with drowsiness … For the chart review, check the medication administration record (MAR) and any notes easily accessible … Y Y Y Y N Y Y Y Y Y Y N Y Y N N Y Y Y Y 16/20 Medication administration record … Medication administration record: given night sedation last night? … For any of the 20 patients who are “higher risk”*: Number of higher risk patients: Chart: full medication
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool13_ed_care_plan.docx
    May 01, 2015 - when you judge the risks to be greater than the benefits, even if the patient demands the medication … program before prescribing controlled substances] · [An oral or written agreement for chronic pain medication … symptomatic pain without the use of narcotics] · [For safety place a sitter in the room] · [If you feel medication … is indicated, use [medication, dose, route; medication, dose, route]. … Do not use [medication route].
  17. 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
  18. www.ahrq.gov/news/newsroom/case-studies/coe1304.html
    April 01, 2013 - conducts outreach activities to prescriber groups to discuss issues involved in pediatric antipsychotic medication … When a prescription is written for a young child for an antipsychotic medication, the prescriber is automatically … In some instances, the review leads to a reconsideration of antipsychotic medication use by the prescriber … "What we've found is that the prescriber sometimes feels compelled to use a medication to treat a challenging … 13-04 AHRQ Product(s): Effective Health Care Program Topic(s): Medication
  19. www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilack.html
    April 01, 2018 - Safety and Midwest Airlines, implemented a patient partnership model as an intervention to improve medication … County, Wisconsin, Patient Safety Council invested in developing and implementing tools to improve medication … recognized locally by the Walworth County Board of Supervisors and nationally by the Institute for Safe Medication
  20. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17906-Field-draft-1.pdf
    October 01, 2012 - 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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