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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2023.xlsx
January 01, 2023 - Introduction
Introduction-Medication or Other Substance
The tables in this workbook present aggregated … data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations … or substance 0.8% 910 107,998
Incorrect patient/family action 0.7% 775 107,998
Medication or substance … or substance 99.6% 263 0.4% 1 40,250
Medication or substance known
to be contraindicated for patient … 71.0% 203 29.0% 83 40,250
Medication or substance known
to be an allergen to patient 70.6% 113 29.4%
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www.qualitymeasures.ahrq.gov/health-literacy/improve/pharmacy/medication-mgt.html
September 01, 2020 - approach to improve medication use, reduce the risk of adverse events, and improve medication adherence … Targeted Medication Review (TMR) – ongoing medication monitoring that may address specific or potential … medication-related problems. … Personal Medication List (PML) - a reconciled list of all the medicines the beneficiary uses (i.e., … These tested instructions for pills follow the Universal Medication Schedule (UMS), which simplifies
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www.qualitymeasures.ahrq.gov/pqmp/measures/medication-reconciliation-desirable-attributes.html
August 01, 2021 - Home
Pediatric Quality Measures Program
PQMP Measures
Medication … Reconciliation for Children Measure Set I: Desirable Attributes of Medication Reconciliation by Organizational … Self-report and Attestation
Measure Domain: Medication Reconciliation
Measure Sub-Domain: … Medication Reconciliation Desirable Attributes
PQMP COE: CAPQuaM
Associated NQF # and Name: None … https://www.ahrq.gov/pqmp/measures/medication-reconciliation-desirable-attributes.html
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www.qualitymeasures.ahrq.gov/npsd/data/dashboard/medication-supplement.html
September 01, 2023 - of Patient Safety Databases (NPSD)
Data Reporting Tools
NPSD Dashboards
Medication … SHARE:
Go to NPSD Dashboards
Medication … This dashboard includes information organized by medication events at a glance, including description … last reviewed September 2023
Page originally created September 2023
Internet Citation: Medication … https://www.ahrq.gov/npsd/data/dashboard/medication-supplement.html
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www.qualitymeasures.ahrq.gov/pqmp/measures/medication-reconciliation-desirable-attributes2.html
August 01, 2021 - Reconciliation in Pediatric Mental Health Care Settings, Set I: Attributes of Medication Reconciliation … Reconciliation in Pediatric Mental Health Care Settings, Set I: Attributes of Medication Reconciliation … by Organizational Self-report
Measure Domain: Medication Reconciliation Measure Sub-Domain: … Medication Reconciliation Desirable Attributes PQMP COE: CAPQuaM Associated NQF # and Name: None … https://www.ahrq.gov/pqmp/measures/medication-reconciliation-desirable-attributes2.html
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www.qualitymeasures.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - A complete and accurate medication list is the foundation for addressing medication reconciliation and … medication management issues. … Getting Started With Medication Management
Medication Management Implementation Quick Start Guide: … role in the medication management process. … medication list with a patient or family member.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - should be considered as you design the medication reconciliation process:
Develop a single medication … medication orders and a patient's prescription/home medication list all in one location. … A medication profile could be pulled into forms or presented when patients' current medication lists … The goal for discharge medication reconciliation includes:
Comparing the patient's pre-admission medication … Updating the patient's pre-admission medication list to reflect the patient's medication regimen upon
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-5.html
July 01, 2022 - Admission
Medication History :
Who obtains a medication history? … What is captured during a medication history interview?
When is a medication history obtained? … Comparison (Reconciliation) :
Who compares (reconciles) medication orders to medication histories? … Resolution :
Who follows up on unintended medication discrepancies? … Where is the intent/plan for each medication documented in relation to the medication orders in preparation
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … orders on admission prior to redesign of a sound medication reconciliation process. … No standardized, consistent process for medication reconciliation. … Nurse reviews medication orders prior to administration. … Pharmacist reviews medication orders prior to verification and dispensing.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-4txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … orders and pre-admission medication list. … Physician updates prescription/home medications to reflect new discharge medication list. … home medication list in preparation for discharge.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - Reconciliation
Appendix, Medication Reconciliation
Previous Page Next Page
Table of … Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … This comparison (reconciliation) and assessment helps form the patient's discharge medication list. … The patient's discharge medication list should also be communicated to the next provider of service (
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-2txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … orders during discharge prior to redesign of a sound medication reconciliation process. … Physician prepares discharge instructions referencing initial medication history within admission note … Changes to initial medication history documented to progress notes/addendum may not be captured when
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-3txt.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Directly below this, in the center of the chart is:
Med Profile ("One Source of Truth")
Medication … First, physician obtains and documents medication history in Med Profile. … Nursing (pharmacy) medication reconciliation form completed
Additional information:
Med Profile:
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-9.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Plan
Tips for Conducting a Patient Medication Interview a
I. … Full dosing information should be captured, if possible, for each medication. … This includes:
Name of the medication.
Strength. … and closed-ended questions (e.g, "Do you take medication for your high cholesterol?")
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-8.html
July 01, 2022 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Plan
Medication Reconciliation Process Physician Focus Group—Interview Questions … In your own words, please describe what the medication reconciliation process means. … How did you learn about your role in the medication reconciliation process?
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Developing Change: Designing the Medication Reconciliation Process
Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process
Chapter 5. … Plan
Medication reconciliation is a complex process that impacts all patients as they … Developing Change: Designing the Medication Reconciliation Process Chapter 4. … Developing and Pilot Testing Change: Implementing the Medication Reconciliation Process Chapter 5.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - 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 … Unfortunately, many of these medication errors are associated with direct harm to patients. … [Insert organization] is committed to improving medication management, and a critical step is medication
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - safety, potential solutions to medication discrepancies, and liability for medication discrepancies. … in medication management. … An inaccurate medication history often initiates a trail of medication discrepancies that sets up an … erroneous medication reconciliation process, culminating in an inaccurate discharge medication list. … Institute for Safe Medication Practices.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-2.html
July 01, 2022 - Reconciliation
Appendix, Assembling a Medication Reconciliation Team
Previous Page Next … 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 … Medication Reconciliation Leadership Team
Executive Sponsor(s):
Project Sponsor(s):
Improvement
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
July 01, 2022 - Reconciliation
Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign … 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 … Plan
Multiple, independent medication histories obtained from patient and documented