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  1. www.qualitymeasures.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
  2. Fallpxtool3B (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3b.docx
    January 01, 2006 - patient is in pain, contact an RN immediately so the patient does not have to use the call light for pain medication … ). 2 Put medication as needed on RN’s scheduled list of things to do for patients and offer the dose
  3. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6h.html
    June 01, 2014 - focused on coordination       Health care home     □ Care management       Medication … resources with patient and population needs: C1-C9, I3, J1, J4-J9, K2-10 Health care home: I4, D1 Medication … focused on coordination       Health care home   □   Care management       Medication … focused on coordination   □   Health care home       Care management       Medication … focused on coordination       Health care home       Care management     ■ Medication
  4. www.qualitymeasures.ahrq.gov/research/findings/final-reports/index.html?page=8
    August 01, 2004 - 2016 (4) 2017 (4) 2006 (3) 2023 (2) 2003 (1) Grantee Report Topics Medication … grants administered since 2000 on a variety of patient safety topics, such as measure development, medication … factors approaches to improve patient safety, patient safety measure development and implementation, medication
  5. Fallpxtool2E (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2e.docx
    October 19, 2016 - Regular review of medication can help to prevent patient falls. … A patient who is taking psychotropic medication is at higher risk for falling. … Medication review should be included in the assessment.
  6. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
    July 01, 2016 - ADHD medication use, persistence, and cost among Texas Medicaid children. … child had discontinued ADHD medication. … Medication side effects (62 percent) and minimal medication effect (34 percent) were the most common … Enhancing ADHD medication adherence: challenges and opportunities. … prescription date, putting the focus of the measure on medication monitoring.
  7. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
    February 02, 2012 - The primary care clinician should titrate doses of medication for ADHD to achieve maximum benefit with … The other preparations make extraction of the stimulant medication more difficult. … ● Harms/risks/costs: Higher levels of medication increase the chances of ad- verse effects. … Their medications and doses varied, and a number of them were no longer taking medication. … Ef- fects of stimulant medication on growth rates across 3 years in the MTA follow-up.
  8. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
    January 01, 2012 - Tool 3G: Stratify Fall Scale Tool 3H: Morse Fall Scale to use for the Case Study activity Tool 3I: Medication … can be used to identify medication-related risk factors for falls in hospitalized patients. … Add up the point value (risk level) for every medication the patient is taking. … medication-related risk for falls. … Medication.
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
    June 01, 2021 - An example of an active failure is a resident receiving the wrong medication because someone misread … the medication label. … To help prevent someone from misreading a medication label or a resident’s name, facilities may include … Pharmacists may catch some medication errors. … Though the resident can still receive the wrong medication due to human error, or active failures, we
  10. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter4tab5.html
    June 01, 2014 - Includes redundant testing, medication documentation, referral communication and post-discharge follow-up … , Facilitate transitions as coordination needs change eMeasure specifications available: Yes Medication … physician providing on-going care who had a reconciliation of the discharge medications with the current medication … teams or settings); Facilitate transitions across settings, Monitor, followup and respond to change; Medication
  11. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
    June 01, 2014 - focused on coordination       Health care home       Care management       Medication … This measure is intended for use in conjunction with two other PCPI measures (Measure #57 Reconciled Medication … focused on coordination       Health care home       Care management       Medication … Across settings Create a proactive plan of care Monitor, follow up, and respond to change Medication … focused on coordination       Health care home       Care management       Medication
  12. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
    June 01, 2012 - Component 3 Present: Treatment does not involve child-directed play therapy (Yes - 1/No - 2) ADHD treatment medication … (Yes - 1/No - 2) For patients 4 - 5 behaior therapy was prescribed as first line treatment prior to medication
  13. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6a.html
    June 01, 2014 - focused on coordination     ■* Health care home       Care management       Medication … focused on coordination       Health care home     □ Care management       Medication … focused on coordination       Health care home     □ Care management       Medication … and goals: 1k Monitor, follow up, and respond to change: 4-6, 1a, 1c, 1d Health care home: 2 Medication … at increased risk for subsequent adverse events (urgent ambulatory visits, missed appointments, or medication
  14. www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter6y.html
    June 01, 2014 - focused on coordination       Health care home       Care management       Medication … The measure set includes measures of information transfer (i.e., discharge summaries, medication lists … , referral information), medication reconciliation, accountability (i.e., naming primary care provider … focused on coordination     □ Health care home     ■ Care management       Medication … focused on coordination     □ Health care home     ■* Care management     □ Medication
  15. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - ............................................................................................... 5 Medication … • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … No other patient safety event was identified in the record (e.g., fall, pressure injury, medicationMedication or Other Substance Of the 17 (5.6%) safety concerns involving medications or other substances … In one instance, the reporter indicated the lack of a medication used to treat COVID-19 as the patient
  16. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-fullreport.pdf
    September 01, 2018 - Regularly scheduled medical visits to evaluate asthma control 2 and check medication adherence … Primary care providers infrequently add controller medication (e.g., an ICS) after an ED visit (Schuh … Type of asthma medication. 4. CPT codes to identify visit type. 5. … Medication adherence in the asthmatic child and adolescent. … Childhood asthma hospital discharge medication fills and risk of subsequent readmission.
  17. www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/888.html
    November 01, 2023 - Report Updates Evidence on Pharmacotherapy for Adults With Alcohol Use Disorder Decisions about medication-assisted … for desired outcomes, tolerance of side effects, contraindications and the potential to adhere to the medication … A multisite qualitative analysis of perceived roles in medication safety: older adults' perspectives. … Primary care teams' reported actions to improve medication safety: a qualitative study with insights
  18. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
    September 01, 2015 - Many medication errors are found by patients. 3 Using Other Medicines Tell your doctor about every … If you are taking a blood thinner, talk to your doctor before taking any medication that has aspirin … or other multivitamins ■ Garlic ■ Ginkgo biloba ■ Green tea Talk to your doctor about every medication … Tell all your doctors about every medication and over-the-counter product that you take. … A personal, medication wallet card can help you keep track of this list.
  19. Process (ppt file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck2/slidedeck2.ppt
    March 01, 2011 - Lack of patient understanding of medication instructions can also undermine efforts to guide patients … As we’ve discussed, patients feel ashamed if they don’t understand medication instructions, or they may … Predictors of Medication Self-management Skill in a Low-literacy Population. … Just what exactly does it mean to take a medication on an empty stomach. … ……Low sugar PRN………………….….When you need it Suppository………….….Medication that goes in
  20. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/pharmlitqi/slidedeck3/slidedeck3.pptx
    March 01, 2011 - strategies for reinventing the system and aims for improvement. 4 Evidence of quality problems in medication … errors by increasing patient counseling on warfarin prescriptions Detection and prevention of medication … Examples from pharmacy include: - Decrease medication errors by increasing patient counseling on warfarin … prescriptions. - Detection and prevention of medication errors using the “show and tell” counseling … Institute of Medicine, Preventing Medication Errors: Quality Chasm Series.

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