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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
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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
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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
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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
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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.
-
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.
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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.
-
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.
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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
-
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
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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
-
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
-
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
-
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
-
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, medication … Medication 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
-
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.
-
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
-
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.
-
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
-
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.