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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-b.docx
April 24, 2015 - blood clots, or an edematous scrotum/penis or unable to empty the bladder because of neurologic disease/medication
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - Science of Safety
Health Care Defects
In the U.S. health care system—
7 percent of patients suffer a medication
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - Learn from Defects
Examples of Defects or Failures
That Affect Patient Safety
Defect Intervention
Medication
-
www.talkingquality.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - teamwork and communication, simulation, human factors applications, tool development, technology, and medication … Educating Patients About Medication Safety
Blood thinning medications such as warfarin are used to … improved understanding that will continue to occur in health IT, reporting systems, infection control, medication
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module1.pptx
March 01, 2010 - Reduced rate of adverse drug events
Improved medication reconciliation at patient admission
Haig, K. … severity of each delivery with an adverse event; reduced rate of adverse drug events; and improved medication
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - Asthma medication
24. … Measure Usefulness
Adolescent Well-Care Visits 100.00%
Follow-Up Care for Children Prescribed ADHD Medication
-
www.talkingquality.ahrq.gov/news/blog/ahrqviews/epc-program-evidence-reviews.html
January 01, 2022 - patients who have previously suffered from diverticulitis; and that mesalamine (an anti-inflammatory medication
-
www.talkingquality.ahrq.gov/cahps/surveys-guidance/echo/index.html
May 01, 2022 - Being told about medication side effects.
Including family and friends in treatment.
-
www.talkingquality.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - areas, or “leaps,” such as:
Do physicians enter prescriptions and other orders into computerized medication
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - Leadership,
• Information management,
• Physical environment,
• Continuum of care,
• Care planning, and
• Medication … M stands for medication. … Ask: “Am I taking a
medication that could affect my ability to
maintain situation awareness and perform
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-2.pdf
March 01, 2016 - • A behavioral health encounter, including assessment, therapy,
collaborative care or medication … • A dispensed antidepressant medication. … 2.16.840.1.113883.3.464.1004.1762)
• Intervention, Performed: Hospice Intervention (2.16.840.1.113883.3.464.1004.1762)
• Medication … , Dispensed: Antidepressant Medication (2.16.840.1.113883.3.464.1004.1503)
Direct Reference Codes:
-
www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - in the U.S. health care system are illustrated on this slide.
7 percent of patients suffer from a medication … Additionally, staffing and coverage issues increase the likelihood of medication or procedure errors,
-
www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module1/office_intro.html
February 01, 2016 - Improved medication reconciliation at patient admission ( Haig, et al., 2006 ).
-
www.talkingquality.ahrq.gov/sops/surveys/medical-office/supplemental-items/value-efficiency.html
August 01, 2023 - Skip to main content
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-case-study.pdf
January 29, 2021 - family/caregivers
that contained the following key
items:
a) Admission and discharge diagnoses
b) Medication
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - Always follow the “Rights of Medication Administration,” which include the:
• Right resident
• Right
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
January 01, 2024 - past
12 months
19%
Monthly
6%
Weekly
4%
Daily
3%
0%
20%
40%
60%
80%
100%
87% Positive
Medication … Medication (cont.)
A patient's medication list was not
updated during his or her visit. … (Item A5)
87% 16.07% 0% 67% 78% 92% 100% 100% 100%
Medication
A pharmacy contacted our … (Item A6)
61% 25.40% 0% 25% 43% 60% 80% 100% 100%
A patient’s medication list was not updated during
-
www.talkingquality.ahrq.gov/cahps/surveys-guidance/hospice/index.html
December 01, 2023 - beliefs
Getting help for symptoms
Information continuity
Understanding the side effects of pain medication
-
www.talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.docx
October 01, 2016 - Pharmacists need to know the resident’s condition to avoid medication errors. … Possible reasons for a change in mental status: Dehydration; being tired; medication side effects; vascular