-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs014947-porter-final-report-2007.pdf
January 01, 2007 - Outcome: Medication Error
The primary outcome was the number of medication errors per 100 patients … reconciliation. … The nurse reviewed all available medication-
related evidence, including medication order sheets, medication … The interface design for capture of medication data considers how a patient might recognize
a medication … a template for reconciliation efforts – a key process step to support medication safety.
-
digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-clinic.pdf
January 26, 2009 - Do you get medication reconciliation as part of the discharge summary? What do you do with this?
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - reconciliation by highlighting key therapeutic changes; and 3) generating patient-specific
therapeutic … incorrectly, modifying the medication regimen, or
not following clinical advice about medication use … reconciliation list, this was not
possible as the hospitalist physicians working in the inpatient setting … reconciliation
process that would seamlessly be transmitted from the hospitalist to the ambulatory … When more than 1 test was recommended for a selected medication, monitoring
within a medication sometimes
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digital.ahrq.gov/sites/default/files/docs/page/BASOW_AHRQ.pdf
October 01, 2012 - President, Editor-in-Chief
UpToDate
1
2
AMIA Taxonomy of Clinical Decision Support Tools
Medication … dosing support
Medication dose adjustment
Formulary checking
Singe dose range checking … laboratory value checking
Duplicate order checking
Care reminders
Look-alike/sound alike medication … monitoring
Polypharmacy alerts
Workflow support
Order Routing
Registry functions
Medication … reconciliation
Automatic order termination
Order approvals
Free-text order parsing
Documentation
-
digital.ahrq.gov/sites/default/files/docs/provider-engagement-slides-031511.pdf
March 15, 2011 - on shared goals
Top 10 priorities for
research collaboration
Top 10 priorities for
Vendor
Medication … Safety eMar
CDS * Documentation
Medication Reconciliation* Med Reconciliation*
Alert monitoring
-
digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care … of Elderly Patients
National Web-Based Teleconference on
Utilizing Health IT to Improve Medication … Ambulatory Medication Reconciliation Following
Hospital Discharge
- data collection underway
2. … )
• Low literacy contributes to medication non-
adherence. … (Mis)Perceptions of Patients and Providers Regarding Medication Issues.
-
digital.ahrq.gov/sites/default/files/docs/page/unlocking_quality_information__understanding_the_value_of_health_it_for_quality_measurement_and_improvement_5.pdf
April 26, 2010 - list/reconciliation
• Electronic prescribing
• Referral tracking
• Lab results incorporated in EHR … Smoking status if >13/referral
Ht, Wt, BMI, BMI%/referral
Developmental screening/referral
Asthma medication … , well child visits, access to
care visits, dental access, lead screening,
ADHD medication follow-up … reconciliation
Diagnostic test results
Name, MAID, DOB, DOS, facility,
Dx 1-5, new meds
Hospital … Discharge
Medical home referral
Medication reconciliation
Diagnostic test results
30-day readmissions
-
digital.ahrq.gov/sites/default/files/docs/page/AHRQ_CDS_TEP_Teleconference_11-8-10.pdf
March 01, 2011 - Maintain active medication list More than 80% of patients have at
least one entry as structured data … Maintain active medication allergy list More than 80% of patients have at
least one entry as structured … Includes diagnostic test
results, problem list, medication list, medication allergies,
procedures, … Perform medication reconciliation between care settings 50%, reduced from 80%
4. … reconciliation at each transition of care
– Produce electronic summary of care at each transition
–
-
digital.ahrq.gov/sites/default/files/docs/patient-centered-care-slides-033011.pdf
March 30, 2011 - reconciliation
• Reduce mistakes by patients and
providers
PHRs and older adults
But…6
• Lack … PHR medication screen
Medication warnings on home page
IowaPHR tracking health information … inventory,
medication management behaviors, SF-12 v2,
demographics
• ACOVE-3 measures of medication … list 219 (42.9) 574
Previous Medication List 36 (7.1) 52
Medication Warnings 24 (4.7) 34
Wallet Sized … Iowa PHR
Iowa PHR login screen
Iowa PHR welcome screen
Iowa PHR medication screen
Iowa PHR medication
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Adverse events
Study Methodology Subject Location
Medication Errors, Near Misses Observation Medication … Medication errors and near misses. At St. … The key medication process of med reconciliation is now standardized in
Epic for both the process as … Any confusion between brand names and generic names of drugs has been
resolved, since the med reconciliation … Discharge reconciliation is recorded in Epic and is also printed for the
patient, and discharge med
-
digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2010
January 01, 2010 - resources such as patient education, self-management tools, online prescription refills, requests, medication … reconciliation, and secure messaging.
-
digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
September 13, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Q&A … Optimizing medication use. … Yes, various CDS exist in the context of medication therapy management
(MTM). … It's feasible to bring in medication
information from many electronic sources. … reconciliation.
-
digital.ahrq.gov/sites/default/files/docs/AHRQ%20Transcript%208-27-10.pdf
May 29, 2013 - And medication reconciliation area where Paul has done an inordinate amount of work in
Oregon is the … It appeared medication reconciliation was done
manually. … SureScripts, RxHub and
… oh medication reconciliation. … A little different I think, and Medication
Reconciliation as performed in the hospital has more to … We've actually not found any tools
that assist this Medication Reconciliation and so we've been working
-
digital.ahrq.gov/sites/default/files/docs/activity/patient_readiness_to_use_internet_health_resources_2010_pdf__2.pdf
January 01, 2010 - resources such as patient education, self-management tools, online prescription refills, requests,
medication … reconciliation, and secure messaging.
-
digital.ahrq.gov/sites/default/files/docs/activity/enabling_electronic_prescribing_and_enhanced_management_of_controlled_medications_2010pdf_2.pdf
September 29, 2011 - abuse of federally-controlled medications while supporting enhanced patient-
clinician communication, medication … dispensed prescription information currently received by MA PMP from the pharmacies,
will allow the reconciliation … Develop and disseminate health IT evidence and evidence-based tools to improve the quality
and safety of medication … management via the integration and utilization of medication management systems
and technologies.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - reconciliation to 64.9 for follow-up with patients that did not complete recommended services. … Medication reconciliation was noted as not directly tied to the CQM assessed in this study and might … A participant also noted: “I don’t
think reconciliation truly correlates with compliance, getting refills … Another participant
agreed, “Why do we have to click a box to say that we did medication reconciliation … reconciliation at each patient visit 88.3 (12.8) 0.13
Strategies Medication refill protocol 77.6 (20.1
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - reconciliation, designing HIE
systems and secure messaging to ensure that informa-
tion is shared across … An enhanced medication reconciliation
component at the time of admission was also added
to the intervention … reconciliation and management. … The EHR-based medication reconciliation system
designed by Dr. … Medication Management
One project assessed the impact of the intervention
on a measure of medication
-
digital.ahrq.gov/sites/default/files/docs/page/Root_0.ppt
June 01, 2005 - eligibility, prior authorizations
Drug look-ups Case reporting;
RODS
Vital records
Tumor registries Drugs reconciliation … Eligibility resp; medication history; medical history remits; Questions about tests and results Benefits … E-prescriptions;
refills, renewals,
Prior auth requests; questions about prescriptions; fill status Drug reconciliation … Pharmacy eligibility; claims; medication history; medical history Reporting and queries to Controlled
-
digital.ahrq.gov/sites/default/files/docs/page/Root.ppt
June 01, 2005 - eligibility, prior authorizations
Drug look-ups Case reporting;
RODS
Vital records
Tumor registries Drugs reconciliation … Eligibility resp; medication history; medical history remits; Questions about tests and results Benefits … E-prescriptions;
refills, renewals,
Prior auth requests; questions about prescriptions; fill status Drug reconciliation … Pharmacy eligibility; claims; medication history; medical history Reporting and queries to Controlled
-
digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - • Reconciliation of prescriptions sent via EPCS is
feasible via a State prescription monitoring pro … To enable reconciliation of prescriptions sent
via EPCS, a common unique identifier, such as the
transaction