-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
October 01, 2009 - right
medication is provided to the right patient. … generate a report
formatted as a hospital Medication Reconciliation form, which can be printed, taken … to the
patient’ s bedside, and integrated into the medication reconciliation process. … “Medication Reconciliation” as
a discrete, one-time, transition-related process, and separate technologies … Safety in Lincoln City
AHRQ Panel: “RxSafe: Using IT to Coordinate Medication Reconciliation”
PRINCIPAL
-
digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
September 15, 2016 - Physician orders (non-medication)
b. Nursing care plan/orders
c. … Medication orders
d. Pharmacist notes
e. Lab orders
f. … Through Information Technology: Readiness Assessment
8
____% Secure Messaging
____% Medication … Rank order the following from 1 to 9, with 1 being the most important:
RANK
(1 – 9)
BENEFITS
Medication … reconciliation/confirmation
Improve information access for MD consultants and referrals
Improve
-
digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - medication is provided to the right patient. … generate a report
formatted as a hospital Medication Reconciliation form, which can be printed, taken … to the
patient’s bedside, and integrated into the medication reconciliation process. … “Medication Reconciliation” as
a discrete, one-time, transition-related process, and separate technologies … Safety in Lincoln City
AHRQ Panel: “RxSafe: Using IT to Coordinate Medication Reconciliation”
PRINCIPAL
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - Medication Management
Health IT has the potential to improve medication
management phases such as prescribing … ordering, order communication, dispensing,
administration and monitoring as well as
education and reconciliation … Fischer, Gorman, and Nebeker)
• Supporting medication reconciliation through
communication and sharing … reconciliation using the EHR,
formalized refill and EHR-based dosing protocols,
standing orders in … medication reconciliation easier and 57 per-
cent reported it reduced calls from pharmacies about
prescribing
-
digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning
January 01, 2023 - admission process, and in the absence of related literature, the team investigated decisions related to medication … reconciliation, plan-of-care problems to include, visit timing and frequency, and inclusion of other … Electronic Health Record/Electronic Medical Record Population: Nurse
Getting to complete and accurate medication … Getting to complete and accurate medication lists during the transition to home health care.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - (s):
anti-diabetic medication
anti-coagulant medication
anti-seizure medication
digitalis preparation … medication reconciliation, regimen simplification,
and self-management guidance. … Contacted physician to discuss medication simplification 13% 2%
Provided medication list 58% 15% … The primary focus is on making sure medication reconciliation occurs,
and a drug-to-drug and drug-to-medical … We introduced a new component of
medication management – addressing medication complexity.
-
digital.ahrq.gov/sites/default/files/docs/citation/enhancedmedhistories_102611comp.pdf
October 01, 2011 - Enhanced Medication Histories
Enhanced Medication
Histories
Final ACTION Contract Report … of the general process of Medication Reconciliation. … common medication discrepancy was omission of a
regularly used outpatient medication. … Medication History data:
1. … The Medication Hub filters out any medication records that are older than 13 months old.
-
digital.ahrq.gov/sites/default/files/docs/page/NJ-EPAC%20Pilot%20Testing%20of%20Electronic%20Prescribing%20Standards_0.pdf
April 01, 2008 - The lack of this
information hinders reconciliation with prescriptions generated through the e-prescribing … Reconciliation is necessary to use Med Hx records in automated alerting without generating large
numbers … Others described having invested
more in complex reconciliation algorithms, but with 60% success at … of medication
histories. … This would allow even more accurate reconciliation, and a field is
available in the NCPDP Telecommunications
-
digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Improving medication safety using digital healthcare solutions
Closing the Communication Gap … tool to electronically communicate medication discontinuation orders between electronic health records … Emerging
Decision Support in the Emergency Department to Improve Medication Safety for Older Adults … Improving medication safety using digital healthcare solutions
Computerized alerts can prevent … particularly using enhanced dynamic picklists, are a promising solution to support real-time allergy reconciliation
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017029-kaushal-final-report-2011.pdf
January 01, 2011 - Electronic Prescribing and Electronic Transmission of Discharge Medication Lists
Grant Final … It is hoped
that use of e-prescribing will improve ambulatory medication safety, as medication errors … Medication use in the United States is widespread. … errors is medication discrepancies. … interventions that
can facilitate the process of medication reconciliation.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - Limited clinician communication with patients or caregivers about home
medication lists and medication … It is a high risk medication” (RN-571). … reconciliation
• Set up fatigue protocol to review actions for errors
• Include medication indication … Materials and Methods: Erroneous medication orders were captured
using a CPOE-based medication voiding … Ordering Errors
Medication Voiding and Ordering Errors
Impact of Medication Ordering Errors on Safety
-
digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
April 25, 2013 - reconciliation,
reconciling what the patient is supposed to be taking with what they were taking and … And it is medication reconciliation prior to discharge, reconcile the discharge
probably with national … For each medication, the reason you are
taking the medication is written here. … reconciliation in the electronic medical record at
discharge. … A background program has been developed which will automatically identify from this medication reconciliation
-
digital.ahrq.gov/sites/default/files/docs/implementation/Wheeler%202-I.ppt
June 05, 2006 - between Partner hospitals, Marquette General Hospital, and specialty physicians
Enable the conduct of medication … reconciliation when patients are transferred between facilities, emergency departments, and specialty … Computerized physician order-entry available for use by any practitioner. 2.5%
Stage 5 “Closed loop” medication … Computerized physician order-entry available for use by any practitioner. 2.5%
Stage 5 “Closed loop” medication
-
digital.ahrq.gov/sites/default/files/docs/Electronic_Prescribing_Standards_Slides%20(2).pdf
September 17, 2007 - Rochelle Woolley
The Initial Standards
• Medication History - provides a uniform means for prescribers … list
STANDARD
METHODOLOGY
Medication History transaction of NCPDP
SCRIPT, 8.1
NCPDP … History: Technical Level
• Technical problems hinder reconciliation of Medication History with
prescriptions … ”
– Of the 37% “familiar” with accessing Medication History
• 16% use it “often” or “very often”
• … 39% agree data is complete for most patients
• “Information I have about medication history enables
-
digital.ahrq.gov/sites/default/files/docs/care-post-treatment-discussion-summary-072512.pdf
July 25, 2012 - that tend to be the simplest to transmit across
places of service are problem lists, allergies, and medication … patient education and engagement would also
improve care post-treatment by improving adherence to medication … Each patient
received a home visit at the start of the program that focused on patient education and medication … reconciliation. … reconciliation
• Reconciliation of discharge plan with National Guidelines
• Followup appointments
-
digital.ahrq.gov/sites/default/files/docs/AHRQ_Evaluation_Webinar_May08.pdf
May 15, 2008 - Errors
• Medication Reconciliation
• Handoffs
• Discharge Summaries
• and …
Discharge Summaries … tracking and electronic ordering to address medication errors and attendant adverse drug reactions/errors … • 15) Goal: Reductions in adverse drug events causing subsequent admissions by having accurate medication … Measure: Medication interaction and allergy admissions from undocumented
conditions/All Medication … • Emergency Department Doctor: “We do not access the medication lists in
Penchart because they are
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_021094_bates_pdf_3.pdf
January 01, 2011 - Physician-Level Variation in Medication Overrides of Computerized Decision Support. … The
project will include evaluations of variation in medication overrides at baseline, followed by two … Additionally, a set of recommendations on the best way to design
medication alerts will be developed … (Ongoing)
• Improve medication-related clinical decision support. … management via the integration and utilization of medication management
systems and technologies.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
January 01, 2012 - incorrectly, modifying the medication regimen, or not following
clinical advice about medication use … reconciliation
list, this was not possible as the geriatricians working with the SNFs produced highly … reconciliation. … When more
than 1 test was recommended for a selected medication, monitoring within a medication
sometimes … When more than one test was
recommended for a selected medication, monitoring within a medication sometimes
-
digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
January 01, 2017 - The algorithm flags possible medication errors if
three conditions occur: (1) a medication (Drug A) … Cycloserine was the intended medication. … Evaluate the effectiveness of the EHR strategy to improve medication understanding,
reconciliation, regimen … regimen; 2)
have fewer discrepancies in their medication lists; 3) take their medication regimen more … use and prompt provider
counseling and medication reconciliation.
-
digital.ahrq.gov/sites/default/files/docs/behavioral-health-slides-022713.pdf
January 01, 2020 - Predictive Insight
Patient-Centric Rx
Stratify Patient Population
Predictive outcome
for selected
medication … Collective Data to Deliver
Personalized Care with Predictive Insight
Predictive outcome
for selected
medication … Analysis
Trend in Emergency Visit in response to Drugs (by gender)
Female
Male
In response to new medication … Patient Records
Closed Loop Referrals
Wait List Management & Interim Services
Tracking
Medication … Reconciliation
Aggregate Reporting at Provider, Region, and
State Levels from Centralized Data