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pbrn.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx
January 01, 2011 - Qualitative
Analysis
Root Cause
Analysis
7
7
RED Checklist
Eleven mutually reinforcing components:
Medication … reconciliation
Reconcile dc plan with National Guidelines
Follow-up appointments
Outstanding tests … , few minutes with nurse/doctor
Personalized cover page
Updated list of all medicines
MEDICATION
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - between the provider, pharmacist, nurse, and patient (including the
family if applicable) regarding medication … reconciliation and the outpatient medication
regimen
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - 24/7 access to their services,
• Providing transportation services to appointments,
• Performing medication … reconciliation,
• Conducting home visits, and
• Referring their patients to social services to address … Common activities included in successful bundled interventions involved care coordination
efforts, medication … reconciliation and patient education, but some or all aspects of the care transition process
were … expect the
PCP to know everything about their hospital stay by reviewing the hospital records and
medication
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
January 01, 2011 - followup
Inaccurate and incomplete medical history
Ineffective or improper use of medications or serious medication … clinical situations that need immediate attention to prevent adverse events among LEP patients include:
Medication … reconciliation
Patient discharge
Informed consent
Emergency department care
Surgical care
Resources
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
January 01, 2011 - Inaccurate and incomplete medical history
Ineffective or improper use of medications or
serious medication … situations that need immediate
attention to prevent adverse events among LEP
patients include:
Medication … reconciliation
Patient discharge
Informed consent
Emergency department care
Surgical care
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
January 01, 2013 - 1,000 patient days)
Reductions in staff turnover rates
Increased teamwork and communication
Improved medication … reconciliation
72% to 88% at admission
53% to 89% at discharge
Increase in employee satisfaction rates … safety in our participating facilities
Areas of clinical focus are pressure ulcers, pain management, medication
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - Use a reconciled medication list to discuss the purpose of each medicine, how much to take, how to take … Review a reconciled medication list with the patient and family
Hospital identifies one person: Nurse … ; identifying roles and responsibilities for medication reconciliation; collecting data to measure progress … administered throughout the hospital stay, and reconcile medication lists at discharge. … For example, various medication reconciliation approaches have shown promise in improving clinical outcomes
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - follow-up
Inaccurate and incomplete medical history
Ineffective or improper use of medications or serious medication … Situations
Emergency Department (ED)
OB/GYN
Surgery
Transitions in care, including intake and discharge
Medication … reconciliation
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
Limited English
Proficiency &
TeamSTEPPS
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - Use a reconciled medication list to
discuss the purpose of each medicine, how much to take,
how to take … • Review a reconciled medication list with the patient and family Hospital identifies one person: … administered throughout the hospital stay, and reconcile
medication lists at discharge. … ; identifying roles
and responsibilities for
medication reconciliation;
collecting data to measure … For example, various medication reconciliation approaches have shown promise in
improving clinical outcomes
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - , teach-back, medication reconciliation; such services may exist for some
patients but not others or … optimization, education, reconciliation
Use “teach-back” to improve patient/caregiver understanding … reconciliation efforts] • [community mobile crisis teams]
• [whole‐person needs assessment] • [behavioral … is indicated, use [medication, dose, route; medication, dose, route]. … Do not use [medication
route].
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-final508.pdf
April 01, 2018 - reconciliation based on
the complete and accurate list. … This strategy can help you conduct medication reconciliation based on a complete and
accurate list of … Safety of medication use in primary care. … Frequency of medication errors in primary care
patients with polypharmacy. … Safety of medication use in primary care.
-
pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - communication with the patient or family is important, such as intake, transitions in care, discharge, and medication … reconciliation, LEP patients may need additional support to maintain safety.
… Examples include asking patients to tell how they will take their medication when they get home or how
-
pbrn.ahrq.gov/sites/default/files/docs/page/N2.pdf
October 31, 2017 - regarding participants’
demographics, dermatological symptoms, comorbidities,
health care utilization, medication … Northwestern University and Access Community
Health Network Medication Education Study
(NAMES). … A three-arm cohort study funded by NIH
evaluating two primary care-based medication
management strategies … that leverage EHRs to
promote patient understanding, medication
reconciliation and adherence, and
-
pbrn.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - Improved medication reconciliation at patient admission from 72% to 88% and at discharge from 53% to … training during neonatal resuscitation in a simulated environment:
Nurses who challenged a scripted medication
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
November 19, 2008 - communication with the patient or family is
important, such as intake, transitions in care, discharge, and
medication … reconciliation, LEP patients may need additional
support to maintain safety. … Examples include asking patients to tell how they will take their
medication when they get home or
-
pbrn.ahrq.gov/sites/default/files/docs/AHRQ-PBRN-Webinar-EHR-Functionality-for-PC-022814.pdf
February 28, 2014 - one patient
list for outreach
• Comprehensive care – record vitals; record
smoking status; med reconciliation
-
pbrn.ahrq.gov/sites/default/files/docs/page/MOSAIC.pdf
May 01, 2015 - of the proposed MU Stage 3 objectives for care coordination
in diverse practice settings, including reconciliation … Medication management
transactions and errors in family
medicine offices: a pilot study. … Visit the CCPC Web site for a full list of
projects, including:
Reducing Adverse Self-medication … Adults with
Hypertension: CCPC is collaborating with
UConn School of Nursing to reduce
adverse self-medication
-
pbrn.ahrq.gov/policymakers/hrqa99c.html
October 01, 2014 - percent from each interim installment for direct graduate medical education paid under paragraph (1). (3) RECONCILIATION
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - with or without pertinent ancillary in-home services
(e.g. respiratory therapy in the home; pharmacy reconciliation
-
pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - communication with the patient or family is important, such as intake, transitions in care, discharge, and medication … reconciliation, LEP patients may need additional support to maintain safety.
… Examples include asking patients to tell how they will take their medication when they get home or how