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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/active-surveillance-using
June 01, 2006 - Chicago, IL Intervention: Identified a list of triggers based on abnormal lab test results, high risk medications … and antidote medications and performed manual chart reviews on 8% of the patients for whom there was
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digital.ahrq.gov/principal-investigator/benziger-catherine
January 01, 2025 - Effective CDS for use in a Large Rural Health System
The impact of stimulant medications … The impact of stimulant medications on blood pressure and body mass index in children with ADHD.
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digital.ahrq.gov/principal-investigator/kharbanda-elyse
January 01, 2025 - Effective CDS for use in a Large Rural Health System
The impact of stimulant medications … The impact of stimulant medications on blood pressure and body mass index in children with ADHD.
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digital.ahrq.gov/sites/default/files/docs/activity/rxsafe__shared_medication_management_and_decision_2010_pdf__2.pdf
January 01, 2010 - The patient focus is on community-dwelling persons with chronic
conditions on multiple medications. … integrate information for providers involved in prescribing, dispensing, administering,
or monitoring medications … The classifier completed its demonstration phase and began classifying medications automatically using … that nurses, pharmacists, and physicians
used different categorization schemes when thinking about medications … Finally, no publicly-available standard for classifying medications
is in use, and this is a major barrier
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digital.ahrq.gov/sites/default/files/docs/page/09-0023-EF_bcma_0.pdf
December 01, 2008 - in a typical
hospital have medications labeled at the level of the unit-dose.12 In an effort to increase … Implementation Considerations
Need to Repackage Medications
The FDA ruled that drug manufacturers must … However, there are still instances in which facilities have to barcode medications
themselves, such … as: in cases of incompatibility with hospital scanners; cases where
medications were received without … the barcode (despite the mandate); or in instances in
which medications have to be re-packaged into
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - in a typical
hospital have medications labeled at the level of the unit-dose.12 In an effort to … Implementation Considerations
Need to Repackage Medications
The FDA ruled that drug manufacturers … must put linear barcodes on their medications at
the level of the unit dose.
13
This mandate has … However, there are still instances in which facilities have to barcode medications
themselves, such … the barcode (despite the mandate); or in instances in
which medications have to be re-packaged into
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies
January 01, 2023 - To increase the use of generic medications, practices typically allow pharmacists to substitute generic … medications when brand medications are prescribed.
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
January 01, 2009 - 1998
– Safer prescribing for the elderly
• Peterson, Arch Intern Med 2005
– Guiding use of high-risk medications … II meds
Controlling costs - promise
• Large potential savings from prescribing
less expensive medications … 2005)
– Therapeutic substitution (Fischer, JAMA 2004)
• Improved adherence for patients started
on medications … – Elimination of need for two separate systems
(i.e., e-prescribing for legend medications and
paper … for controlled medications)
Security Requirements
The U.S.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-guideline-driven-computer
January 01, 1995 - Outcomes: Documentation of essential findings and aftercare instructions, appropriate use of tests and medications … Healthcare Utilization: No significant changes in the appropriateness of diagnostic tests and/or medications
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digital.ahrq.gov/sites/default/files/docs/page/Medication%20Reconciliation%20Summary%20Final.pdf
February 01, 2010 - providers and
pharmacists to gather a complete and accurate list of a patient’s prescribed and home medications … at the point
of care
� Increase patient and clinician
knowledge and communication
about current medications … medication history and dosages in chronological order similar to an online
“flowsheet,” (3) group medications … resistance or skepticism of the
medication list’s accuracy, specialists performing reconciliation for medications … medication standards, and
interoperability specifications are needed to facilitate reconciling of medications
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0051-ef-medication-reconciliation.pdf
February 01, 2010 - providers and
pharmacists to gather a complete and accurate list of a patient’s prescribed and home medications … at the point
of care
� Increase patient and clinician
knowledge and communication
about current medications … medication history and dosages in chronological order similar to an online
“flowsheet,” (3) group medications … resistance or skepticism of the
medication list’s accuracy, specialists performing reconciliation for medications … medication standards, and
interoperability specifications are needed to facilitate reconciling of medications
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017102-gorman-final-report-2011.pdf
January 01, 2011 - Clinicians used different categories when thinking about
medications, depending on their task being … Management of medications in these settings is a distributed process. … In other cases, we observed that medications in a list had been rearranged and indentured in
groups, … In these cases, the order of medications in the list had been
modified, with indentation suggesting … Pharmacy students sorted medications according to indication but with a subtle
difference – pairing
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014928-gorman-final-report-2008.pdf
January 01, 2008 - 2
Abstract
Purpose: Our goal was to get clinicians on the same page about their patients’ medications … When discontinued medications remain on the list being
used to administer medications the potential … Direct users in the residential facility use RxSafe to clarify medications when patients return
from … Surgeons use the RxSafe lists to
order post-surgery discharge medications, and admitting physicians … , and a method for flagging duplicate medications in RxSafe to decrease effort.
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-it-improve-medication-safety-rural-elders
January 01, 2023 - who are at greater risk for medication-related problems because of advanced age, frailty, high-risk medications … information about the patient's condition, medical history, services provided in other settings, or medications … information for patients, clinicians, pharmacists, and nurses who prescribe, dispense, or administer medications … medication errors and adverse effects by eliminating interactions, duplications, and inappropriate medications … Yet administering medications properly to patients in long-term care facilities is fraught with challenges
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digital.ahrq.gov/sites/default/files/docs/activity/medication_reconciliation_to_improve_quality_of_transitional_care_2010_pdf__2.pdf
January 01, 2010 - Providers are surveyed before and after the intervention
regarding satisfaction with care, managing medications … , and usefulness of local information systems in
managing medications. … technical
changes to the application, including a necessary performance enhancement to speed entry of medications … survey to ask physicians about satisfaction with
local tools and resources for managing inpatient medications … , ease of managing medications, and accuracy
of medication lists as noted in medical records.
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digital.ahrq.gov/ahrq-funded-projects/understanding-cancelrx-impact-clinical-workflows-medication-safety-risks-and
January 01, 2023 - to a pharmacy that a prescription has been discontinued has not existed, resulting in discontinued medications … available to be dispensed to the patient, risking medication errors if the patient continues to take those medications … when prescriptions are reconciled from outside sources, or when a patient reports that they are taking medications … what was provided to them via the CancelRx standard, including the intent of the provider, a change in medications … Adoption of CancelRx and expanding its functionality to include medications from outside the EHR could
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting
January 01, 2023 - Despite being removed from the EHR, these medications remain on the pharmacy’s list and can be dispensed … system, and assessed the effectiveness of decreasing ADEs by reducing the dispensing of discontinued medications … The team found that before the implementation of CancelRx, only 34 percent of medications that were canceled … Busy staff often overlook this notification step and, despite being removed from the EHR, medications … pressure pharmacists can feel as the “last line of defense” to detect and identify errors for patient medications
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023844-federman-final-report-2017.pdf
January 01, 2017 - Many wanted the purpose of
medications stated. … Many patients said the AVS often listed incorrect or unfamiliar diagnoses or medications. … They
said listed medications were often discontinued or were for short term use and no longer used. … The inaccuracies caused
confusion for some patients about their health and medications. … Many clinicians wanted the purposes of medications and referrals added to the AVS.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease/annual-summary/2012
January 01, 2012 - However, these medications are associated with life-threatening infections and lymphoma. … challenge of treating Crohn’s disease is identifying patients who will develop severe disease and need medications
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems
January 01, 2023 - Project Description
Publications
The use of indication alerts for medications … The specific aims of the research were as follows: Implement a set of 30-50 indication alerts for medications … Two healthcare organizations participated: New York Presbyterian (NYP) with 86 study medications and … Northwestern Medicine (NM) with 206 study medications.