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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-10.html
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Medications … The Joint Commission National Patient Safety Goal 03.06.01:
To accurately and completely reconcile medications
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www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
August 01, 2017 - investigator labeled this barrier as “access to medications.” … Therefore, the concept “access to medications” was chosen as a better reflection of the data. … medications. … , and poor communication with the PCP regarding discharge medications. … ISMP list of high-alert medications in community/ambulatory health care .
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/references.html
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Medications … Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: an analysis of medication … Association of ICU or hospital admission with unintentional discontinuation of medications for chronic
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apd.pdf
December 10, 2013 - 2
Agree
3
Strongly Agree
4
Don’t Know
9
The next set of statements is about your baby’s medications … Did your baby go home with medications? … The day we left the hospital, I had all my baby’s medications. … When we left the hospital, I understood what each of my baby’s medications was for. … Don’t Know
9
18.When we left the hospital, I understood the side effects of each of my baby’s medications
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/debrief-emergency-dept-guide.pdf
August 31, 2023 - • Pharmacist Mario prepared medications (Task Assistance). … • Pharmacist Mario and Nurse Chris communicated clearly about medications given, so there was
good
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - complications can be attributed to discharge planning
problems, such as:
• Changes or discrepancies in medications … before and
after discharge3,4
• Inadequate preparation for patient and family related
to medications … Review medications
3. Highlight warning signs and problems
4. Explain test results
5. … Review medications. … Because this involves medications, we assume it
would be a clinician — nurse, doctor, or
pharmacist
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Changes or discrepancies in medications before and
after discharge[endnoteRef:3],[endnoteRef:4] [3: … Inadequate preparation for patient and family related to medications, danger signs, or lifestyle changes3,4 … Review medications
3. Highlight warning signs and problems
4. Explain test results
5. … Review medications. … Because this involves medications, we assume it would be a clinician — nurse, doctor, or pharmacist.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
April 10, 2018 - Another clinician pointed out, “When patients are asked whether they’re taking any other medications, … But when they bring in their medications, you find all of these medications from specialists that significantly … One patient stated, “I brought all my medications to him, and I brought in every one of them. … So I can take them when I can get the best benefit out of my medications. … Then she finally brought in her medications and I saw she was taking it and I was so glad.
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www.cpsi.ahrq.gov/cpi/about/otherwebsites/uspstf/index.html
June 01, 2021 - recommendations about clinical preventive services such as screening tests, counseling services, and preventive medications … recommendations about clinical preventive services such as screenings, counseling services, or preventive medications
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
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Medications … Develop/redesign a medication reconciliation process, including identification of a single list of medications
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www.cpsi.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - Effective communication regarding medications has been shown to promote
medication adherence in the … Discrepancies
in the use of medications: their extent and predictors
in an outpatient practice. … Self-
reported adherence to antiretroviral medications
among participants in HIV clinical trials: the … Misunderstanding of asthma controller medications:
association with nonadherence. … Communication
regarding medications in a public hospital
anticoagulation clinic [in press].
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
April 10, 2018 - Another clinician pointed out, “When patients are asked whether they’re taking any other medications, … But when they bring in their medications, you find all of these medications from specialists that significantly … One patient stated, “I brought all my medications to him, and I brought in every one of them. … So I can take them when I can get the best benefit out of my medications. … Then she finally brought in her medications and I saw she was taking it and I was so glad.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.docx
January 01, 2010 - Changes or discrepancies in medications before and
after discharge[endnoteRef:3],[endnoteRef:4] [3: … Inadequate preparation for patient and family related to medications, danger signs, or lifestyle changes3,4 … Review medications
3. Highlight warning signs and problems
4. Explain test results
5.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - complications can be attributed to discharge planning
problems, such as:
• Changes or discrepancies in medications … before and
after discharge3,4
• Inadequate preparation for patient and family related
to medications … Review medications
3. Highlight warning signs and problems
4. Explain test results
5.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
January 01, 2004 - These materials include specifc medications and immunizations, breastfeeding or specialized
bottle feeding … The PHR
should identify and explain all of the infant’s diagnoses, procedures, medications, and appointments … ■ Explains each of the most frequent medical conditions, procedures, and prescribed medications
that … ■ May include pictures of needed medications and how to administer them, a description of what
the … medications are for, and signs and symptoms of adverse effects
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - Medication packaging
• The names of many medications are similar. … • Different medications look alike.
• The packaging of many medications is
similar. … • Nurses are interrupted while administering
medications to perform other duties. … Thus, it does not directly address errors in prescribing or dispensing medications. … Nurses and the administration of
medications. Clin Nurs Res 1997;6(3):253–74.
9.
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - These materials include specific medications and immunizations, breastfeeding or specialized bottle feeding … The PHR should identify and explain all of the infant's diagnoses, procedures, medications, and appointments … Explains each of the most frequent medical conditions, procedures, and prescribed medications that are … May include pictures of needed medications and how to administer them, a description of what the medications … Clinical materials on care, treatment, and development include the following:
Medications.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
January 01, 2015 - woman with longstanding HIV never hospitalized in past; hospitalized for pneumonia, started on HIV medications … whether a patient needed a pharmacy intervention, needed a place to live, or couldn’t afford their medications … HIV viral load
Lives with mother – unaware of her HIV
At discharge:
Discharged on new anti-retroviral medications … -75)
Majority had a PCP; cited ED gave more tests, quicker answers
Most reported no problem filling medications
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
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