Patient/medication safety

QualityTools

Pathways to Safer Opioid Use 08/31/16

Pathways to Safer Opioid Use is an immersive, interactive training tool that was designed using the opioid-related recommendations outlined in the National Action Plan for Adverse Drug Event Prevention (ADE Action Plan). The training uses the principles of health literacy and a multimodal, team-based approach to promote the appropriate, safe, and effective use of opioids to manage chronic pain in the primary care setting.

The goal of this simulation is to demonstrate best practices in...

Implementation of a Medication Therapy Management Intervention in Ambulatory Care Settings: Experiences and Lessons Learned From the MyRx Pilot 08/31/16
This case study represents the collective work of the Medication Therapy Management Learning Community (MTM LC), a quality improvement initiative sponsored by the Agency for Healthcare Research and Quality (AHRQ) Health Care Innovations Exchange. The document distills the expertise, knowledge, and experiences of the members of the MTM LC. The MTM LC built upon a previous innovation called the...
Interagency Guideline on Prescribing Opioids for Pain 01/13/16

The Interagency Guideline on Prescribing Opioids for Pain offers a balanced approach to pain management that includes recommendations for using opioids when appropriate. This is an updated version of the 2010 guideline. The 2015 guideline expands its focus to include opioid use in acute, subacute, and perioperative pain phases and in special populations. It also includes sections on tapering and opioid use disorder. This guideline followed a rigorous and transparent development process and...

Opioid Overdose Toolkit 01/13/16

The Opioid Overdose Toolkit provides communities and local governments with material to develop policies and practices to help prevent opioid-related overdoses and deaths. This toolkit contains resources and information for first responders, prescribers, patients, family members, and those who are recovering from opioid overdose. 

The toolkit includes the following sections:

  • Facts for community members
  • Five essential steps for first responders
  • ...
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit 09/04/15

This toolkit is based on experience gained in the Medication Evaluation and Drug Use Problem Identification to Improve Safety in High Risk Medicare Beneficiaries (MEDIS-MB) study. The toolkit has two goals: to describe the medication therapy management (MTM) program assessed in the MEDIS-MB study, and to provide experience and tools used in the assessment. Two groups can benefit from using the toolkit: researchers who are evaluating MTM programs, and MTM service providers who need tools for...

Guidance for Control of Carbapenem-Resistant Enterobacteriaceae 07/14/14

This toolkit was developed by the Centers for Disease Control and Prevention (CDC) to help health care facilities protect patients from carbapenem-resistant Enterobacteriaceae (CRE) and to prevent transmission of CRE. Expanding on 2009 CDC recommendations, the toolkit offers prevention strategies for acute and long-term care facilities, as well as regional prevention strategies for health departments. It includes measures based on history of identified CRE (none, rare, or common).
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Strategies for Managing Alarm Fatigue 06/05/14

Strategies for Managing Alarm Fatigue is a clinical toolkit that provides evidence-based strategies, resources, best practices, and change implementation tools for reducing the impact of environmental alarms, thereby improving patient safety and increasing workplace effectiveness.

Alarm fatigue materials include the following:

  • Managing Alarm Fatigue: New Approaches and Best Practices
  • American Association of Critical-Care Nurses practice alert: Alarm...
Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit 06/04/14

Leaders in infectious disease and infection control, as well as those concerned with patient safety and performance improvement, can use the carbapenem-resistant Enterobacteriaceae (CRE) control and prevention toolkit to develop interventions to control CRE.

The toolkit is organized into seven sections:

  1. Assessing your readiness for change
  2. Starting your project
  3. Putting your intervention into practice
  4. Implementing best practices
  5. ...
Prehospital Medical Information System 05/21/14

The Prehospital Medical Information System (PreMIS) is a State-mandated, Internet-based emergency medical services (EMS) information system that collects data on each EMS call report made within the States of Mississippi, North Carolina, South Carolina, and West Virginia. Submitted data provide hospitals and EMS administrators the capability to evaluate EMS patient care and system performance.

The PreMIS Web page includes video instructions and patient handoff forms. Although...

AHRQ Common Formats 04/24/14

The Common Formats, authorized by the Patient Safety and Quality Improvement Act of 2005, facilitate Patient Safety Organization (PSO) collection of patient safety work product from health care providers in a standardized manner. Use of these forms will assure consistency of reporting among PSOs as they begin to aggregate patient safety event information. The formats are being used by health care providers and PSOs to report a comprehensive range of patient safety concerns, capturing both...

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