Medication errors

QualityTools

Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) Toolkit 12/16/13

The goal of MARQUIS (Multi-Center Medication Reconciliation Quality Improvement Study) is to develop better ways for medications to be prescribed, documented, and reconciled accurately and safely at times of care transitions when patients enter and leave the hospital. This study, which was funded by the Agency for Healthcare Research and Quality, has produced a set of medication reconciliation tools to reduce medication errors that frequently occur during care transitions.

The...

Medication Safety Tools 11/19/13

These three online resources funded by the Agency for Healthcare Research and Quality (AHRQ) and developed by the Institute for Safe Medication Practices (ISMP) can help community pharmacies and outpatient settings improve medication safety and protect patients from the adverse effects of medication errors.

The following tools are available:

  • High-Alert Medications Consumer Leaflets are patient education checklists developed during a study of...
ADOPT Toolkit 12/11/12

This Web site, for health care providers, offers “how to” resources on using technology to assist care coordination and improve the independence of older adults. The guides range from planning and development to implementation and evaluation in the following four areas:

  • Remote patient monitoring
  • Medication optimization
  • Care transitions
  • Mobile health

The toolkits contain checklists, lessons learned, and other resources to help to...
The Patient-Centered Medical Home: A Resource Guide for Integrating Comprehensive Medication Management to Optimize Patient Outcomes (Second Edition) 03/13/12

This guide for payers, plans, provider groups, patient advocacy groups, and all medication therapy management service providers discusses the rationale for including comprehensive medication management services in integrated patient-centered care. It provides the key steps necessary to promote best practices and achieve meaningful quality improvements for patients, while reducing costs associated with poor quality outcomes. The guide focuses on the decisions surrounding the comprehensive...

Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation 12/07/11

This toolkit provides a step-by-step guide to improving the medication reconciliation process. It promotes a successful approach to medication management and reconciliation that emphasizes standardization of the process for doctors, nurses, and pharmacists within the facility to document and confirm a patient's home medication list on admission. It also emphasizes the need to clearly define roles and responsibilities of clinical staff.

The toolkit is based on the Medications at...

Medication Use Safety Training (MUST) for Seniors™ 03/03/11

The Medication Use Safety Training (MUST) for Seniors program is designed as an interactive, national initiative to promote safe and appropriate medicine use by enabling older adults to avoid medication misuse, recognize and manage common side effects, and improve medicine use knowledge, attitudes, and skills to avoid medication errors.

MUST for Seniors can be offered to community-based, ambulatory older adults. Older individuals and family caregivers are also encouraged to use...

Joint Commission 2011 National Patient Safety Goals 12/27/10

The purpose of the Joint Commission’s National Patient Safety Goals (NPSGs) is to promote specific improvements in patient safety. The goals highlight problematic areas in health care and describe evidence- and expert-based solutions to these problems. This tool reflects the revised NPSGs to reflect The Joint Commission’s continuing efforts to focus on topics that are of highest priority to patient safety and quality care.

Updates to implementation expectations are provided for...

MedWatch Safety Alerts 11/11/10

MedWatch is a free tool for providers and consumers that offers many ways to help them stay informed about the medical products they prescribe, use, or dispense every day. MedWatch provides safety alerts directly to users through the channel they select, such as mobile text messages or e-mail. Safety messages cover human drugs, medical devices, vaccines and other biologics, dietary supplements, and cosmetics.

Subscription is required. Standard text messaging rates apply for...

Improving Medication Safety in Community Pharmacy: Assessing Risk and Opportunities for Change 09/08/10

This manual is designed to help community pharmacy personnel identify potential medication safety risks and prevent errors. Pharmacists can use the materials and tools in this manual to pinpoint specific areas of weakness in their medication delivery systems and to provide a starting point for successful organizational improvements.

The goals of this manual are to:

  • Raise awareness of error-prone processes in the medication delivery system
  • Build awareness of risk...
Adverse Event Reporting System (AERS) 06/08/10

The Adverse Event Reporting System (AERS) is a computerized information database designed to support the U.S. Food and Drug Administration (FDA) postmarketing safety surveillance program for all approved drug and therapeutic biologic products. The FDA uses AERS to monitor for new adverse events and medication errors that might occur with these marketed products.

Reporting of adverse events from the point of care is voluntary in the United States. Health care professionals and...

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