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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Help stop the widespread problem of medication errors among the elderly The problem of medication errors among the elderly is widespread. Improving Medication Management in Home Care: Issues and Solutions tackles this tough issue by closely examining the challenges faced in preventing medication errors in home and community care program settings and putting forth effective solutions to better manage medication use. Respected experts discuss the unique role of the pharmacist in improving patient safety, presenting a comprehensive collection of evidence-based studies featuring national and international viewpoints, cutting-edge interventions, and cost-effective procedures that address medication problems in older adults. Polypharmacy is the term used for patients receiving too many medications for a specific treatment. The implications for drug-drug interactions can be dangerous for the unaware patient. Improving Medication Management in Home Care: Issues and Solutions focuses on several different effective management programs and examines each in detail, completely explaining the positiveand negativeresults. This hands-on practical information is useful for all professionals and field providers working with older adults and their medication concerns. The book also provides valuable lessons through the experiences of national home health leaders in various settingshospital-based, rural, large or small, etc., as well as community-based programs for dually eligable older adults. The book is extensively referenced and includes an abundance of clear, helpful tables, figures, and Web resources. Improving Medication Management in Home Care: Issues and Solutions explores: developing computerized risk assessment screenings implementing pharmacist-centered interventions improving transitional care from hospital to home the Prescription Intervention and Lifelong Learning (PILL) program Medication Therapy Management Services a quality-improvement project to reduce falls and improve medication management outcome-based quality improvement for patient safety intern programs that can provide cost-effective consultant services Improving Medication Management in Home Care: Issues and Solutions is essential reading for home health care administrators, clinicians, managers, pharmacists, physicians, educators, students, those professionals involved in the field of aging, and health practitioners world-wide.
Help stop the widespread problem of medication errors among the elderly The problem of medication errors among the elderly is widespread. Improving Medication Management in Home Care: Issues and Solutions tackles this tough issue by closely examining the challenges faced in preventing medication errors in home and community care program settings and putting forth effective solutions to better manage medication use. Respected experts discuss the unique role of the pharmacist in improving patient safety, presenting a comprehensive collection of evidence-based studies featuring national and international viewpoints, cutting-edge interventions, and cost-effective procedures that address medication problems in older adults. Polypharmacy is the term used for patients receiving too many medications for a specific treatment. The implications for drug-drug interactions can be dangerous for the unaware patient. Improving Medication Management in Home Care: Issues and Solutions focuses on several different effective management programs and examines each in detail, completely explaining the positive—and negative—results. This hands-on practical information is useful for all professionals and field providers working with older adults and their medication concerns. The book also provides valuable lessons through the experiences of national home health leaders in various settings—hospital-based, rural, large or small, etc., as well as community-based programs for dually eligable older adults. The book is extensively referenced and includes an abundance of clear, helpful tables, figures, and Web resources. Improving Medication Management in Home Care: Issues and Solutions explores: developing computerized risk assessment screenings implementing pharmacist-centered interventions improving transitional care from hospital to home the Prescription Intervention and Lifelong Learning (PILL) program Medication Therapy Management Services a quality-improvement project to reduce falls and improve medication management outcome-based quality improvement for patient safety intern programs that can provide cost-effective consultant services Improving Medication Management in Home Care: Issues and Solutions is essential reading for home health care administrators, clinicians, managers, pharmacists, physicians, educators, students, those professionals involved in the field of aging, and health practitioners world-wide.
Written especially for nurses in all disciplines and health care settings, this second edition of The Nurses's Role in Medication Safety focuses on the hands-on role nurses play in the delivery of care and their unique opportunity and responsibility to identify potential medication safety issues. Reflecting the contributions of several dozen nurses who provided new and updated content, this book includes strategies, examples, and advice on how to: * Develop effective medication reconciliation processes * Identify and address causes of medication errors * Encourage the reporting of medication errors in a safe and just culture * Apply human factors solutions to medication management issues and the implementation of programs to reduce medication errors * Use technology (such as smart pumps and computerized provider order entry) to improve medication safety * Recognize the special issues of medication safety in disciplines such as obstetrics, pediatrics, geriatrics, and oncology and within program settings beyond large urban hospitals, including long term care, behavioral health care, critical access hospitals, and ambulatory care and office-based surgery
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Read this book in order to learn: Why medicines often fail to produce the desired result and how such failures can be avoided How to think about drug product safety and effectiveness How the main participants in a medications use system can improve outcomes and how professional and personal values, attitudes, and ethical reasoning fit into
In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation's quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the seriesâ€"To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)â€"this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors.
With the advent of the new pharmaceutical practice paradigm, critical changes are occurring in pharmacy education and practice. Pharmaceutical Care Practice is authored by the key leaders in the development of this new practice model, which features an increased focus on patient-oriented care. This book explains these changes in comprehensive detail. This text provides all the implementation strategies in step-by-step detail to operate in this new environment. Its versatility and depth enable it to be used as a basis for improvements in the pharmacy curriculum and throughout clinical practice.
The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned with detecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidence and analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.