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American Geriatrics Society's Guide to the 2019 BEERS Criteria
This guide by the American Geriatrics Society is intended to improve care of older adults by reducing their exposure to potentially inappropriate medications
Adobe PDF    Date Added: 08/18/2021    Date Last Modified: Mar 18 2022 8:12AM  
Assessing Pain and Falls Risk in Residents With Cognitive Impairment
This article discusses the importance of thorough pain- and fall-risk assessments and how, when pain remains undiagnosed and uncontrolled, it can lead to a variety of adverse outcomes, including falls.
Web link    Date Added: 01/14/2015    Date Last Modified: Jan 14 2015 12:00AM  
Checklist for prescribing opioids for chronic pain
Download this one-page checklist from the Centers for Disease Control and Prevention (CDC), which lists what to consider and assess if prescribing opioids for chronic pain conditions.
Adobe PDF    Date Added: 06/28/2016    Date Last Modified: May 18 2022 8:18AM  
Checklist of Nonverbal Indicators of Chronic Pain in Elderly Residents
Based on a pain recognition study conducted by the authors of the article, "Assessing Pain and Falls Risk in Residents With Cognitive Impairment: Associated Problems With Overlooked Assessments," they developed a checklist that health care providers can use to identify nonverbal cues of chronic pain in elderly residents. The use of such an instrument may serve to better identify those cognitively impaired persons who may benefit from a pain management plan.
Adobe PDF    Date Added: 01/14/2015    Date Last Modified: Jan 14 2015 12:00AM  
Chronic Pain Management in Older Adults
Chronic pain is not a normal part of aging. Use this tool for ideas and techniques to manage chronic pain in older adults.
Adobe PDF    Date Added: 04/07/2021    Date Last Modified: Apr 7 2021 3:18PM  
CMS Adverse Drug Event Trigger Tool
This tool from the Centers for Medicare & Medicaid Services (CMS) is intended to assist facilities in identifying risk factors for adverse drug events and implementing programs to minimize such risks.
Adobe PDF    Date Added: 09/01/2021    Date Last Modified: Mar 16 2022 4:56PM  
Managing Chronic Pain in Older Adults: A Long-term Care Perspective
This article provides information on steps designed to help nurses and others determine the scope of pain as well as its causes and type which are listed on the American Association for Long Term Care Nursing Steps for Evaluating Chronic Pain Tip Sheet found on this library.
Web link    Date Added: 01/05/2014    Date Last Modified: Oct 29 2020 8:29AM  
Medication Safety in Nursing Homes Change Package
The TMF QIN-QIO developed this change package to assist LTC providers working directly with TMF QIN-QIO experts in improving medication safety and reducing adverse drug events, including opioid-related events. Note: Log in to your TMFNetworks.org account to access this change package.
Adobe PDF    Date Added: 06/25/2020    Date Last Modified: Jun 25 2020 2:35PM  
Medication Safety Mini-Toolkit
This mini-toolkit includes resources geared toward improving medication safety.
Adobe PDF    Date Added: 03/07/2022    Date Last Modified: Mar 7 2022 10:06AM  
Medications to Avoid in the Elderly, According to Beers List and STOPP Criteria
Many medications can cause adverse problems in older adults. Providers can use this list to help identify medications and their associated risks in the older adult population.
Adobe PDF    Date Added: 05/18/2020    Date Last Modified: Mar 24 2022 9:46AM  
Opioid Risks for Older Adults
Use this resource to understand the effects of opioids on the brain, body and everyday activities; and learn how to lower the risks of adverse effects if you have to take opioids.
Adobe PDF    Date Added: 10/08/2020    Date Last Modified: May 11 2022 1:43PM  
Pain as the 5th Vital Sign Toolkit
This toolkit has been prepared as a resource manual for use by Veterans Health Administration (VHA) managers and staff in implementing the VHA National Pain Management Strategy. It offers guidelines for the completion of comprehensive pain assessments.
Adobe PDF    Date Added: 01/13/2015    Date Last Modified: Jan 13 2015 12:00AM  
Pain Management Interventions for Elderly Patients With Hip Fracture
The Agency for Healthcare Research and Quality has posted a guide that summarizes findings from 83 clinical studies, published from 1990 through 2010, which detail what is known and not known on the issue of pain management for patients with hip fractures. The results are discussed in this guide.
Web link    Date Added: 01/13/2015    Date Last Modified: Jan 13 2015 12:00AM  
Podcast: Multimodial Pain Intervention
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute and Dr. Paul Milligan, a clinical pharmacist, as they discuss multimodal pain management.
Podcast    Date Added: 08/26/2020    Date Last Modified: Mar 24 2022 5:42PM  
Podcast: Opioid Induced Respiratory Depression
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute and Dr. Paul Milligan, a clinical pharmacist, as they discuss opioid-induced respiratory depression.
Podcast    Date Added: 08/26/2020    Date Last Modified: Mar 24 2022 10:00PM  
Podcast: Opioid Safety in Nursing Home Residents
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute and Dr. Paul Milligan, a clinical pharmacist, as they discuss discuss opioid safety in nursing home residents.
Podcast    Date Added: 08/26/2020    Date Last Modified: Mar 24 2022 10:01PM  
Preventing Medication Diversions in Nursing Homes
Watch this scenario on how the team identifies and addresses process gaps related to medication diversion concerns in their nursing home.
Video    Date Added: 11/15/2021    Date Last Modified: Nov 17 2021 2:13PM  
Psychoactive and Opioid Drug Reference Sheet for Minimum Data Set (MDS)
Download this list of medications for reference. Note, this list does not supersede obtaining consent where required.
Adobe PDF    Date Added: 02/24/2020    Date Last Modified: Oct 6 2021 6:20PM  
Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
In this resource, the Centers for Disease Control and Prevention (CDC) summarizes the CDC Guideline for Prescribing Opioids for Chronic Pain (CDC Guideline) and offers a quality improvement framework that allows health care systems and practice leaders to pick interventions best suited to the unique conditions in their practice and patient population.
Adobe PDF    Date Added: 05/23/2019    Date Last Modified: May 18 2022 8:07AM  
Steps for Evaluating Chronic Pain Tip Sheet
Use the Managing Chronic Pain in Older Adults: A Long-term Care Perspective article with this tip sheet published by the American Association for Long Term Care Nursing.
Adobe PDF    Date Added: 12/20/2019    Date Last Modified: Dec 20 2019 4:06PM  
STOPP START Tool to Support Medication Review
Older adults have a greater risk of adverse effects from their medications. This Screening Tool of Older Person’s inappropriate Prescriptions (STOPP) and Screening Tool to Alert to Right Treatment (START) guide helps identify potentially inappropriate medication and prescribing omissions for those on multiple medications.
Adobe PDF    Date Added: 08/18/2021    Date Last Modified: Mar 18 2022 8:06AM  
The Treatment Improvement Protocol (TIP) 63: Medications for Opioid Use Disorder
The Substance Abuse and Mental Health Services Administration (SAMHSA) published this guidance to help broaden healthcare professionals’ understanding of medications that can be used to treat Americans with opioid use disorder (OUD).
Web link    Date Added: 03/19/2018    Date Last Modified: Mar 19 2018 12:00AM  
Trigger Tool for Measuring Adverse Drug Events
This tool from the Institute for Healthcare Improvement provides instructions for conducting a retrospective review of patient records using triggers to identify possible adverse drug events. Log-in may be required to access information.
Web link    Date Added: 09/16/2021    Date Last Modified: Mar 18 2022 8:14AM  
La seguridad en el uso de medicamentos en los asilos de ancianos
TMF QIN-QIO preparó este paquete para facilitar el cambio a fin de ayudar a los proveedores de LTC, que trabajan directamente con los expertos de TMF QIN-QIO, a mejorar la seguridad en el uso de medicamentos y reducir los eventos adversos relacionados con la administración de los medicamentos, incluidos los eventos relacionados con la administración de los opioides. Nota: Inicie la sesión en su cuenta TMFNetworks.org para acceder a este paquete para facilitar el cambio.
Adobe PDF    Date Added: 12/02/2020    Date Last Modified: Oct 6 2021 6:25PM  
Paquete para facilitar el cambio: Mejorar la seguridad del paciente y prevenir los eventos adversos relacionados con la administración de los medicamentos, para Puerto Rico
La Red de Innovación de la Calidad de TMF, bajo contrato con los Centros de Servicios de Medicare y Medicaid, diseñó este paquete de cambios para proporcionar las estrategias para abordar los eventos adversos de medicamentos.
Adobe PDF    Date Added: 04/13/2021    Date Last Modified: Mar 18 2022 8:15AM