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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/ahcptemplen.pdf
February 14, 2013 - What are my medicine allergies?
REMEMBER you are allergic to [list medicine allergies].
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/ahcptemplen.docx
January 31, 2013 - What are my medicine allergies?
REMEMBER you are allergic to [list medicine allergies].
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ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/medicine-list.html
October 01, 2022 - Return to Contents
Step 2: Enter Personal Information and the Date
At the top, enter your name, your allergies … someone else, use the name of the person whose medicines will be on the My Medicines List and their allergies … medicines may include vitamins, herbals, supplements, cold or cough medicines, aspirin, pain relievers, allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-table-1-tech-specs.pdf
March 09, 2018 - rescaled Q18b and
Q18c
care
IE2c Drug allergies … child was in
hospital, got written hospital stay
summary at discharge)
Q18d (list of “child’s
allergies … ”, not drug allergies
specifically)
Q18e
Q18f
Q18g
Q19
Q20
Q25 (Last time child was in
hospital … between visits to look
up information about child’s visits
and care)
Q23d (list of “child’s
allergies … ”, not drug allergies
specifically)
Q23e
Q23f
Q23g
Q24 (Hospital stay summary
easy to understand
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/supplemental-providertype-cgcahps-adult-2357-10a.docx
September 22, 2017 - Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/ahcptemplen.pdf
February 14, 2013 - What are my medicine allergies?
REMEMBER you are allergic to [list medicine allergies].
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/ahcptemplen.docx
January 31, 2013 - What are my medicine allergies?
REMEMBER you are allergic to [list medicine allergies].
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-data-collection-form.pdf
May 21, 2019 - resource referral
Reminded to smoke outside/away from child
Other
None/not documented
21b Other
Allergies … 22 Has the patient been diagnosed with environmental Yes
allergies? … Unknown
22a Is the patient currently taking medications Yes
(prescribed or OTC) for environmental allergies … Medications
Lung Function Testing
Asthma Education and Self-Management
Tobacco Use Assessment
Allergies
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ce.effectivehealthcare.ahrq.gov/questions/resources/diagnosis/information.html
November 01, 2020 - http://www.mlanet.org/resources/userguide.html#1
Top of Page
Specific Diseases and Conditions
Allergies … Parkinson's Disease Rare Diseases and Disorders Skin Diseases Sleep Disorders Stroke Urologic Diseases
Allergies … Publications
Allergies
National Institute of Allergies and Infectious Diseases https://www.niaid.nih.gov
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-one-pager.pdf
September 01, 2022 - indicated9-11
Oral first-generation cephalosporin: cephalexin or cefadroxil (can use for nonsevere PCN allergy … )
Amoxicillin-clavulanate (also recommended for animal or human bites)
Severe PCN allergy: doxycycline
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh24.html
April 01, 2018 - First glucose level after surgery
Postop fluid
Numeric
Liters of Fluid 24 hrs PostOp
Abx allergy … Numeric
1 if Hx of abx allergy…0 if not
Trach
Numeric
1 if patient had tracheotomy…0 if not
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-slides.pptx
September 01, 2022 - Beta-lactam plus a macrolide
Preferred beta-lactams: amoxicillin-clavulanate
Nonsevere beta-lactam allergy … Doxycycline can be used as alternative to a macrolide
Moxifloxacin or levofloxacin (monotherapy): if severe allergy … amoxicillin; amoxicillin-clavulanate if amoxicillin received in previous 30 days8
Nonsevere penicillin allergy … : cefuroxime or cefpodoxime
Severe penicillin allergy: respiratory fluoroquinolone or macrolide
Mycoplasma
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - For patients with severe penicillin allergy, consider the
use of aztreonam, ciprofloxacin, or levofloxacin … If a
patient has a severe penicillin allergy, consider a
respiratory fluoroquinolone such as levofloxacin … If a patient has a severe penicillin allergy, consider a
respiratory fluoroquinolone such as levofloxacin … Moxifloxacin can be considered for these low-risk
patients if they have serious penicillin allergies
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Word_simplified_one_page.doc
August 26, 2016 - Specify____________________________________________
· No
· Yes
Medication Allergies.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-1-tables-1-2.pdf
September 24, 2018 - Facial Plastic Surgery 207YS0123X
Plastic Surgery within the Head and Neck 207YX0007X
Otolaryngic Allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 04, 2013 - Medications administered
• Forms that need to be completed (e.g., admission, patient intake, vaccination, allergy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - _______________
Pertinent medical history:
Previous abdominal surgeries/Cesarean section (Yes/No)
Allergies … (Yes/No)-If Yes, then list allergy and reaction
Group B strep status (Positive/Negative/Unknown)
Fetal … No)
Consent signed & on chart (Yes/No)
Fetal tracing status (Category I/Category II/Category III)
Allergies … Yes/No)
Cord blood collection (Yes/No)
Fetal tracing status (Category I/Category II/Category III)
Allergies … __________
Pertinent medical history:
Previous abdominal surgeries/cesarean section:
|_| Yes
|_| No
Allergies
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - recent amoxicillin use or concurrent conjunctivitis10-13
First-line treatment in setting of penicillin allergy … Nonsevere allergy: Second- or third-generation cephalosporins
Severe allergy: Levofloxacin
14
Otitis
-
ce.effectivehealthcare.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
June 01, 2021 - Infections
Clostridioides difficile Infections
Sepsis
Bacteremia
Penicillin Allergies … Practices in the Diagnosis and Treatment of Bacteremia
Approach to Patients Reporting Penicillin Allergies
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.docx
February 10, 2011 - Medications administered
Forms that need to be completed (e.g., admission, patient intake, vaccination, allergy