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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Because antibiograms provide information on local susceptibility patterns, they may help to improve the … provides background information that may be useful to the medical director in preparing staff to use antibiograms … Sample antibiograms and suggested instructions are provided in tool 4. … Antibiograms should be shared with all health care providers who may prescribe antibiotics for residents … Update the antibiogram. Updating the antibiogram annually will help maintain its value.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.docx
May 01, 2014 - Implementation
Training Slides for Prescribing Clinicians
[PRINT OUT COPIES OF THE VIGNETTES AND ANTIBIOGRAMS … Slide 5
Background: Antibiograms
SAY:
What is an antibiogram? … Slide 6
Sample Antibiogram
[PASS OUT COPIES OF THE ANTIBIOGRAM.] … SAY:
As you can see, of the cultures used to make the antibiograms, the most common were urine/wound/ … Antibiograms are most applicable when selecting antibiotics to treat urinary tract infections (UTIs)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
May 01, 2014 - No. 14-0023-5-EF
[Print out copies of the vignettes and antibiograms for all participants. … *
Background: Antibiograms
An antibiogram is a tool to provide clinicians with local microbiologic … Hospitals have used antibiograms to:
Identify important local resistance patterns. … the antibiograms,
XX % were urine cultures. … Antibiograms are most applicable when selecting antibiotics to treat urinary tract infections (UTIs)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 1- Checklist for Discussion With Local Hospitals and
Providers … Including Emergency Departments – Page 2 of 2
Comprehensive Antibiogram Toolkit: Phase 1
Checklist … This department is often involved in developing antibiograms for the hospital. … treat patients with infectious diseases and may have important clinical input regarding use of the antibiograms … Yes
No
Consider asking for a copy of the hospital’s antibiogram.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T2-Sample_Data_Request_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Data Request
Date
Dear Clinical Laboratory Microbiology … Director:
I am following up on our discussion about creating an antibiogram for [NURSING HOME NAME]. … By extending the time on the antibiogram, we will be able to generate a larger sample size. … When creating antibiograms, guidelines recommend only using a single organism per resident, so that residents … We do not wish to have distinct antibiograms or specific results for each sample type, but would like
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.pdf
October 01, 2016 - antibiogram is very helpful. … If the antibiogram is faxed to
clinicians, a fax-ready format will be needed. … Include the antibiogram in staff and clinician training. … Distribution Planning for an Antibiogram
1. … Include the antibiogram in staff and clinician training.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
October 01, 2016 - If your lab
cannot provide an antibiogram, the Concise Antibiogram Toolkit and the Comprehensive Antibiogram … These discussions should cover the lab’s capacity to
produce antibiograms that meet the nursing home … Make an agreement with the lab to create an antibiogram, if needed
Most labs will provide an antibiogram … Establish the specifications for the antibiogram
The lab should create the antibiogram in accordance … Establish the specifications for the antibiogram
4. Specify the format of the antibiogram
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T1-Sample_Letter_of_Agreement_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Letter of Agreement
Date
Name
Address of Laboratory … RE:
Developing an Antibiogram for [NURSING HOME NAME]
Dear [insert name]:
For several years, antibiogram … in hospitals to address the issue of appropriate antibiotic use; nursing homes are now implementing antibiograms … The output of the antibiogram created using either method will display the antimicrobial sensitivities … culture results to create our own antibiogram.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures
[NURSING HOME NAME]
[DATE]
Purpose and … Scope
This procedure covers the use of an antibiogram at [NURSING HOME NAME]. … The use of antibiograms can help reduce inappropriate prescribing and lead to fewer clinical failures … Development of the initial and subsequent antibiograms
2. … Attach the antibiogram, training materials, and quality-improvement tracking documents.]
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Nursing homes can also use the antibiogram to monitor antimicrobial stewardship and provide feedback … The Concise Antibiogram toolkit (Using Nursing Home Antibiograms to Choose the Right Antibiotic) provides … guidance and tools to help a nursing home create its own antibiogram based on lab results. … The Comprehensive Antibiogram toolkit (The Nursing Home Antibiogram Program Toolkit: How to Develop … and Implement an Antibiogram Program) provides detailed and comprehensive information and tools for
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T3-Checklist_for_Discussion_with_Local_Hospitals_Providers_ERs_Phase_1.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … This
department is often involved in developing antibiograms
for the hospital. … treat patients with infectious diseases and may have
important clinical input regarding use of the antibiograms … Ask if the hospital will post a copy of the antibiogram
with other similar clinical information ( … Consider asking for a copy of the hospital’s antibiogram.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.docx
October 01, 2016 - If your lab cannot provide an antibiogram, the Concise Antibiogram Toolkit and the Comprehensive Antibiogram … These discussions should cover the lab’s capacity to produce antibiograms that meet the nursing home’ … Make an agreement with the lab to create an antibiogram, if needed
Most labs will provide an antibiogram … Establish the specifications for the antibiogram
The lab should create the antibiogram in accordance … Specify the format of the antibiogram
Talk with lab staff about the possible formats for the antibiogram
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram … The use of antibiograms can help reduce inappropriate
prescribing and lead to fewer clinical failures … Development of the initial and subsequent antibiograms
2. … Monitoring the use of the antibiogram
Documentation
[List any documents that will be used. … Attach the antibiogram, training materials, and quality-improvement
tracking documents.]