-
digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2011
January 01, 2011 - ear- in children arise from physicians' lack of awareness of national guidelines on judicious use of antibiotics … and the overuse of antibiotics in OM treatment.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-converting-electronic
June 01, 2007 - quality indicators showed statistically significant changes (% of pneumonia patients receiving initial antibiotic
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digital.ahrq.gov/type-care/obstetrics-and-gynecology
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017042_forrest_pdf_3.pdf
January 01, 2011 - ear— in
children arise from physicians’ lack of awareness of national guidelines on judicious use of antibiotics … and the overuse of antibiotics in OM treatment.
-
digital.ahrq.gov/sites/default/files/docs/page/Strom.ppt
May 28, 2005 - Inpatient Medication
Errors Leading to Acute Renal Failure
(Harold Feldman, MD, MSCE—PI)
To evaluate antibiotic … of ARF (defined by elevations in serum creatinine) occurring among patients receiving aminoglycoside antibiotics … Difficult to know/see all meds 28.5 25.4 46.1
Due to COE not DC’d meds 48.6 29.0 22.4
Due to COE delay antibiotic … QUALITATIVE SUMMARY OUTCOMES -1
Sometimes serious delays were caused because of the re-approval process for antibiotics
-
digital.ahrq.gov/sites/default/files/docs/20070719%20A%20National%20Web%20Conference%20on%20Smart%20Forms%20and%20Quality%20Dashboards.pdf
July 19, 2007 - Further, we then provide treatment decision support, recommending appropriate antibiotics. … That's
a little bit narrow versus broad spectrum antibiotics. … The dashboard shows 50 percent of broad spectrum antibiotics with ARI use. … The outcome here is antibiotic use, and we stratified it by those
antibiotic appropriate diagnoses - … And in non-antibiotic appropriate diagnoses, antibiotic use was lower -- 15%
compared to 26%.
-
digital.ahrq.gov/sites/default/files/docs/HIT_and_Quality_062310_comp.pdf
June 23, 2010 - Gender Measures
Female 5
Male 0
Both 57
13
“Extra” Qualifying Conditions
• Antibiotic … is blank or
listed means there is no query
given/done) data at all)
Acute Bronchitis All 116 ANTIBIOTIC … AND CL.AB.ABX IS NULL 4120F
Cases CL.AB.ABX is NULL
Acute Bronchitis All 116 ANTIBIOTIC AND CL.AB.ABX … IS NOT NULL 4120F-1P
Cases CL.AB.ABX is not
NULL
Acute Bronchitis All 116 NO ANTIBIOTIC 4124F … Cases
• Patient is eligible
• One of many antibiotics is, or is not, prescribed within 3
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/errors-associated-applying
January 01, 2006 - Purpose of Study: investigate whether fixed default suggestions for initial dosing of aminoglycoside antibiotics
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digital.ahrq.gov/sites/default/files/docs/page/medication-turnaround-time-quick-reference-guide.pdf
May 01, 2009 - For example, delays in
therapeutic or prophylactic administration of
antibiotics can have a major effect … rehabilitation unit
(p=.008).2 In a study comparing two hospitals,
researchers found that first doses of antibiotics … The
timing of prophylactic administration of
antibiotics and the risk of surgical wound
infection
-
digital.ahrq.gov/sites/default/files/docs/AQAWebConfPresentation%20(1).pdf
July 01, 2010 - TECHNOLOGY (RHIT) AHRQ GRANT
• Performance Indicators:
– Community-Acquired Pneumonia
• Initial antibiotic … receiving within 4 hours of hospital
arrival
• Antibiotic timing (median)
• Initial antibiotic selection
-
digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/events/national-web-conference-use-clinical-decision-support-improve-medication-management
January 01, 2023 - the implementation of an EHR-based CDS application at the point of care on appropriate prescribing of antibiotics
-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
September 30, 2009 - Antiarrhythnmics
7 Antibiotic
4.01 Cephalosporins
4.02 Clindamycin
4.03 Macrolides
4.04 … Misc. antibiotics
4.05 Ophthalamic preps
4.06 Otic Preps
4.07 Penicillin or derivative
4.08
-
digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - to the unit, medical service, and
mortality) in patients, when the suggestions of a
computerized antibiotic … A
computer assisted management program for
antibiotics and other antiinfective agents.
-
digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - The patient is
initiated on antibiotic therapy to treat
a presumed urinary tract infection. … She is not notified of the
antibiotic ordered the previous
evening by the covering physician. … interaction was not
recognized.
• Primary care physician was not aware that
a new medication (the antibiotic … drug-drug interaction alert for a drug the patient was no
longer taking (for example, a short course of antibiotics
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - Infarction (AMI) and Community Acquired Pneumonia (CAP) final measures
AMI CAP
Aspirin at Arrival Initial Antibiotic … Within 4 hrs of Arrival
Beta Blocker at Arrival Initial Antibiotic Selection
EKG Within 10 minutes … acquired pneumonia measures (goal > 90%)
MEASURE
FINAL
EASTERN WA
FINAL
WESTERN WA
Initial Antibiotic … within 4 Hrs of Hospital arrival 98% 98%
Initial Antibiotic Selection 99% 99%
Oxygenation Assessment
-
digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
January 01, 2023 - areas of research Evaluate attempts to change clinical practice and behavior, such as efforts to reduce antibiotic
-
digital.ahrq.gov/sites/default/files/docs/page/BASOW_AHRQ.pdf
October 01, 2012 - termination
Order approvals
Free-text order parsing
Documentation aids
Expert Systems
Antibiotic … Severe labile
HTN
Diltiazem Stop diltiazem
add atenolol
Community
acquired
pneumonia
IV antibiotics … Oral antibiotics
Diastolic heart
failure
Furosemide,
isosorbide,
hydralazine
Stop
hydralazine
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
January 01, 2009 - amnionitis
Health Care Delivery System & Practice
Patient Safety
Allergic reaction to
antibiotics … Inappropriate
administration of
antibiotics for GBS
negative women
Ecoli sepsis of neonate
Structure … GBS screening
Antibiotic therapy in Labor
According to this model, structure (that is … All patients known to have a positive GBS screen received antibiotic treatment in labor. … Whereas,
92% of patients without documented GBS status did not receive antibiotics in labor even though
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digital.ahrq.gov/sites/default/files/docs/biblio/Poon.ppt
August 01, 2006 - Appropriate antibiotic prescribing.
- What is an antibiotic?
- What is appropriate?