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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Moment One is, “Does my patient have an infection that requires antibiotics?” … Whether or not antibiotics are indicated, provide suggestions for symptomatic therapy. … that antibiotics don’t help and may cause bad side effects.” … those for which antibiotics are always indicated, sometimes indicated, and never indicated. … ” and “sometimes antibiotic” diagnoses who receive antibiotics could be evaluated to understand if there
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preventiveservices.ahrq.gov/hai/carb/index.html
May 01, 2022 - The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described … supports this National Action Plan in three ways:
Funding research on infection prevention, combating antibiotic … resistance, and finding new ways to improve the use of antibiotics. … This work is part of AHRQ’s Healthcare-Associated Infections Program, which focuses on improving antibiotic … Every infection prevented is one less instance of antibiotic use, and using fewer antibiotics significantly
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
September 01, 2022 - expenditures occurring in outpatients in the United States1
30% of all antibiotics prescribed in the … infection that requires antibiotics? … If antibiotics are indicated, what is the narrowest, safest, and shortest regimen I can prescribe?
… You wrote 2 prescriptions out of 20 acute respiratory infection cases that did not warrant antibiotics … Reducing inappropriate antibiotics prescribing: the role of online commentary on physical examination
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - Making
Does my patient have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy? … clinical response
Appropriate source control preferred
Patient needs to be able to take and absorb oral antibiotics … Cefepime vs other antibacterial agents for the treatment of Enterobacter species bacteremia.
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preventiveservices.ahrq.gov/antibiotic-use/ambulatory-care/improve/implementing-stewardship.html
September 01, 2022 - Prescribing
Implementing Antibiotic Stewardship
Improving Communication
Sustaining … Establish an Antibiotic Stewardship Team. … Garner support from other members of the practice for implementing antibiotic stewardship activities. … Identify sources of antibiotic prescription data and develop effective approaches to feedback antibiotic … Implementing Antibiotic Stewardship in Your Practice – Slides (PPTX, 3 MB)
Implementing Antibiotic
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preventiveservices.ahrq.gov/antibiotic-use/ambulatory-care/improve/communication.html
September 01, 2022 - Careers
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Antibiotic … Prescribing
Implementing Antibiotic Stewardship
Improving Communication
Sustaining … Improving Communication Between Members of the Practice Around Antibiotic Decisions – Slides (PPTX, … 4 MB)
Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator … https://www.ahrq.gov/antibiotic-use/ambulatory-care/improve/communication.html
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/improve/index.html
June 01, 2021 - Stewardship Program (Part 1)
Antibiotic Stewardship Program (Part 2)
Effective Behavior … Safety Program for Improving Antibiotic Use. … Antibiotic Stewardship Program Development (Part 1)
Antibiotic Stewardship Program Development (Part … The Role of the Bedside Nurse in Antibiotic Stewardship Interventions
How Can Your Antibiotic Stewardship … All ASPs should be making daily interventions to improve antibiotic use; the Team Antibiotic Review Form
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
November 01, 2019 - Careers
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Antibiotic … SHARE:
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Antibiotic … recommendations for Gram-negative and Gram-positive bacteremia
Discuss opportunities for de-escalation of antibiotic … therapy for bacteremia
Discuss reasonable durations of antibiotic therapy for common organisms causing … https://www.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/diagnosis/sepsis.html
November 01, 2019 - Careers
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Antibiotic … SHARE:
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Antibiotic … of sepsis
Describe approaches to empiric treatment of sepsis
Recognize when to stop and narrow antibiotic … https://www.ahrq.gov/antibiotic-use/acute-care/diagnosis/sepsis.html
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/diagnosis/gastro.html
November 01, 2019 - Careers
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Antibiotic … SHARE:
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Antibiotic … approach to the diagnosis of diverticulitis and biliary tract infections
Identify options for empiric antibiotic … importance of source control in the management of intra-abdominal infections
Identify options for antibiotic … https://www.ahrq.gov/antibiotic-use/acute-care/diagnosis/gastro.html
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/diagnosis/cellulitis.html
November 01, 2019 - Careers
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Antibiotic … SHARE:
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Antibiotic … therapy for skin abscesses
Discuss opportunities for de-escalation of antibiotic therapy for cellulitis …
Discuss reasonable durations of antibiotic therapy for cellulitis
Slides (PPTX)
Facilitator … https://www.ahrq.gov/antibiotic-use/acute-care/diagnosis/cellulitis.html
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-discussion-guide.docx
September 01, 2022 - Communicating with Patients and Families Around Antibiotic Decisions – Practice Discussion Guide
During … What approaches should the practice consider to improve communication with patients when antibiotics … are requested for conditions for which antibiotics are not indicated? … Are there common scenarios where antibiotics are frequently requested for which the practice should develop … scripts for why antibiotics are not indicated?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - 4
The Four Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics … antibiotics? … 18
The Four Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics … courses into
practice
Order sets with preset antibiotic durations
Evaluation of need for oral antibiotics … cultures are obtained and source control followed by a short course of antibiotics
Avoid prolonged antibiotic
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-slides.pptx
November 01, 2019 - infection that requires antibiotics? … for Improving Antibiotic Use – Acute Care
Sepsis
Sepsis: Antibiotic Timing
Antibiotics should be … infection that requires antibiotics? … .
21
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Sepsis
Narrowing Antibiotics … have an infection that requires antibiotics?
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preventiveservices.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and … The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic use. … use by getting residents the right antibiotics, when they need them. … to improving antibiotic use is making sure residents only receive antibiotics when they need them. … should be used or understand the risks associated with antibiotic use.
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preventiveservices.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - Home
Healthcare-Associated Infections Program
Funding HAI and Antibiotic … Improving the appropriate use of antibiotics, including promoting antibiotic stewardship. … AHRQ funding is available for research on HAI prevention and combating antibiotic-resistant bacteria. … Two grants are available:
Large Research Projects for Combating Antibiotic-Resistant Bacteria (CARB … November 2021
Page originally created April 2019
Internet Citation: Funding HAI and Antibiotic
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
November 01, 2019 - my patient have an infection that requires antibiotics? … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … have an infection that requires antibiotics? … have an infection that requires antibiotics? … have an infection that requires antibiotics?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Moment 2: Have I ordered appropriate cultures
before starting antibiotics? … have an infection
that requires antibiotics? … two is: Have I ordered appropriate
cultures before starting antibiotics? … and Commentary Slide Number and Slide
Sepsis: Antibiotic Timing
SAY:
Antibiotics should be given … Patients in the
procalcitonin arm received 1.2 days fewer
antibiotics, although overall antibiotic
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/improve/program-part1.html
November 01, 2019 - Careers
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Antibiotic … SHARE:
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Antibiotic … Acute Care Hospital Toolkit
Four Moments
Develop and Improve Stewardship Program
Antibiotic … Stewardship Program (Part 1)
Antibiotic Stewardship Program (Part 2)
Effective Behavior … https://www.ahrq.gov/antibiotic-use/acute-care/improve/program-part1.html
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - as patients who did receive antibiotics (in blue). … have an infection that
requires antibiotics? … appropriate cultures
before starting antibiotics? … Ask
yourself: Can I stop antibiotics? … or no
antibiotics.