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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - The “Never Antibiotics” Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold – Slides … that requires antibiotics? … We are being more careful about only prescribing antibiotics when you really need them.” … that requires antibiotics? … care and receipt of antibiotics.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-slides.html
December 01, 2017 - medicine actually discovers or uses them
Antibiotics have societal impacts
Pressure from antibiotic … Slide 32
Antibiotic Stewardship in the ICU
Novel Antibiotic Development
1980’s: 16 new antibiotics … released
1990’s: 10 new antibiotics released
2000’s: 5 new antibiotics released
2008-2012: ONLY … 1 new antibiotic developed! … Stewardship in the ICU
Prescribing Antibiotics
Day 1: Empiric Antibiotics:
Based on disease and
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making … Second , what empiric antibiotics should be started? … Can we stop antibiotics? Can we narrow therapy? Can we change to oral antibiotics? … If the resident is getting an intravenous antibiotic, can they get an oral antibiotic instead? … The Four Moments of Antibiotic Decision Making Review Form and Guide
The Antibiotic Stewardship Team
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-2.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making Questions
AHRQ Pub. … Moment 1: Does my patient have an infection that requires
antibiotics … Moment 3: If antibiotics are indicated, what is the narrowest,
safest, and shortest regimen I can prescribe
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - of bacteria that cannot be treated with the
antibiotics you have been taking. … [Optional: Insert specific information about the bacteria found,
the culture site, and which antibiotics … Antibiotics are drugs that kill bacteria that cause infections. … When the bacteria are resistant to many antibiotics, they are called
“multidrug-resistant organisms, … http://www.cdc.gov/drugresistance/about.html
FDA: Antibiotics and Antibiotic Resistance http://www.fda.gov
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-1.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making
AHRQ Pub. No. 17(22)-0030
September 2022
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
November 01, 2019 - Effective communication is a key skill to ensure best use
of antibiotics. … use and
preventing harm associated with antibiotics. … because the current
antibiotics are not working. … for all patients
being started on or already on antibiotics. … The prescriber should ask three questions:
“Can I stop antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.docx
October 01, 2016 - of bacteria that cannot be treated with the antibiotics you have been taking. … What Are Antibiotic-Resistant Bacteria? … Antibiotics are drugs that kill bacteria that cause infections. … When you take an antibiotic, a few of the bacteria may learn to “resist” the antibiotic and will not … ://www.cdc.gov/drugresistance/about.html
FDA: Antibiotics and Antibiotic Resistance http://www.fda.gov
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-residents.pdf
June 01, 2021 - Do I need an
antibiotic? … Question 2
Is this the right
antibiotic? … help
your doctor and
nurse know if an
antibiotic will work. … These should be
collected before
starting an antibiotic. … Question 2
Is this the right antibiotic?
Question 3 How long
do I need to be on antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
September 01, 2022 - Program for Improving Antibiotic Use
1
Best Practices in the Management of Patients with Antibiotic … allergies before prescribing antibiotics
· Recognize types of reactions to antibiotics commonly prescribed … A family history alone should not lead to avoidance of beta-lactam antibiotics or other classes of antibiotics … of antibiotic therapy. … Document what antibiotics she has reacted to and the type of reaction as well as antibiotics she has
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www.ahrq.gov/antibiotic-use/long-term-care/improve/program.html
June 01, 2021 - Developing an Antibiotic Stewardship Program
After viewing or presenting this presentation, … viewers will be able to—
Name the goals of antibiotic stewardship and why it is important in long-term … Describe the team members to include in an antibiotic stewardship program. … Discuss the potential interventions for antibiotic stewardship in the LTC setting. … Developing an Antibiotic Stewardship Program - Slides (PPTX, 2.6 MB)
Developing an Antibiotic Stewardship
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/cdi.html
November 01, 2019 - laboratory testing
Discuss management approaches for C. difficile infections (CDI)
Discuss the role of antibiotics
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www.ahrq.gov/antibiotic-use/long-term-care/improve/sustain.html
June 01, 2021 - Sustaining Your Antibiotic Stewardship Program
After viewing or presenting this presentation … Sustaining Your Antibiotic Stewardship Program – Slides (PPTX, 4.1 MB)
Sustaining Your Antibiotic
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic use. … will need a team of people to organize stewardship activities and monitor progress toward improving antibiotic … 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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title … Moments of Antibiotic Decision Making. … In this study, 96 percent of patients who were given an antibiotic prescription right away took antibiotics … antibiotics. … Slide 9
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 is: If antibiotics are indicated
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www.ahrq.gov/antibiotic-use/long-term-care/safety/targets.html
June 01, 2021 - Identifying Targets To Improve Antibiotic Use
After viewing or presenting this presentation … , viewers will be able to—
Identify opportunities to improve antibiotic prescribing. … Recognize opportunities to use the Four Moments of Antibiotic Decision Making framework to improve antibiotic … Identifying Targets To Improve Antibiotic Use – Slides (PPTX, 3.1 MB)
Identifying Targets To Improve … Antibiotic Use – Facilitator Guide (DOCX, 1.9 MB)
Staff Safety Assessment (DOCX, 330.3 KB)
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www.ahrq.gov/antibiotic-use/acute-care/safety/communication.html
November 01, 2019 - Improving Communication and Teamwork Around Antibiotic Decision Making
After viewing or presenting … how to improve communication with patients and families
Explain how to work as a team to improve antibiotic … prescribing using The Four Moments of Antibiotic Decision Making framework
Slides (PPTX)
Facilitator … Guide (PDF)
Team Antibiotic Review Form
Antibiotic Time Out Tool (DOCX)
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www.ahrq.gov/antibiotic-use/acute-care/safety/improve.html
November 01, 2019 - Identifying Targets for Improvement in Antibiotic Decision Making
After viewing or presenting … viewers will be able to—
Recognize how to differentiate technical and adaptive issues related to antibiotic … prescribing
Explain how to be proactive in asking staff about how the next patient may be harmed by antibiotic … concerns using the Four Moments of Antibiotic Decision Making framework
Slides (PPTX)
Facilitator … Guide (PDF)
Identifying Antibiotic–Associated Adverse Events Form (DOCX)
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www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
After viewing or presenting this presentation … viewers will be able to—
Identify relevant factors that could improve antibiotic use
Identify … interventions to reduce future harm associated with unnecessary antibiotic use
Apply interventions … to effectively address concerns related to antibiotic decision making
Slides (PPTX)
Facilitator … Guide (PDF)
Learning from Antibiotic–Associated Adverse Events Form (DOCX)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - Improving
Antibiotic Use
Completion Guide for the Four Moments of Antibiotic
Decision Making Form … ”
• Mark all supportive measures attempted prior to initiation of antibiotic use. … ”
• If the resident is not receiving antibiotics, mark “no.”
Question 6. … ”
• If the antibiotics will be continued, mark “no.”
Question 13. … Answer if the resident has been on antibiotics > 24 hours:
Question 12.