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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - for Improving Antibiotic Use
AHRQ Pub. … Use
Two measures of
monthly antibiotic use (by antibiotic)
1. … Days of antibiotic therapy
2. … 7
Antibiotic Starts
Count number of new antibiotics courses started in the facility in each month … New admissions on antibiotics should be included as a new antibiotic start
This is to capture total antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - 3
The Four Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics … Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics? … infection that requires antibiotics? … infection that requires antibiotics? … infection that requires antibiotics?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Antibiotic Stewardship FAQs
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI … Would it be useful for LTC facilities to assess local antibiotic resistance patterns in their facility … For example, if you think the antibiotic use is just a reflex or habit, you might bring up the concept … Overuse of antibiotics can be harmful to you and makes them less effective later when antibiotics really … Provide them with additional resources and materials, such as the “When Do You Need an Antibiotic?”
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-one-pager.pdf
September 01, 2022 - Do you have any allergies to any antibiotics? Which antibiotics?
2. What was the reaction? … How soon after taking the antibiotic did the reaction occur?
3. … Have you been able to take other antibiotics? Which ones? … Document antibiotics he/she tolerated previously in the chart.
5. … Rash that appeared at least 2 days after the
antibiotic started.
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www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
June 01, 2021 - Changing the System To Improve Antibiotic Safety
After viewing or presenting this presentation … Changing the System To Improve Antibiotic Safety – Slides (PPTX, 4.3 MB)
Changing the System To Improve … Antibiotic Safety – Facilitator Guide (DOCX, 2.3 MB)
Learning From Antibiotic-Associated Adverse
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www.ahrq.gov/antibiotic-use/acute-care/improve/team-review.html
November 01, 2019 - Team Antibiotic Review Form
Team Antibiotic Review Form (DOCX)
Completion Guide for Team … Antibiotic Review Form (PDF)
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www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
June 01, 2021 - Improving Antibiotic Use Is a Patient Safety Issue
After viewing or presenting this presentation … viewers will be able to—
Discuss the potential harms associated with antibiotic use. … Improving Antibiotic Use Is a Patient Safety Issue – Slides (PPTX, 6.7 MB)
Improving Antibiotic Use
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www.ahrq.gov/antibiotic-use/long-term-care/improve/communicate-prescribers.html
June 01, 2021 - Communicating Infectious Concerns With Antibiotic Prescribers
After viewing or presenting this … Recognize that SBAR can support the role of nurses as advocates for antibiotic stewardship. … Communicating Infectious Concerns With Antibiotic Prescribers – Slides (PPTX, 11 MB)
Communicating … Infectious Concerns With Antibiotic Prescribers – Facilitator Guide (DOCX, 3 MB)
Communicating … Infectious Concerns With Antibiotic Prescribers – Video (21 minutes)
The link below is intended
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - Penicillin Allergies and Other Side Effects of Antibiotic Use
After viewing or presenting this … Approach to Residents With Reported Penicillin Allergy (PDF, 230 KB)
One-Page Document – Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - hives and itching after the first dose of antibiotics. … Slide 10
Common Antibiotics Used to Treat UTIs
SAY:
Now that we have some idea of which antibiotic … The first column lists the antibiotics. … It’s the same for antibiotics. … antibiotics to decide what antibiotic options there are when the microbiology report returns.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-transcript.html
December 01, 2017 - , as well as majority of antibiotics being in our food sources, as well as many antibiotics, when not … of antibiotics being produced by big pharma companies are really being reduced. … In the 1980's, there were 16 new antibiotics released. … This is just an example of how prescribing antibiotics should be standardized from an empiric antibiotic … This is an example of treating anti- using antibiotics in urinary tract infections.
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www.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
June 01, 2021 - Change
A decision on an intervention should be informed by input from frontline staff and the antibiotic … The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … The Monthly Data Collection Form can help track antibiotic use, urine cultures, and Clostridioides … Staff Safety Assessment Form (DOCX, 330.3 KB)
Learning From Antibiotic-Associated Adverse Events Form
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
November 01, 2019 - Ask, “Does my patient have an
infection that requires antibiotics?” … Ask, “Have I ordered appropriate
cultures before starting antibiotics? … Moment 3 occurs on every subsequent day of antibiotic
therapy. … Ask three questions, “Can I stop antibiotics? Can I
narrow therapy? … The
prescriber should ask, “Can I stop antibiotics?
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www.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
September 01, 2021 - Improve Your Stewardship Program
Presentations and tools to help a nursing facility develop an antibiotic … use, read the Implementation Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB … Developing an Antibiotic Stewardship Program (presentation)
Tracking and Measuring Antibiotic Use ( … communication about the potential risks and benefits to antibiotic use. … your antibiotic stewardship program and continue to build on your team’s successes.
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/downloads.html
November 01, 2019 - The Four Moments of Antibiotic Decision Making Posters and Screen Saver
Four Moments Poster
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www.ahrq.gov/antibiotic-use/acute-care/improve/microbiology-lab.html
November 01, 2019 - How Can Your Antibiotic Stewardship Program Collaborate With The Clinical Microbiology Laboratory … work with the microbiology laboratory to—
Develop antibiograms
Implement selective reporting of antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/safety/patient-safety.html
November 01, 2019 - Making the Case That Improving Antibiotic Use is a Patient Safety Issue
After viewing or presenting … this presentation viewers will be able to—
Explain the potential harm associated with antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue
Sustaining Stewardship Activities
Acute Care
AHRQ … Safety Program for Improving Antibiotic Use
AHRQ Pub. … Stewardship
1
Objectives
Review the goals of an antibiotic stewardship program in the first 1–2 years … antibiotic stewardship committee meeting at least quarterly
4
AHRQ Safety Program for Improving Antibiotic … Clinicians understand the importance of and continue to perform a daily “time out” for patients receiving antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - an infection that requires antibiotics? … flora may become resistant to commonly used antibiotics over time. … Differences exist, however, in the dosing of antibiotics. … to guide the selection of effective antibiotics. … Most cases of uncomplicated cystitis can be treated with 3 to 5 days of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - As a reminder, Moment 1 asks: Does my patient have
an infection that requires antibiotics? … antibiotics?” … It is important to remember that even
if antibiotics for suspected VAP are initiated, antibiotic
decisions … appropriate
cultures before starting antibiotics? … Ask: Can I stop antibiotics?