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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Indicate if mechanical bowel preparation or oral antibiotics (Check all that apply)
Slide 9: Normothermia … Slide 12: Prophylactic Antibiotics
Image: Sample form covering prophylactic antibiotics:
Did the … Indicate name of antibiotic 1
Indicate administration time for antibiotic 1
Indicate name of antibiotic … 2
Indicate administration time for antibiotic 2
Slide 13: Prophylactic Antibiotics
Did the … Image: Sample form covering prophylactic antibiotics:
Case duration.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - ☐ Establish and review antibiotic use protocols
☐ Monitor antibiotic use
☐ Track antibiotic use data … Is there is a formal procedure to review the appropriateness of all antibiotics 48–72 hours after … ☐ Yes
☐ No
Is there a process for intravenous to oral conversion of antibiotics in the pharmacy … Stewardship Team to target antibiotics commonly associated with Clostridioides difficile infection ( … any culture or susceptibility results as a strategy to assist prescribers in selecting appropriate antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Yes
No
Why We Have to Improve Antibiotic Use
Antibiotics are unlike any other drug, in that the use … We are running out of antibiotics.
We won’t get new ones soon. … departments for adverse events attributed to antibiotics.
1. … It’s to ensure that there are systems and support to help every provider use antibiotics optimally. … Overuse
Hospitalized patients are ill
Early, appropriate antibiotics are life saving
“Chagrin” factor
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - Sample Policy Letter
[NAME OF NURSING HOME]
RE: Antibiogram Policy
[DATE]
Antibiotics are among … Unnecessary prescribing practices by clinicians
and overuse of newer, broad-spectrum antibiotics when … clinical specimens sent for laboratory testing and the
susceptibility of each organism to an array of antibiotics … Use of antibiograms helps reduce
reliance on broad-spectrum antibiotics as initial therapy and leads … to fewer clinical failures of
antibiotics that are first prescribed.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - Working With a Lab To Improve Antibiotic Prescribing
Tool 5. … Sample Policy Letter
[NAME OF NURSING HOME]
RE: Antibiogram Policy
[DATE]
Antibiotics are among the most … Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Use of antibiograms helps reduce reliance on broad-spectrum antibiotics as initial therapy and leads … to fewer clinical failures of antibiotics that are first prescribed.
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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/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Moment 1: Does my patient have an infection that requires antibiotics? … While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … The resident likely did not need any antibiotics. … Can we stop antibiotics? Can we narrow therapy? … Antibiotics should have been re-evaluated and stopped early on in his course.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-guide.docx
September 01, 2022 - To temper expectations and ensure patients understand why the decision to not prescribe antibiotics might … If one clinician tends to always prescribe antibiotics for acute bronchitis, and a patient has had a … reaction to antibiotics, perhaps a reasonable comment is, "I am concerned that the patient had a reaction … How do you think we can ensure that our patients get antibiotics only when appropriate to make things … and think of conditions for which alternative antibiotics could be considered?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Influenza and RSV
Ambulatory Care
Slide Title … an infection that requires antibiotics? … Antibiotics will not help. … Slide 29
The Four Moments of Antibiotic Decision Making
SAY:
Let’s talk about Moment Three: If antibiotics … For RSV, antibiotics are not indicated.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - Slide 5
The Four Moments of Antibiotic Decision Making
SAY:
Let’s review our Four Moments of antibiotic … likely has an infection that requires antibiotics, let’s consider our second moment of antibiotic decision … stable within a few days after starting antibiotics. … Stopping antibiotics is not correct. … Prophylactic antibiotics can contribute to the development of antibiotic resistance and C. difficile
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
June 01, 2021 - diagnostic and treatment protocols for UTIs and respiratory tract infections that detailed recommended antibiotics … Showing data like this to prescribers, along with an evidence-based protocol with recommended antibiotics … The data also show how frequently he ordered a urine culture prior to initiating antibiotics for a UTI … These can be adapted from resources such as the Loeb minimum criteria for starting antibiotics, the revised … This can be helpful to monitor lengthy prescribing practices, but it doesn’t provide data on antibiotics
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit) … When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic … an infection during a certain time period—along with the susceptibility of each organism to various antibiotics … Because antibiograms provide information on local susceptibility patterns, they may improve the use of antibiotics … Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
June 10, 2014 - We’re fast running out of antibiotics and we’re not getting new antibiotics very soon, and we know that … We also know that antibiotics have side effects and if you give people antibiotics unnecessarily, you … We also know that improving the use of antibiotics can actually reduce antibiotic resistance. … Well, very simply, antibiotics stewardship is simply ensuring that every patient gets an antibiotic only … some of the risks of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease
Timeliness of Antibiotic … Preventive
antibiotics reduce the risk of life-threatening infections for children with SCD in this … Type of medication (antibiotic).
11.F. … However, prompt initiation of antibiotic prophylaxis in infants and consistent use of
antibiotics in … ; sometimes, they receive no antibiotics at all.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
May 01, 2014 - Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … *
Background: Antibiotic Prescribing
Antibiotics are frequently prescribed in nursing homes. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic.
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www.ahrq.gov/hai/hai-carb-funding.html
November 01, 2021 - Funding HAI and Antibiotic Resistance Research
AHRQ’s Healthcare-Associated Infections (HAI) … Health Care-Associated Infections: Road Map to Elimination and the research agenda of the Combating 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
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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/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - Not all respiratory tract infections need to be treated with an
antibiotic. … A cough alone is typically not treated with an antibiotic. … • Antibiotics are important for treating you when you definitely have an infection, but
unneeded antibiotics … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
you … Antibiotic resistance.
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
October 01, 2016 - Not all respiratory tract infections need to be treated with an antibiotic. … A cough alone is typically not treated with an antibiotic. … Antibiotics are important for treating you when you definitely have an infection, but unneeded antibiotics … Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you. … Antibiotic resistance.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … Clinicians should weigh the higher cure rate with antibiotics with the potential for antibiotic side … antibiotics. … All patients received antibiotics for 5 days.