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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
September 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Slides
AHRQ Safety Program for Improving Antibiotic Use … Sustaining Antibiotic Stewardship Efforts
AHRQ Safety Program for Improving Antibiotic Use
Ambulatory … Step four: Determine how to access antibiotic prescription data. … Step seven: Monitor and report back antibiotic prescription data to practice. … After this period, ongoing antibiotic stewardship efforts are needed to continue to observe optimal antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Every course of antibiotics carries these risks—and nursing home residents get a lot of antibiotics each … We are learning when to give antibiotics and when to withhold antibiotics.
6
Antibiotic Use in LTC … use of antibiotics.
7
Fighting Back Against Antibiotic Resistance1
Infection prevention IS antibiotic … Improving antibiotic prescribing
Bacteria are constantly evolving, requiring the need for new antibiotics … become resistant to antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - for Improving Antibiotic Use
AHRQ Pub. … Forgetting to order needed cultures or diagnostic studies
Prescribing antibiotics for too long
Forgetting … to stop antibiotics when they are not needed
Accidentally miscounting days of therapy during transitions … She is placed on intravenous antibiotics for pyelonephritis and admitted to the hospital. … 10
Describe the next patient scenario for which antibiotics may not be prescribed optimally.
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www.ahrq.gov/topics/antimicrobial-stewardship.html
use by getting residents the right antibiotics when they need them. … Toolkit To Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics : This toolkit … toolkit helps residents and their family members understand what the nursing home is doing to make sure antibiotics … are used properly, what the risks of taking antibiotics are, and what they can do to be engaged in decisions … Telemedicine-Based Antimicrobial Stewardship Program Improves Prescribing, Reduces Bacterial Resistance to Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - of antibiotics is not entirely benign! … one antibiotic during their hospital stay.1
Approximately 30-50% of antibiotics hospitalized patients … Use – Patient Safety Issue
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
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Antibiotics … Care
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Antibiotics & Clostridiodes difficile
Antibiotics can increase the risk of Clostridiodes difficile … The Infectious Diseases Society of America’s 10 x ’20 Initiative (Ten new systemic antibacterial agents
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - Program for Improving Antibiotic Use
AHRQ Pub. … have risks and may cause harm
The Importance of Antibiotics
3
Patient Safety
3
5
Antibiotic … Patient Safety
5
6
Antibiotics Alter the Bacteria in the Gut4
Susceptible Bugs
Resistant Bugs
Antibiotic … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy?
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www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
July 01, 2022 - stewardship programs—coordinated internal programs that promote the appropriate use of antibiotics. … "Antibiotics save lives—but we must use them judiciously to reduce the chance of resistance and ensure … resistance developing in microbes, rendering antibiotics useless against them. … The Four Moments of Antibiotic Decision Making are the critical time periods to assess the need for antibiotics … ; clinicians can use the framework whenever antibiotics are being considered for treatment.
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www.ahrq.gov/news/newsletters/e-newsletter/811.html
April 01, 2022 - Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse
Issue Number
811 … Today's Headlines:
Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse . … Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse
Hospitals that reviewed patients … ’ use of antibiotics before discharge had less antibiotic overuse, AHRQ-supported research found. … stewardship strategies, including establishing an antibiotic stewardship team and reviewing antibiotics
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www.ahrq.gov/antibiotic-use/ambulatory-care/index.html
October 01, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care
Welcome to the Toolkit To Improve Antibiotic … The Ambulatory Care Toolkit explains the Four Moments of Antibiotic Decision Making and has tools to … the Four Moments framework for all patients receiving antibiotics
Improve antibiotic prescribing … prescribing” and “Apply the Four Moments framework for all patients receiving antibiotics.” … allergies,” and “Apply the Four Moments framework for all patients receiving antibiotics.”
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - from the pharmacy to the patient Invest in machines that can house certain antibiotics on the unit … 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? … The patient had a favorable response to diuresis so it is reasonable to stop his antibiotics.
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
October 01, 2022 - One-Page Document provides a brief summary of approaches to improve communication with patients about antibiotics … The Antibiotics: When Do you Need Them? … Patient Brochure (in English and Spanish) can be provided to patients and families to explain why antibiotics … Document (PDF, 181 KB)
Antibiotics: When Do You Need Them? … Patient Brochure (English) (DOCX, 318 KB)
Antibiotics: When Do You Need Them?
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www.ahrq.gov/antibiotic-use/acute-care/index.html
October 01, 2022 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
AHRQ Toolkit for Improving Antibiotic … Welcome to the Toolkit To Improve Antibiotic Use in Acute Care Hospitals. … and treatment of infectious syndromes
Apply the Four Moments framework for all patients receiving antibiotics … Improve antibiotic prescribing
Antibiotic Stewardship Programs: it is recommended that you … treatment of infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics
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www.ahrq.gov/news/toolkit-improve-antibiotic-prescribing.html
July 01, 2021 - New Toolkit To Help Long-Term Care Facilities Improve Antibiotic Prescribing
AHRQ's new Toolkit … To Improve Antibiotic Use in Long-Term Care offers a step-by-step approach to help facilities start … or revitalize an antibiotic stewardship program. … to help prescribers make decisions about antibiotic therapy. … stewardship teams to ensure antibiotics are used judiciously to prevent harm and keep residents safe
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
March 01, 2017 - When Do You Need An Antibiotic?
When Do You
Need An
Antibiotic? … What is “antibiotic resistance”? … to the antibiotic. … That’s why it’s
best to use an antibiotic only when it’s absolutely necessary. … Don’t take an antibiotic for a virus (cold or flu).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - ☐ Yes
☐ No
☐ N/A
➕Do your facility guidelines provide recommendations about specific antibiotics? … Consider
➕Is there is a formal procedure for all clinicians to review the appropriateness of all antibiotics … there a process for intravenous to oral conversion of antibiotics in the pharmacy? … ☐ Yes
☐ No
➕Are activities conducted by the ASP to target antibiotics commonly associated with C. … any culture or susceptibility results as a strategy to assist prescribers in selecting appropriate antibiotics
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-2-slides.html
February 01, 2019 - Slide 7: Antibiotic Use in LTC Facilities 6-9
Antibiotics are frequently used in long-term care … Antibiotics can cause harm to residents
High risk of side effects and adverse events. … Bacteria are constantly evolving, requiring the need for new antibiotics. … Antibiotics for Urinary Tract Infections in Older People (AGS) . 2013 Consumer Reports. … Antibiotics for Urinary Tract Infections in Older People (AGS) . 2013 Consumer Reports.
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www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - the benefits and risks of antibiotic use and be engaged in reducing harm associated with antibiotic … Teamwork Around Antibiotic Decision Making
Identifying Targets for Improvement in Antibiotic Decision … Around Antibiotic Prescribing
Tools
The tools below are designed to be used to assist the Antibiotic … prescribing and takes action when harm related to antibiotics is detected. … Antibiotic Use Commitment Poster (DOCX)
Antibiotic Time Out Tool (DOCX)
Identifying Antibiotic–Associated
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - of antibiotics optimized. … An antibiotic time out allows providers
or teams to review their patients on antibiotics to
determine … if the antibiotics are needed or if they could
be modified at a designated time each day. … ASPs
should direct them to focus on specific antibiotics that
for which use can be decreased. … An
example might be, “Helping patients receive the right
antibiotics when they need them.”
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Pharyngitis – Slides
AHRQ Safety Program for Improving Antibiotic … that requires antibiotics? … Four Moments of Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics … that requires antibiotics? … that requires antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Sinusitis – Slides
AHRQ Safety Program for Improving Antibiotic … Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … that requires antibiotics?