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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - As a reminder, the Four Moments include:
Moment 1: Does my patient have an infection that
requires antibiotics … Moment 2: Have I ordered appropriate cultures
before starting antibiotics? … Can I stop
antibiotics? Can I narrow therapy or change from
intravenous to oral therapy? … Lower cutoffs may be considered if the patient has
received antibiotics before the culture was sent, … In addition to antibiotics, management of the
underlying associated process must also occur
whenever
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www.ahrq.gov/antibiotic-use/long-term-care/improve/discuss-family.html
June 01, 2021 - presenting this presentation, viewers will be able to—
Review how to discuss the potential harms of antibiotic … Address end-of-life care as it relates to antibiotic use. … Recognize supportive and comfort care measures for residents who are uncomfortable (which may not involve antibiotics … and Caregivers – Video/Audio (24 minutes)
Poster – Talking With Residents and Family Members About Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptx
June 01, 2021 - PowerPoint Presentation
Partnering With a Senior Executive
AHRQ Safety Program for Improving Antibiotic … No. 17(21)-0029
June 2021
AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Senior … Ability to impact structure for your antibiotic stewardship program. … Problem
Concerned family members who insist on antibiotics
Solution
A communication tool for nurses … to use to discuss antibiotics
Result
Situation is getting worse after 2 months
14
AHRQ Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
June 01, 2023 - Slide 1
Antibiotic and Mechanical Bowel Prep in the 1970s
The issue of mechanical bowel prep and oral … were combined with mechanical bowel prep in the absence of intravenous antibiotic prophylaxis. … Following this, most surgeons in Europe abandoned preoperative oral antibiotic regimens. … Slide 4
Antibiotic and Mechanical Bowel Prep in the 2000s
Subsequently, there have been a series of … antibiotic prophylaxis before incision.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
June 01, 2021 - Stewardship Program
Antibiotic Stewardship Policy
Template
Four Moments of Antibiotic Decision … Questions To Ask Your Doctor
or Nurse About Antibiotics Poster
Four Moments of Antibiotic Decision … Distribute and review the Delirium
cards
Display the Four Questions To Ask
Your Doctor or Nurse About
Antibiotics … Residents With Family
Members and
Caregivers
Talking With Residents and Family
Members About Antibiotics … using the Monthly Data Collection
Form
Review the Talking With Residents
and Family Members About
Antibiotics
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic … prescription and asymptomatic bacteriuria, which does not require antibiotics and should not be treated … clinicians explaining the form and its rationale (tool 2) ( PDF | Word ) Not All “Infections” Need Antibiotics … The handout Not All “Infections” Need Antibiotics (tool 3) also should be given to nurses. 1 American … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T4-Be_Smart_About_Antibiotics_Final.pdf
May 01, 2014 - Be Smart
About Antibiotics
Taking antibiotics when you don’t need them is like leaving the lights on … • Some patients and families think they are not getting good care
unless they get an antibiotic and … What not to do:
• Don’t ask for an antibiotic when the doctor says it isn’t needed. … • Don’t take an antibiotic for a virus (cold, cough, or flu). … The more often you use an antibiotic, the
greater the chance that the germs will become resistant.
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www.ahrq.gov/nursing-home/resources/core-elements-antibiotic-stewardship.html
June 01, 2021 - Core Elements of Antibiotic Stewardship for Nursing Homes
Resource: Core Elements of Antibiotic … Stewardship for Nursing Homes
This document adapts the CDC Core Elements of Hospital Antibiotic Stewardship … into practical ways to initiate or expand antibiotic stewardship activities in nursing homes.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
December 01, 2017 - 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're … 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/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.pdf
May 01, 2014 - Antibiograms are important tools for health care professionals involved in prescribing
empiric antibiotics … susceptibility in those bacteria,
and to track changes in antibiotic susceptibility over time. … Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to
multiple antibiotics. … Antibiograms provide guidance for empiric antibiotic use in patients, but other factors
including
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.doc
May 01, 2014 - · Antibiograms are important tools for health care professionals involved in prescribing empiric antibiotics … susceptibility in those bacteria, and to track changes in antibiotic susceptibility over time. … · Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to multiple antibiotics. … · Antibiograms provide guidance for empiric antibiotic use in patients, but other factors including
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.docx
May 01, 2014 - The purpose of today’s training is to discuss using an antibiogram to decide which antibiotics to use … .
· Prescribe an IV antibiotic. … .
· Prescribe an IV antibiotic.
· Which of the following do you think is/are the most appropriate antibiotic … Slide 4
Background: Antibiotic Prescribing
SAY:
Antibiotics are the most frequent medications prescribed … .
· Prescribe an IV antibiotic.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy? … Can we stop antibiotics? Can we narrow therapy? … Can we stop antibiotics? Can we narrow therapy? … Stop all antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.pdf
October 01, 2016 - Antibiotic Use Tracking Sheet [11x17 format]
Month:
Resident Name/Identifier
Room
#
Admit
Date … Antibiotic Use Tracking Sheet [11x14 format]
Month:
Resident
Name/Identifier
Room
#
Admit … Antibiotic Use Tracking Sheet [8.5x11 format, simplified]
Month:
* CAI = community-acquired … Results
(organism
identified)
Prescribing
Clinician
(PC)
Prescription
Date and
Duration
Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - Did the patient use a mechanical bowel preparation and oral antibiotics preoperatively? … (Check all that apply)
Mechanical bowel prep
Oral antibiotics
Normothermia Maintenance: Was the … Prophylactic Antibiotics: Did the patient receive appropriate antibiotic selection, dosing, timing, and … Which antibiotic(s) were selected?
Antibiotic 1:
Appropriate for procedure? … Antibiotic 1:
Administration time:
Antibiotic 2:
Administration time:
11.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - yes, please specify:
Did the patient use a mechanical bowel preparation and oral antibiotics … (Check all that apply)
Mechanical bowel prep ___
Oral antibiotics ___
Normothermia … Prophylactic Antibiotics: Did the patient receive appropriate antibiotic selection, dosing, timing, … Antibiotic 1:
Administration time:
Antibiotic 2:
Administration time:
Case duration … Antibiotic 1:
First redose time:
Second redose time:
Antibiotic 2:
First redose time:
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - A cough alone is typically not treated with
an antibiotic. … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
your … There are five potential health problems that occur as a result of taking
an antibiotic.
1. … Antibiotic resistance. … antibiotic stewardship program to make sure that antibiotics are
used only when absolutely necessary—when
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
October 01, 2016 - A cough alone is typically not treated with an antibiotic. … Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt your family … There are five potential health problems that occur as a result of taking an antibiotic.
1. … Antibiotic resistance. … Second, we have an antibiotic stewardship program to make sure that antibiotics are used only when absolutely
-
www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - The goal of this focused case-
control study is to identify the antibiotics or antibiotic classes most … The strengths and weaknesses of the four
main types of antibiotic data (purchasing, orders, antibiotics … If the
shift is to a more narrow antibiotic, an oral antibiotic regimen, or no antibiotics, the patient … /Class
(strength of
association)
Review of Aggregate
Antibiotic Use for
Each Class of
Antibiotics … patients where antibiotic order form
was used, e.g., to continue or stop
antibiotics
Total number
-
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)