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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
June 01, 2021 - For information on how the materials below can be integrated into institutional efforts to improve antibiotic … use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs (
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/hap.html
November 01, 2019 - HAP)
Discuss empiric treatment recommendations for HAP
Discuss opportunities for de-escalation of antibiotic … HAP after additional clinical and microbiological data are available
Discuss reasonable duration of antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/vap.html
November 01, 2019 -
Discuss empiric treatment recommendations for VAP
Discuss opportunities for de-escalation of antibiotic … after additional clinical and microbiological data are available
Discuss reasonable durations of antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
November 01, 2019 - recommendations for Gram-negative and Gram-positive bacteremia
Discuss opportunities for de-escalation of antibiotic … therapy for bacteremia
Discuss reasonable durations of antibiotic therapy for common organisms causing
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/uti.html
November 01, 2019 - treated for ASB
Recommend empiric treatments for UTIs
Discuss opportunities for de-escalation of antibiotic … therapy for UTIs after additional clinical data are available
Discuss reasonable durations of antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/gastro.html
November 01, 2019 - approach to the diagnosis of diverticulitis and biliary tract infections
Identify options for empiric antibiotic … importance of source control in the management of intra-abdominal infections
Identify options for antibiotic
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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/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/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/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.xlsx
October 01, 2016 - Sample Monthly Summary Reports
Month Number of Resident Days Number of Antibiotic Rx Number of Antibiotic … Rx divided by Number of Resident Days Number of Residents Receiving Antibiotics for UTI (incl. … No. 17-0006-2-EF
October 2016
Summary ABX in use
Month [Antibiotic name] [Antibiotic name … ] [Antibiotic name] [Antibiotic name] [Antibiotic name] [Antibiotic name] [Antibiotic name]
Jan In each
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - You could consider a pre-authorization
program in which clinicians request approval of
certain antibiotics … post-
prescription review with feedback program in
which you discuss the rationale for continued
antibiotics … clinicians in your facility
understand the importance of a daily time-out for
all patients receiving antibiotics … They
showed that their antibiotic stewardship program
achieved a 46 percent decrease in antibiotic … focused on antibiotic
overuse.
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www.ahrq.gov/nursing-home/resources/module-15-infection-prevention.html
April 01, 2022 - Module 15—Infection Prevention and Antibiotic Stewardship Considerations During Care Transitions—Nursing … Home Infection Preventionist Training Course
Resource: Module 15—Infection Prevention and Antibiotic … Transitions—Nursing Home Infection Preventionist Training Course
This module discusses infection prevention and antibiotic … ; 2. define the characteristics of an ideal care transition; and 3. identify key infection risk and antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - About Residents With Family Members and Caregivers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … use to family members of residents
Address end-of-life care as it relates to antibiotic use
Recognize … “…in retrospect I just shouldn’t have done it [prescribed antibiotics]. … of life
15
Discussing Concerns With Family
15
End-of-Life Care4,5
Antibiotic therapy may cause … End-of-life treatment and bacterial antibiotic resistance: a potential association.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-discussion-guide.docx
September 01, 2022 - Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How is the practice currently deciding which children with acute otitis media to treat with antibiotics … What guidelines/educational tools is the practice currently using to address the length of antibiotic … What measures will the practice use to guide decision making for observation without antibiotic therapy … What anticipatory guidance will the practice use for patients who will not be started on antibiotics
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Emerging evidence:
Antibiotics redosing and weight-based dosing. … The first column titled Antibiotics Practices includes rows that describe different antibiotic practices … Antibiotics were weight-adjusted in 552 or 56.8% of cases (n=972). … Utilization of mechanical bowel preparation with oral antibiotics. … Standardize antibiotics redosing:
Maintain therapeutic antibiotic serum levels throughout procedure
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use in unnecessary antibiotics … Unnecessary antibiotics can result in side effects and drug-resistant bacteria. … (“Minimum Criteria toolkit”) aims to reduce unnecessary prescribing for the three infections where antibiotics … help prescribing clinicians (physicians, nurse practitioners, and physician assistants) determine when antibiotics … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Slides
AHRQ Safety … Program for Improving Antibiotic Use
Improving Communication Between Members of the Practice Around … Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub … He feels sick and
thinks he needs an antibiotic.” … Communication
Around Antibiotic Decisions
Could we try to replace this image?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - Resident With a Suspected Urinary Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … No. 17(21)-0029
June 2021
AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Assessment … Mary Ann is feeling well
Temperature is 98.1oF
She is happy she was not exposed to any unnecessary antibiotics … Start a different antibiotic.
Send her to a urologist.
Examine the resident. … does not work, rather than try “better” antibiotics, consider other reasons for the resident’s signs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - No notification system
for when culture results
are available
No pharmacy alerts
for allergies to antibiotics … System
8
Case 1: continued
At the time of transfer, he is written for another 14-day course of oral antibiotics … He already received 3 days of antibiotics in the hospital.
His legs are improved but not better. … Introduce the Four Moments of Antibiotic Decision Making Form. … Guide for the Four Moments of Antibiotic Decision Making Form
Learning From Antibiotic-Associated Adverse
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
October 01, 2024 - When antibiotics are prescribed inappropriately or not taken correctly, the bacteria that antibiotics … Gonzales received a 5-year AHRQ grant to reduce the overuse of antibiotics to treat acute respiratory … His project, Minimizing Antibiotic Resistance in Colorado (MARC) , evaluated the impact of educational … The MARC project did help reduce antibiotic use in the community. … Gonzales received another 5-year AHRQ grant that allowed him to expand on his antibiotic stewardship