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www.ahrq.gov/hai/index.html
April 01, 2025 - Toolkits To Improve Antibiotic Use Three toolkits that help hospitals, long-term care facilities, and … ambulatory practices apply the Four Moments of Antibiotic Decision Making to improve antibiotic use. … stewardship program, determine if it’s necessary to treat a resident with antibiotics, help clinicians … select the right antibiotic, and engage residents and families in infection prevention. … Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/practice/pledge.pdf
March 01, 2017 - Thousands
of people die each year as a direct result of these antibiotic-resistant
infections. … • Antibiotics are generally not needed when a person feels fine.
• Antibiotics can cause harm and … side effects, including nausea and
diarrhea, allergic reactions, yeast infections, and antibiotic-resistant … I understand that it is important to properly prescribe
and use antibiotics. … • It’s okay for residents to ask if an antibiotic is truly needed.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/practice/pledge.html
March 01, 2017 - Thousands of people die each year as a direct result of these antibiotic-resistant infections. … Antibiotics are generally not needed when a person feels fine. … infections, and antibiotic-resistant infections. … I understand that it is important to properly prescribe and use antibiotics. … It's okay for residents to ask if an antibiotic is truly needed.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - Antibiotic prophylaxis and cardiac surgery. … Antibiotic prophylaxis and cardiac surgery. … preventing postoperative infections in total knee arthroplasty, as compared with standard postoperative antibiotics … Antibiotic prophylaxis and cardiac surgery. … preventing postoperative infections in total knee arthroplasty, as compared with standard postoperative antibiotics
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www.ahrq.gov/patient-safety/resources/learning-lab/connected-emergency-care-long-desc.html
January 01, 2025 - Increase the specificity of antibiotic treatment for patients with respiratory infection. … Researchers developed an antibiotic-prescribing audit and patient feedback system. … along socioeconomic lines, with patients from wealthier areas more likely to receive inappropriate antibiotics … Racial and socioeconomic disparities evident in inappropriate antibiotic prescribing in the emergency … Racial and socioeconomic disparities evident in inappropriate antibiotic prescribing in the emergency
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - would like to talk to you today about when residents or family members request—or pressure you for—an antibiotic … Have you ever had an experience where someone requested an antibiotic for what they thought was a UTI … Potential harms of antibiotics. … Has anyone ever had a discussion about the harms of antibiotics as one of the reasons to avoid antibiotics … Do you think a family member would have continued to request antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - would like to talk to you today about when residents or family members
request—or pressure you for—an antibiotic … Have you ever had an experience where someone requested an
antibiotic for what they thought was a UTI … Potential harms of antibiotics. … Has anyone ever had a discussion about the harms of
antibiotics as one of the reasons to avoid antibiotics … Do you think a
family member would have continued to request antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - (choose one)
3
Patient developing symptomatic CAUTI
Patient being given inappropriate antibiotics for … with about $1 billion direct healthcare cost per year
Developing new antibiotics is more important than … Promoting the development of new antibiotics and developing new diagnostic tests for resistant bacteria … Example: Carbapenem Resistant Enterobacteriaceae…
Very resistant organisms to many antibiotics … In 93 (73.8%) episodes, at least 1 preceding course of antibiotics was inappropriate.
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/cellulitis.html
May 01, 2022 - Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection
After viewing or presenting this presentation, viewers will be able to—
Distinguish infectious cellulitis versus cellulitis mimics.
Discuss the diagnostic approach and empiric management of skin and soft tissue inf…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - number of points determines the management approach:
0 or 1 points: GAS unlikely; no testing or antibiotics … 4 points: GAS likely; treat with antibiotics ± obtain a rapid strep test
‒ Reflex bacterial cultures … Antibiotic Therapy (adults and children)1
• First-line therapy for GAS pharyngitis: penicillin or … A 5-day course of the antibiotics listed above is sufficient. … Pharyngitis
AHRQ Safety Program for Improving Antibiotic
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www.ahrq.gov/hai/quality/tools/cauti-ltc/engage.html
March 01, 2017 - Antibiotic Stewardship educational video
This 5-minute educational video promotes antibiotic stewardship … When Do You Need an Antibiotic? … PDF , 814.2 KB)
A brochure to help facility staff communicate with residents and families on when antibiotics
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - nursing home-specific antibiogram may be an effective and inexpensive tool for improving appropriate antibiotic … across all residents for a certain time period—along with the susceptibility of each organism to various antibiotics … antibiograms provide information on local susceptibility patterns, they may help to reduce prescribing of antibiotics … This phase focuses on monitoring and evaluating the antibiogram and tracking the antibiotics prescribed … Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery – Final Report.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T1-Suggested_Agenda_for_Meeting_on_Monitoring_Final.docx
October 01, 2016 - Examples of simple measures: (1) the rate of antibiotic use (e.g., the number of fluoroquinolones used … Examples of moderately complex measures: (1) number of antibiotic prescriptions divided by the number … with prescribing criteria; or (2) Examine compliance with antibiogram (e.g., percentage of prescribed antibiotics … Examples: Percentage of antibiotic prescriptions, number of residents receiving antibiotics, number and
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/076-antimicrobial-prophylaxis-duration-one-pager.docx
April 01, 2025 - Antibiotic prophylaxis and cardiac surgery. … One day versus seven days of preventive antibiotic therapy in orthopedic surgery. … Antibiotic prophylaxis and the risk of surgical site infections following total hip arthroplasty: timely … Single-dose versus multiple-dose antibiotic prophylaxis in instrumented lumbar fusion -- a prospective … Perioperative antibiotic prophylaxis: surgeons as antimicrobial stewards.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - ¨ No ¨ Yes
¨ No ¨ Yes Advance directives for limiting treatment related to antibiotics and/or hospitalizations … Input (check all boxes that apply)
Resident WITH indwelling catheter
The criteria are met to initiate
antibiotics … Resident may require UA with C&S or an antibiotic.†
¨¨ Nursing home protocol criteria are NOT met. … The resident does NOT need an immediate
prescription for an antibiotic, but may need additional observation … ¨ Initiate the following antibiotic
Antibiotic: _________________________________ Dose: ________
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/penicillin-allergy-discussion-guide.docx
September 01, 2022 - Penicillin Allergy – Discussion Guide
Antibiotic Allergy: Discussion Guide … Remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care content … Does the practice have a standardized approach to address patient-reported antibiotic allergies? … Does the practice have an approach for removing antibiotic allergies from the medical record that are … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
image1
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T3-Sample_Letter_of_Agreement_final.docx
October 01, 2016 - annual antibiogram report as part of a quality initiative to improve the appropriate prescribing of antibiotics … DIRECTOR’S EMAIL ADDRESS]
Nursing Home
Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic … Working With a Lab To Improve Antibiotic Prescribing
Specifications
The current CLSI standards specify … and are clinically useful
· Presents data as the percentage of isolates that are susceptible to each antibiotic … 0006-6-EF
October 2016
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T3-Sample_Letter_of_Agreement_final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
Toolkit … Working With a Lab To Improve Antibiotic Prescribing
Tool 3. … annual antibiogram report as part of a quality
initiative to improve the appropriate prescribing of antibiotics … 6-EF
October 2016
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic … are
clinically useful
• Presents data as the percentage of isolates that are susceptible to each antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - Appropriate Collection of Microbiologic Specimens
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … Case 3: Continued
How could you have—
Prevented the resident from being started on broad- spectrum antibiotics … Obtain an early-morning specimen, ideally before starting antibiotics. … Share feedback about the intervention with the Antibiotic Stewardship Team. … Apply the Four Moments of Antibiotic Decision Making Form to 5–10 residents each month.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2b-SBAR_LRI_Final.pdf
June 01, 2014 - __________________________________
¨ No ¨ Yes Advance directives for limiting treatment related to antibiotics … The resident may have a lower respiratory tract infection and need
a prescription for an antibiotic … The resident does NOT need an immediate prescription for an
antibiotic, but may need additional observation … (s)
Antibiotic 1 ______________________________________ Dose ________ Route ________ Duration _____ … ___
Antibiotic 2 ______________________________________ Dose ________ Route ________ Duration ______