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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-2.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making Questions
AHRQ Pub. … Moment 1: Does my patient have an infection that requires
antibiotics … Moment 3: If antibiotics are indicated, what is the narrowest,
safest, and shortest regimen I can prescribe
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/antibiotic-stewardship.html
October 01, 2024 - and Resources
Program Implementation of MRSA Prevention
Fundamental Best Practices Antibiotics … are life-saving drugs, but a significant amount of antibiotics in hospital settings are prescribed inappropriately … for each patient receiving antibiotics on the unit. … The tool asks the prescriber to: (1) Track prescribed antibiotics and treatment day; (2) Record indication … for continuing antibiotics; (3) Assess whether antibiotic therapy can be stopped, narrowed, or changed
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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/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
November 01, 2019 - Examine what motivates health care providers
to prescribe antibiotics.
2. … The ninth reason, incomplete
knowledge of antibiotics or emerging scientific data,
shown in red, is … Antibiotic Prescribing
Slide Title and Commentary Slide Number and Slide
Antibiotics Are Our Parrot … SAY:
Antibiotics are our parrot. … They tend to treat with broad-spectrum antibiotics for
long periods.
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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-part1.pptx
March 01, 2017 - Antibiotic Stewardship Slides, Part 1: Hand Hygiene
How To Avoid the Harms of
Antibiotic Overuse
Training … antibiotics more thoughtfully. … She needs an antibiotic.“
[CLICK]
Today we will talk about the potential harm of antibiotics and try … Antibiotics can cause nausea, diarrhea, allergic reactions, and antibiotic-related infections. … Reason 21
Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/timeline.docx
September 01, 2022 - : Communicating With Patients and Families About Antibiotic Decisions
Patient handout: Antibiotics: … The “Never Antibiotics” Diagnoses: Influenza and RSV
Presentation and facilitator guide
Discussion … The “Never Antibiotics” Diagnoses: Acute Bronchitis
Presentation and facilitator guide
Discussion … The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children
Presentation and facilitator … The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia
Presentation and facilitator guide
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-1.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making
AHRQ Pub. No. 17(22)-0030
September 2022
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - therapy based
on clinical data or culture data
Forgetting to discontinue antibiotics when they … Another example of a technical problem would be
failure to administer needed antibiotics to septic … This allows for a feeling of
ownership of antibiotic decision making and ensures
that antibiotics are … patients or for patients already receiving
antibiotics. … than the initial
antibiotic regimen or stopping antibiotics altogether, in
the event that a patient
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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/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
September 01, 2022 - ☐ Annually
☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics … ☐ Annually
☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics … ☐ Annually
☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics … ☐ Annually
☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics … education on approaches to
communicate with patients and families
when antibiotics are not needed?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
September 01, 2022 - expenditures occurring in outpatients in the United States1
30% of all antibiotics prescribed in the … infection that requires antibiotics? … If antibiotics are indicated, what is the narrowest, safest, and shortest regimen I can prescribe?
… You wrote 2 prescriptions out of 20 acute respiratory infection cases that did not warrant antibiotics … Reducing inappropriate antibiotics prescribing: the role of online commentary on physical examination
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www.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - were on antibiotics. … Participating facilities also significantly reduced use of fluoroquinolones , a class of antibiotics … can enable organisms to develop a resistance to antibiotics, rendering them ineffective. … Significantly reduce oral antibiotic use compared with intravenous antibiotics, which is important because … oral antibiotics are used more frequently.
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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/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/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - Needs an antibiotic. … Think before you reach for antibiotics! … Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with resistant … Antibiotics won't help if he doesn't have a UTI.
Antibiotics could hurt him (e.g., diarrhea). … Slide 10: Avoid Knee-Jerk Antibiotics
Remember, unnecessary antibiotic use can lead to—
Resident
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/communicating-decisions.html
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions
After viewing or presenting … Learn how to effectively communicate about antibiotic use with patients. … Making
Communicating with Patients and Families Around Antibiotic Decisions – Clinician One-Page … Antibiotics: When Do You Need Them? … – Patient Handout (English) (DOCX, 318 KB)
Antibiotics: When Do You Need Them?
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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/hai/carb/index.html
May 01, 2022 - Combating Antibiotic-Resistant Bacteria
AHRQ works alongside Federal Agencies across the Government … as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). … The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described … resistance, and finding new ways to improve the use of antibiotics. … Every infection prevented is one less instance of antibiotic use, and using fewer antibiotics significantly
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title … Moments of Antibiotic Decision Making. … In this study, 96 percent of patients who were given an antibiotic prescription right away took antibiotics … antibiotics. … Slide 9
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 is: If antibiotics are indicated
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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