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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/sustaining.html
September 01, 2022 - Sustaining Antibiotic Stewardship Efforts
After viewing or presenting this presentation, viewers … will be able to—
Develop sustainability plans to determine month-to-month antibiotic stewardship … Identify targets for future antibiotic stewardship efforts based on antibiotic prescribing patterns. … Sustaining Antibiotic Stewardship Efforts – Slides (PPTX, 2 MB)
Sustaining Antibiotic Stewardship
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
June 01, 2021 - The prescriber should choose an antibiotic
that covers the most likely pathogens. … What duration of antibiotic therapy is needed for the resident’s
diagnosis? … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we
narrow therapy? Can we change to oral antibiotics? … If the resident is getting an intravenous antibiotic, can they
get an oral antibiotic instead?
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www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescriptions-study.html
January 01, 2019 - Nearly One in Four Antibiotic Prescriptions Were Unnecessary in Study of Privately Insured Patients in … The study, published today in BMJ , concluded that an additional 36 percent of antibiotic prescriptions … The analysis provides the most comprehensive estimates to date of inappropriate prescribing of antibiotics … Appropriate antibiotic prescribing means that the medication is recommended for the patient's condition … Many of these antibiotic prescriptions may have been inappropriate as well.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-form.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Form
AHRQ Safety Program for
Improving Antibiotic … Antibiotic regimen and indication:
Antibiotic: ___________________________________________________ … Were appropriate cultures ordered before antibiotics were started? … CAN WE STOP ANTIBIOTICS? CAN WE NARROW THERAPY?
11. Are antibiotics still needed? … CAN WE STOP ANTIBIOTICS? CAN WE NARROW THERAPY?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-slides.pptx
September 01, 2022 - that requires antibiotics? … -3
6
Acute Bronchitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
6
Antibiotics … Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … Antibiotics for Acute Bronchitis
11
Year
Percentage of Bronchitis Visits With Antibiotic Prescriptions
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-single.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
AHRQ Pub. … Have we
collected appropriate cultures before
starting antibiotics? … What duration of antibiotic therapy is
needed for the resident’s diagnosis? … It has been 2–3 days since we started
antibiotics. … Can we
stop antibiotics? Can we narrow therapy?
Can we change to oral antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
Does the resident have symptoms that suggest an infection … Have we collected appropriate cultures
before starting antibiotics? … 1
What duration of antibiotic therapy is needed for the resident’s diagnosis? … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we
narrow therapy? Can we change to oral antibiotics?
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/common-cold.html
September 01, 2022 - The "Never Antibiotics" Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold … Explain why antibiotic therapy is not useful in the treatment of viral upper respiratory tract infections … The “Never Antibiotics” Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold – Slides … (PPTX, 2.4 MB)
The “Never Antibiotics” Diagnoses: Viral Acute Upper Respiratory Infection: the … Handouts
These handouts can be given to your patients to help them understand their infection and your antibiotic
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www.ahrq.gov/antibiotic-use/ambulatory-care/four-moments/index.html
October 01, 2022 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are … Does my patient have an infection that requires antibiotics? … Before prescribing antibiotics, ensure that the patient has signs and symptoms suggesting a bacterial … patients have symptoms that are not consistent with an infection or are consistent with a viral infection; antibiotics … If antibiotics are indicated, what is the narrowest, safest, and shortest regimen I can prescribe?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - 1
Effective communication with patients around antibiotics can—
Improve antibiotic prescribing and reduce … Use – Ambulatory Care
Misconceptions About Antibiotic Prescribing
No antibiotics means reduced patient … course of illness, because antibiotics do not help acute bronchitis
9
“Antibiotics are the only thing … Antibiotics unfortunately don’t help viruses, and viruses are common in children. … and the risks associated with taking antibiotics when you don’t need them.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Moment One is, “Does my patient have an infection that requires antibiotics?” … Whether or not antibiotics are indicated, provide suggestions for symptomatic therapy. … that antibiotics don’t help and may cause bad side effects.” … those for which antibiotics are always indicated, sometimes indicated, and never indicated. … ” and “sometimes antibiotic” diagnoses who receive antibiotics could be evaluated to understand if there
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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:
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☐ 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/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - • Especially consider in residents who received antibiotics
in previous 60 days and have one or more … • Use anti-MRSA antibiotic empirically for abscess or
chronic ulcer meeting criteria for deep infection … www.ahrq.gov
Agency for Healthcare Research and Quality
12 Common Nursing Home Situations
in Which Systemic Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Slide 4
Antibiotic-Associated Adverse Events
SAY:
All antibiotics have the potential to harm … Slide 8
Antibiotic Development Is on the Decline
SAY:
Furthermore, the number of new antibiotics … There has been
an upswing in antibiotic development recently, but
novel antibiotics to treat infections … Antibiotics
remain a very precious resource, and appropriate
antibiotic use is critical to preserve … Our patient was prematurely started on broad
spectrum antibiotics when supportive care without
antibiotic
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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/health-literacy/professional-training/shared-decision/success/story-2.html
September 01, 2020 - Many respiratory infections are caused by viruses, not bacteria, making antibiotics an ineffective treatment … . 2
Widespread use of antibiotics for viral illnesses can promote spread of antibiotic resistant bacteria … the patient's expectations and preference for antibiotics
Uses the provider's knowledge about the … "Get Smart About Antibiotics Week: Preserve the Power of Antibiotics." … "Antibiotic Resistance Questions and Answers."
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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. … Antibiotic
Prescribing
SAY:
This slide lists some of the reasons that antibiotics are
prescribed … –
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/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures … antibiotics, and why and how to document signs and symptoms, and use communication strategies to address … 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/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/improve/acute_care_implementation_guide.pdf
November 01, 2019 - of antibiotics. … frontline
clinicians to ensure a rational thought process is employed when making decisions about whether
antibiotics … encouraged to meet with
frontline teams and providers to review some portion of patients receiving antibiotics … use and why all individuals should work together to use antibiotics in
the best possible way. … use and enhance the safety of patients
receiving antibiotics.