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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Does my patient have an infection that requires
antibiotics?
2. … Have I ordered appropriate cultures before starting
antibiotics? … Can I stop antibiotics?
Can I narrow therapy or change from IV to oral
therapy?
4. … Making
Continued
SAY:
The patient remained on intravenous antibiotics for the
duration of his … Negative team factors include no mechanism for daily
review of antibiotics; poor written or verbal
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/influenza-rsv.html
September 01, 2022 - The "Never Antibiotics" Diagnoses: Influenza and RSV
After viewing or presenting this presentation … The Never Antibiotics Diagnoses: Influenza and RSV – Slides (PPTX, 3.7 MB)
The Never Antibiotics Diagnoses … 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/long-term-care/safety/teamwork.html
June 01, 2021 - viewers will be able to—
Recognize the importance of seeking input from all team members when making antibiotic … change; A ssessment or appearance; and R equest for action), to improve communication related to antibiotic … Describe how to effectively communicate the potential harms of antibiotics to other health care practitioners … Communication – Facilitator Guide (DOCX, 2.2 MB)
Poster – Talking With Residents and Family Members About Antibiotics
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www.ahrq.gov/nursing-home/resources/antibiotic-ltc-toolkit.html
September 01, 2021 - Toolkit To Improve Antibiotic Use in Long-Term Care
Resource: Toolkit To Improve Antibiotic … Use in Long-Term Care
The Long-Term Care Toolkit explains the Four Moments of Antibiotic Decision … to support their implementation and improve prescribing in three areas: developing and improving an antibiotic … stewardship program, creating a safety culture around antibiotic prescribing, and disseminating best
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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/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - Making
Does my patient have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy? … clinical response
Appropriate source control preferred
Patient needs to be able to take and absorb oral antibiotics … Cefepime vs other antibacterial agents for the treatment of Enterobacter species bacteremia.
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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/improve/index.html
October 01, 2022 - to promote antibiotic stewardship is necessary to optimize antibiotic prescribing in ambulatory practices … Practice” and “Sustaining Antibiotic Stewardship Efforts” are more pertinent for the Antibiotic Stewardship … Practice Around Antibiotic Decisions
Sustaining Antibiotic Stewardship Efforts
Tools
The … Accessing and Reporting Antibiotic Prescription Data details how to obtain antibiotic prescribing data … Antibiotic Stewardship in Ambulatory Care (DOCX, 403 KB)
Gap Analysis Tool for Antibiotic Stewardship
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/communication.html
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions
After … Improving Communication Between Members of the Practice Around Antibiotic Decisions – Slides (PPTX, … 4 MB)
Improving Communication Between Members of the Practice Around Antibiotic Decisions – Facilitator
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/prescribing.html
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? … After viewing or presenting this presentation, viewers will be able to—
Explain why optimizing antibiotic … Understand how antibiotic stewardship teams can improve antibiotic prescribing practices in the ambulatory … Why Should Your Practice Focus on Improving Antibiotic Prescribing? … – Slides (PPTX, 5.4 MB)
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-slides.pptx
November 01, 2019 - use and prevent harm associated with antibiotics
3
Communication and Teamwork
AHRQ Safety Program … regarding antibiotic use on all patients being started or on antibiotics during patient rounds or at … that requires antibiotics? … 16
Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - for Improving Antibiotic Use
The "Sometimes
Antibiotics" Diagnoses:
Acute Otitis Media in Children … of Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics? … Use – Ambulatory Care
When Antibiotics Are Indicated6,7
Child Age
< 6 months
Antibiotic therapy is … Four Moments of Antibiotic Decision Making
11
Does my patient have an infection that requires antibiotics … of ear findings supports antibiotics use in children greater than 2 years of age
Antibiotic treatment
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - This tool will help your safety program team understand how appropriately you are using prophylactic antibiotics … (Leave the Antibiotic 2 subsection blank if only one antibiotic was used throughout the case.) … (Leave the Antibiotic 2 subsection blank if only one antibiotic was used throughout the case.) … Question 15: Assess if the antibiotics clindamycin or cefotetan were redosed during the case. … If the antibiotics were redosed, determine and document if the difference in time between the first antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-guide.docx
September 01, 2022 - patient or family member requesting antibiotics. … Antibiotics do not help acute bronchitis. … These may have coincided with starting antibiotics, leading the patient to falsely believe that the antibiotics … Antibiotics don’t help viruses, and viruses are quite common in children. … and the risks associated with taking antibiotics when you don’t need them.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-linder.html
October 01, 2018 - Grantee Profile
Decreasing Inappropriate Antibiotic Prescribing to Improve Patient Safety and Care … Appropriate prescribing of antibiotics has been a key focus of research by Jeffrey A. … are usually caused by viruses, which don’t respond to antibiotics. … Antibiotics are generally only used for an ARI if it’s known that bacteria are causing the infection. … The more antibiotics are used, the more bacteria become resistant to them.
Dr.
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/posters.html
June 01, 2021 - The Four Moments of Antibiotic Decision Making Posters
Posters can be reproduced for posting … The Four Moments of Antibiotic Decision Making Explained (PDF, 170.3 KB)
The Four Moments of Antibiotic … Making Poster for workstations (small) (PDF, 122.2 KB)
The Four Moments of Antibiotic Decision Making … Poster as a pocket card (PDF, 137.5 KB)
Four Moments of Antibiotic Decision Making With Associated … Four Questions To Ask Your Doctor or Nurse About Antibiotics (PDF, 194 KB)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-slides.pptx
September 01, 2022 - The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Slides
The “Usually Antibiotics … that requires antibiotics? … that requires antibiotics? … Use – Ambulatory Care
13
Moment 3: Antibiotic Choice in Adults7,13
Antibiotics in prior 3 months or … 18
Gradual improvement by third day of antibiotics
If not improving, consider changing antibiotics,
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - of 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 … • The Talking With Family Members About Antibiotics poster provides mock dialogues for the
discussion … use and enhance the safety of residents receiving
antibiotics.
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
November 01, 2024 - antibiotic use can lead to antibiotic-resistant bacteria, which can make antibiotics ineffective. … Unsafe antibiotic use includes using antibiotics without a prescription, which could mean using another … person’s medication or using your own leftover antibiotics. … nonprescription antibiotic use. … , from the unsafe use of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Slides
AHRQ Safety Program for Improving Antibiotic … that requires antibiotics? … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … that requires antibiotics?