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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
June 01, 2021 - Antibiotic Side Effects
Risk of antibiotic side effects and adverse reactions
• Antibiotic use is … (5–25%)
• Antibiotics can lead to nephrotoxicity (damage to kidneys), neurotoxicity (damage to central … and/or
peripheral nervous system), skin reactions such as rashes, or yeast infections
• Antibiotics … Meta-
analysis of antibiotics and the risk of community-
associated Clostridium difficile infection. … Community-associated Clostridium difficile
infection and antibiotics: a meta-analysis.
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www.qualitymeasures.ahrq.gov/antibiotic-use/index.html
October 01, 2022 - Decision Making to improve antibiotic use. … Access the Toolkit To Improve Antibiotic Use in Acute Care Hospitals . … About This Project
Antibiotics are life-saving drugs when used appropriately. … Using antibiotics inappropriately can lead to antibiotic-resistant bacteria and increase the risk of … antibiotic regimens, routes of administration, and durations.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Team Antibiotic Review Form
*Questions 1–6 should … Question 2: Record antibiotic regimen and indication below:
Antibiotic:
Indication:
Antibiotic … :
Indication:
Antibiotic:
Indication:
Antibiotic:
Indication:
Moment ONE
Question … ☐ Yes
☐ No
2
Team Antibiotic Review Form
AHRQ Safety Program for Improving Antibiotic Use – … Moment THREE
Question 7: Are antibiotics still needed?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
September 01, 2022 - among practice members and patients about management of common infectious diseases, including when antibiotics … will inform the annual sustainability plan is to examine the proportion of clinic visits for which antibiotics … These are three of the “never antibiotics” diagnoses—that is, diagnoses for which antibiotics should … and implemented changes, the practice had a decrease in the proportion of influenza visits for which antibiotics … technologists may be able to develop an alert in the electronic health record reminding clinicians that antibiotics
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Identifying Targets To Improve Antibiotic Use
Long-Term … · Prescribing antibiotics for too long
· Forgetting to stop antibiotics when they are not needed
· Accidentally … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy? … She met criteria for empiric antibiotics.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse Events
An … Negative Factor
Positive Factor
Patient
Factors
Example: Family preferred antibiotics. … X
Team
Factors
Example: Team discussion about need to start antibiotics occurred … Have we collected appropriate cultures and diagnostic tests before starting antibiotics? … Can we stop antibiotics? Can we narrow therapy?
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www.qualitymeasures.ahrq.gov/antibiotic-use/ambulatory-care/index.html
October 01, 2022 - The Ambulatory Care Toolkit explains the Four Moments of Antibiotic Decision Making and has tools to … Learning strategies for communicating with patients, their families, and colleagues about antibiotic … 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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form-completion-guide.pdf
November 01, 2019 - Completion Guide_Team Antibiotic Review Form
AHRQ Safety Program for Improving Antibiotic Use … Day of antibiotic therapy:
For the antibiotic or antibiotic regimen you are evaluating, day 1 is the … Antibiotic regimen and indication:
Include all antibiotics that the patient is receiving. … • If the patient has a reported antibiotic allergy but the specific antibiotic was not recorded or … Day of antibiotic therapy:
Question 2. Antibiotic regimen and indication:
Question 3.
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www.qualitymeasures.ahrq.gov/antibiotic-use/acute-care/index.html
October 01, 2022 - Welcome to the Toolkit To Improve Antibiotic Use in Acute Care Hospitals. … Creating a culture of safety around antibiotic prescribing in your hospital. … and treatment of infectious syndromes
Apply the Four Moments framework for all patients receiving antibiotics … Improve antibiotic prescribing
Antibiotic Stewardship Programs: it is recommended that you review … treatment of infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Improving Antibiotic Use Is a Patient Safety Issue … Slide 3
Antibiotic Development Is on the Decline
SAY:
Antibiotics are a precious resource. … For all of us, using antibiotics judiciously is critical to making sure antibiotics continue to remain … Slide 5
Antibiotics Alter the Bacteria in the Gut
SAY:
When people take antibiotics to treat an … Slide 6
Antibiotics & Clostridioides difficile
SAY:
After taking an antibiotic, people are at greater
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
June 01, 2021 - To use antibiotics only when necessary, thereby protecting residents from unnecessary antibiotic exposure … No followup on the resident to note her response to antibiotics. … No followup on the resident to note her response to antibiotics. … No followup on the resident to note her response to antibiotics. … Cost of antibiotics
Use of guideline-concordant antibiotics
Clostridioides difficile infection rates
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/index.html
October 01, 2022 - Welcome to the Toolkit To Improve Antibiotic Use in Long-Term Care. … practices for common infectious syndromes
Apply the Four Moments framework for all patients receiving antibiotics … Improve antibiotic prescribing
Infection Preventionists and other members of the Antibiotic Stewardship … for common infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics … for common infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/811.html
April 01, 2022 - Today's Headlines:
Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse . … Predischarge Antibiotics Review Associated With Lower Antibiotic Overuse
Hospitals that reviewed patients … ’ use of antibiotics before discharge had less antibiotic overuse, AHRQ-supported research found. … stewardship strategies, including establishing an antibiotic stewardship team and reviewing antibiotics … lower antibiotic overuse.
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
September 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Slides
AHRQ Safety Program for Improving Antibiotic Use … Sustaining Antibiotic Stewardship Efforts
AHRQ Safety Program for Improving Antibiotic Use
Ambulatory … Step four: Determine how to access antibiotic prescription data. … Step seven: Monitor and report back antibiotic prescription data to practice. … After this period, ongoing antibiotic stewardship efforts are needed to continue to observe optimal antibiotic
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www.qualitymeasures.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-part2.pptx
March 01, 2017 - Every course of antibiotics carries these risks—and nursing home residents get a lot of antibiotics each … We are learning when to give antibiotics and when to withhold antibiotics.
6
Antibiotic Use in LTC … use of antibiotics.
7
Fighting Back Against Antibiotic Resistance1
Infection prevention IS antibiotic … Improving antibiotic prescribing
Bacteria are constantly evolving, requiring the need for new antibiotics … become resistant to antibiotics.
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www.qualitymeasures.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/sinusitis.html
September 01, 2022 - : Influenza and RSV
Never Antibiotics: Common Cold
Never Antibiotics: Acute Bronchitis … Sometimes Antibiotics: Acute Otitis Media
Sometimes Antibiotics: Sinusitis
Sometimes Antibiotics … Describe the non-antibiotic management of sinusitis. … The “Sometimes Antibiotics” Diagnoses: Sinusitis – Slides (PPTX, 2 MB)
The “Sometimes Antibiotics” … https://www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/sinusitis.html
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www.qualitymeasures.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - of antibiotic decision making. … whenever the need for antibiotics is being considered. … Moment 2: Have I ordered appropriate cultures before starting antibiotics? … If there is no evidence of a bacterial infection, stop antibiotics. … antibiotic use using the Four Moments Framework for patients receiving antibiotics.