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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
June 01, 2021 - diagnostic and treatment protocols for UTIs and respiratory tract infections that detailed recommended antibiotics … Showing data like this to prescribers, along with an evidence-based protocol with recommended antibiotics … The data also show how frequently he ordered a urine culture prior to initiating antibiotics for a UTI … These can be adapted from resources such as the Loeb minimum criteria for starting antibiotics, the revised … This can be helpful to monitor lengthy prescribing practices, but it doesn’t provide data on antibiotics
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Facilities
Toolkit Sections
Reduce Unnecessary Urine Culturing and Overuse of Antibiotics … Decolonization Protocol
Reduce Unnecessary Urine Culturing and Overuse of Antibiotics … 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?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue
Sustaining Stewardship Activities
Acute Care
AHRQ … Safety Program for Improving Antibiotic Use
AHRQ Pub. … Stewardship
1
Objectives
Review the goals of an antibiotic stewardship program in the first 1–2 years … antibiotic stewardship committee meeting at least quarterly
4
AHRQ Safety Program for Improving Antibiotic … Clinicians understand the importance of and continue to perform a daily “time out” for patients receiving antibiotics
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - an infection that requires antibiotics? … flora may become resistant to commonly used antibiotics over time. … Differences exist, however, in the dosing of antibiotics. … to guide the selection of effective antibiotics. … Most cases of uncomplicated cystitis can be treated with 3 to 5 days of antibiotics.
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/best-practices/posters.html
June 01, 2021 - Careers
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Antibiotic … Minimum Criteria for Initiation of Antibiotics for Suspected UTI, and When To Send a Urinalysis and Urine … Culture (8 x 11, one-sided) (PDF, 202.3 KB)
Minimum Criteria for Initiation of Antibiotics for Suspected … https://www.ahrq.gov/antibiotic-use/long-term-care/best-practices/posters.html
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www.qualitymeasures.ahrq.gov/antibiotic-use/acute-care/improve/program-part1.html
November 01, 2019 - Careers
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Antibiotic … Acute Care Hospital Toolkit
Four Moments
Develop and Improve Stewardship Program
Antibiotic … Stewardship Program (Part 1)
Antibiotic Stewardship Program (Part 2)
Effective Behavior … https://www.ahrq.gov/antibiotic-use/acute-care/improve/program-part1.html
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
June 01, 2021 - Careers
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Antibiotic … Changing the System To Improve Antibiotic Safety – Slides (PPTX, 4.3 MB)
Changing the System To Improve … Antibiotic Safety – Facilitator Guide (DOCX, 2.3 MB)
Learning From Antibiotic-Associated Adverse … https://www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - A cough alone is typically not treated with
an antibiotic. … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
your … There are five potential health problems that occur as a result of taking
an antibiotic.
1. … Antibiotic resistance. … antibiotic stewardship program to make sure that antibiotics are
used only when absolutely necessary—when
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - Careers
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Antibiotic … Pocket Cards & Posters
Penicillin Allergies and Other Side Effects of Antibiotic … Approach to Residents With Reported Penicillin Allergy (PDF, 230 KB)
One-Page Document – Antibiotic … https://www.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Slides
AHRQ Safety … Program for Improving Antibiotic Use
Improving Communication Between Members of the Practice Around … Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub … He feels sick and
thinks he needs an antibiotic.” … Communication
Around Antibiotic Decisions
Could we try to replace this image?
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/safety/partner.html
June 01, 2021 - Careers
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Antibiotic … Stewardship Program
Create a Culture of Safety
Partnering with Senior Executive
Improving Antibiotic … https://www.ahrq.gov/antibiotic-use/long-term-care/safety/partner.html
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/improve/specimens.html
June 01, 2021 - Careers
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Antibiotic … Tracking and Measuring
Appropriate Collection of Specimens
Discussing Concerns with Antibiotic … https://www.ahrq.gov/antibiotic-use/long-term-care/improve/specimens.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - affects around 50% of residents
It is not associated with increased morbidity or mortality
Unnecessary antibiotics … choices, review the resident’s chart to determine if there are any contraindications to specific antibiotics … dependent on the local epidemiology (review the local antibiogram).
10
UTI Management
10
Common Antibiotics … No known allergies to antibiotics
>100,000 µg/mL E. coli
MIC INT
Ampicillin >16 R
Ampicillin-sulbactum … treat UTIs
Fluoroquinolones should be avoided as an empiric choice due to resistance and side effects
Antibiotics
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www.qualitymeasures.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
June 01, 2021 - Careers
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Antibiotic … For information on how the materials below can be integrated into institutional efforts to improve antibiotic … use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs ( … https://www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - ☐ Establish and review antibiotic use protocols
☐ Monitor antibiotic use
☐ Track antibiotic use data … Is there is a formal procedure to review the appropriateness of all antibiotics 48–72 hours after … ☐ Yes
☐ No
Is there a process for intravenous to oral conversion of antibiotics in the pharmacy … Stewardship Team to target antibiotics commonly associated with Clostridioides difficile infection ( … any culture or susceptibility results as a strategy to assist prescribers in selecting appropriate antibiotics
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Antimicrobial stewardship is the act of using antibiotics appropriately—that is, using them only when … truly needed and using the right antibiotic for each infection. … Antibiotics are among the most commonly prescribed drugs in long-term care settings, yet reports indicate … laboratory tests and antibiotics.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - for Improving Antibiotic Use
1
The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia
Ambulatory … infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … was noninferior to 8 days of antibiotics. … He hasn’t taken any antibiotics recently.
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www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Careers
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Antibiotic … Tracking and Measuring
Appropriate Collection of Specimens
Discussing Concerns with Antibiotic … https://www.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-slides.pptx
June 01, 2021 - for Improving Antibiotic Use
AHRQ Pub. … use protocols
Antibiotic stewardship policy
Antibiotic use
Dr. … use protocols
Antibiotic stewardship policy
Antibiotic use
Dr. … Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities … Determine whether it is necessary to treat a potential infection with antibiotics. October 2016.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
June 01, 2023 - Slide 1
Antibiotic and Mechanical Bowel Prep in the 1970s
The issue of mechanical bowel prep and oral … were combined with mechanical bowel prep in the absence of intravenous antibiotic prophylaxis. … Following this, most surgeons in Europe abandoned preoperative oral antibiotic regimens. … Slide 4
Antibiotic and Mechanical Bowel Prep in the 2000s
Subsequently, there have been a series of … antibiotic prophylaxis before incision.