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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Effective communication helps bring about proper use of antibiotics. … The provider may feel pressured to prescribe antibiotics. … , so antibiotics will not be helpful, and antibiotics can cause unpleasant side effects.” … I think we need to stop the antibiotic now.” Dr. … He should not be on this antibiotic.
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www.qualitymeasures.ahrq.gov/hai/index.html
March 01, 2024 - Toolkits To Improve Antibiotic Use
Three toolkits that help hospitals, long-term care facilities, and … ambulatory practices apply the Four Moments of Antibiotic Decision Making to improve antibiotic use. … stewardship program, determine if it’s necessary to treat a resident with antibiotics, help clinicians … select the right antibiotic, and engage residents and families in infection prevention. … Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized
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www.qualitymeasures.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit3-develop-implement-antibiogram-program.html
November 01, 2016 - Antimicrobial Stewardship Program
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … across all residents for a certain time period—along with the susceptibility of each organism to various antibiotics … antibiograms provide information on local susceptibility patterns, they may help to reduce prescribing of antibiotics … This phase focuses on monitoring and evaluating the antibiogram and tracking the antibiotics prescribed … Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery – Final Report.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How can the practice develop and implement approaches to standardize when to prescribe antibiotics for … How should the practice measure compliance with the guidelines that we develop around antibiotic prescribing … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How can the practice support clinicians in consistently avoiding prescribing antibiotics for acute bronchitis … How will the practice track data on acute bronchitis and antibiotic prescribing?
4. … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-technical-specifications.pdf
November 26, 2013 - Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic … Detailed Measure Specifications
Sickle Cell Disease
Measure 2: Timeliness of Antibiotic Prophylaxis … of children with a newborn screen positive for sickle cell disease (SCD) who received
appropriate antibiotic … Erythromycin
Erythromycin estolate
Erythromycin ethylsuccinate
Erythromycin stearate
Miscellaneous antibiotics … Numerator Eligible children who received appropriate antibiotic prophylaxis at ≤ 90 days of
age.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotics-brochure-spanish.docx
September 01, 2022 - Antibiotics: When Do You Need Them?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/practice/pledge.pdf
March 01, 2017 - Thousands
of people die each year as a direct result of these antibiotic-resistant
infections. … • Antibiotics are generally not needed when a person feels fine.
• Antibiotics can cause harm and … side effects, including nausea and
diarrhea, allergic reactions, yeast infections, and antibiotic-resistant … I understand that it is important to properly prescribe
and use antibiotics. … • It’s okay for residents to ask if an antibiotic is truly needed.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/acutediagram_full.png
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-discussion-guide.docx
September 01, 2022 - leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How will members of the practice develop consistent messaging to patients that antibiotic treatment is … How will we track compliance with not prescribing antibiotics for these patients?
AHRQ Pub. … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - bacteria
− Recent antibiotic exposure
− History of recurrent urinary tract infections (UTIs)
… 100,000 CFU/mL of a urinary pathogen (most commonly
Escherichia coli)
Treatment
• Do not start antibiotics … UTI in the future3-4
• Review prior urine culture results as previous susceptibility data can guide antibiotic … choice
Condition Antibiotic Options2 Comments
Uncomplicated cystitis2 • Nitrofurantoin
• TMP … Asymptomatic bacteriuria treatment is
associated with a higher prevalence of
antibiotic resistant strains
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapc.html
April 01, 2018 - ANTIBIOTIC
Include all antibiotics that were given one month before or after surgery
ANTIBIOTIC … ABX_ID
Integer
A unique ID for the antibiotic
ANTIBIOTIC
NAME
Varchar(64)
The name of … the antibiotic given
ANTIBIOTIC
DOSE
Varchar(64)
The dose of the antibiotic
ANTIBIOTIC
FREQUENCY … Varchar(64)
The frequency of the antibiotic
ANTIBIOTIC
START_DTM
Date
The date of when the … antibiotic treatment began
ANTIBIOTIC
DC_DTM
Date
The date of when the antibiotic treatment
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Broad spectrum antibiotics should
be given even if these tests cannot be performed
(p. 28). … analysis and other cultures
as indicated), and prompt administration of a
broad‐spectrum parenteral antibiotic … Relatively high doses (75‐100
mg/kg) are sometimes recommended in regions
with high prevalence of antibiotic … • Parenteral antibiotics should be
given before other procedures. … SCD with a fever greater than or
equal to 38.5 degrees C should be given
parenteral broad spectrum antibiotic
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www.qualitymeasures.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
October 01, 2016 - Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and … prescription and asymptomatic bacteriuria, which does not require antibiotics and should not be treated … clinicians explaining the form and its rationale (tool 2) ( PDF | Word )
Not All “Infections” Need Antibiotics … The handout Not All “Infections” Need Antibiotics (tool 3) also should be given to nurses.
1 American … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-discussion-guide.docx
September 01, 2022 - stewardship leader(s) is encouraged to ask all clinical staff which components of the AHRQ Toolkit To Improve Antibiotic … Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … What will be the practice’s standard antibiotic treatment regimen for otherwise healthy adults with CAP … What will be the practice’s standard antibiotic treatment regimen for adults with comorbid conditions … No. 17(22)-0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-2-tech-specs.pdf
February 26, 2018 - emergency
department with fever during the measurement year who received parenteral broad-spectrum antibiotic … calculated as follows:
The percentage of eligible children who received parenteral broad-spectrum antibiotic … Parenteral See Table 15-A for a list of acceptable antibiotics. … broad-spectrum antibiotic treatment
Fever Body temperature ≥ 38 degrees C (100.4 degrees F). … Administration of oral
antibiotics does not qualify as a numerator event.
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www.qualitymeasures.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/index.html
October 01, 2016 - Toolkits
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … Help Prescribing Clinicians Choose the Right Antibiotic
Educate and Engage Residents and … Members
Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics … Minimum Criteria for Antibiotics Tool
Toolkit 1. … Internet Citation: Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - Timely Antibiotics for Children With Severe Sepsis or Septic Shock
1
Timely Antibiotics for Children … Antibiotic therapy should be started within the first hour of recognition of severe sepsis or septic … Recent work by Ferrer and colleagues sought to evaluate the
relationship between timing of antibiotic … The use of pediatric shock protocols that emphasize timely antibiotic therapy and fluid
resuscitation … For antibiotics received elsewhere (i.e., a child received parenteral antibiotics prior to or during
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www.qualitymeasures.ahrq.gov/news/funding-hais-carb.html
March 01, 2024 - Newsroom
Apply Now for Funding on Projects to Reduce Healthcare-Associated Infections and Antibiotic … Apply Now for Funding on Projects to Reduce Healthcare-Associated Infections and Antibiotic … funding innovative research proposals to prevent healthcare-associated infections (HAIs) and combat antibiotic-resistant … CARB projects should address ways to promote appropriate antibiotic use, reduce the transmission of resistant … Internet Citation: Apply Now for Funding on Projects to Reduce Healthcare-Associated Infections and Antibiotic
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Resident With a Suspected Respiratory Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … Bordetella is the only one of these that requires antibiotic treatment.3
‹#›
Assessment of RTI
12 … His daughter asks you for some antibiotics to make her dad’s cough go away. … Antibiotics are great at making coughs go away. … He has bacterial pneumonia and needs antibiotics.
Case 3: Peter, Diagnosis?