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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
November 01, 2019 - recommendations for Gram-negative and Gram-positive bacteremia
Discuss opportunities for de-escalation of antibiotic … therapy for bacteremia
Discuss reasonable durations of antibiotic therapy for common organisms causing
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/uti.html
November 01, 2019 - treated for ASB
Recommend empiric treatments for UTIs
Discuss opportunities for de-escalation of antibiotic … therapy for UTIs after additional clinical data are available
Discuss reasonable durations of antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/gastro.html
November 01, 2019 - approach to the diagnosis of diverticulitis and biliary tract infections
Identify options for empiric antibiotic … importance of source control in the management of intra-abdominal infections
Identify options for antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/downloads.html
November 01, 2019 - The Four Moments of Antibiotic Decision Making Posters and Screen Saver
Four Moments Poster
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www.ahrq.gov/antibiotic-use/acute-care/safety/patient-safety.html
November 01, 2019 - Making the Case That Improving Antibiotic Use is a Patient Safety Issue
After viewing or presenting … this presentation viewers will be able to—
Explain the potential harm associated with antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/improve/microbiology-lab.html
November 01, 2019 - How Can Your Antibiotic Stewardship Program Collaborate With The Clinical Microbiology Laboratory … work with the microbiology laboratory to—
Develop antibiograms
Implement selective reporting of antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.xlsx
October 01, 2016 - Sample Monthly Summary Reports
Month Number of Resident Days Number of Antibiotic Rx Number of Antibiotic … Rx divided by Number of Resident Days Number of Residents Receiving Antibiotics for UTI (incl. … No. 17-0006-2-EF
October 2016
Summary ABX in use
Month [Antibiotic name] [Antibiotic name … ] [Antibiotic name] [Antibiotic name] [Antibiotic name] [Antibiotic name] [Antibiotic name]
Jan In each
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meps.ahrq.gov/data_files/publications/st35/stat35.pdf
January 01, 2000 - Edward Miller
Introduction
In 1995, concerns about the overuse of antibiotics and the increasing … Prevention (CDC) to
launch a national campaign to promote the appropriate use of antibiotics.1 The … The definition of antibiotics includes all major classes of oral
antibiotics but excludes topical antibiotics … children who used antibiotics
had fewer prescriptions. … Per capita expenditures for antibiotics among young children are shown in figure 3.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - You could consider a pre-authorization
program in which clinicians request approval of
certain antibiotics … post-
prescription review with feedback program in
which you discuss the rationale for continued
antibiotics … clinicians in your facility
understand the importance of a daily time-out for
all patients receiving antibiotics … They
showed that their antibiotic stewardship program
achieved a 46 percent decrease in antibiotic … focused on antibiotic
overuse.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - About Residents With Family Members and Caregivers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … use to family members of residents
Address end-of-life care as it relates to antibiotic use
Recognize … “…in retrospect I just shouldn’t have done it [prescribed antibiotics]. … of life
15
Discussing Concerns With Family
15
End-of-Life Care4,5
Antibiotic therapy may cause … End-of-life treatment and bacterial antibiotic resistance: a potential association.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-discussion-guide.docx
September 01, 2022 - Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How is the practice currently deciding which children with acute otitis media to treat with antibiotics … What guidelines/educational tools is the practice currently using to address the length of antibiotic … What measures will the practice use to guide decision making for observation without antibiotic therapy … What anticipatory guidance will the practice use for patients who will not be started on antibiotics
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Emerging evidence:
Antibiotics redosing and weight-based dosing. … The first column titled Antibiotics Practices includes rows that describe different antibiotic practices … Antibiotics were weight-adjusted in 552 or 56.8% of cases (n=972). … Utilization of mechanical bowel preparation with oral antibiotics. … Standardize antibiotics redosing:
Maintain therapeutic antibiotic serum levels throughout procedure
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psnet.ahrq.gov/node/49402/psn-pdf
June 01, 2003 - Inappropriate Antibiotic Use
June 1, 2003
Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. … infectious cause not covered by antibiotics. … Many physicians find it hard to limit
antibiotic use when they think that broad-spectrum antibiotic … How can overuse of antibiotics be prevented? … Strategies to improve antibiotic stewardship and reduce
antibiotic resistance have recently been summarized
-
psnet.ahrq.gov/node/837060/psn-pdf
May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing
for acute respiratory tract infections: … Clinician distress and inappropriate antibiotic prescribing for
acute respiratory tract infections: … -
tract
Inappropriate prescribing of antibiotics to treat viral illnesses is an ongoing patient safety … the association between clinician depression, anxiety, and burnout and inappropriate prescribing
of antibiotics … https://psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
https://psnet.ahrq.gov
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use in unnecessary antibiotics … Unnecessary antibiotics can result in side effects and drug-resistant bacteria. … (“Minimum Criteria toolkit”) aims to reduce unnecessary prescribing for the three infections where antibiotics … help prescribing clinicians (physicians, nurse practitioners, and physician assistants) determine when antibiotics … Standardizing antibiotic use in long-term care settings (SAUL study).
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/procalcitonin_executive.pdf
October 01, 2012 - Early initiation of appropriate
antibiotics and goal-directed therapies
reduces mortality. … Conversely, overuse
and misuse of antibiotics, including
continuing antibiotics longer than
necessary … In view of the present emphasis on the overuse of
antibiotics, other interventions to reduce antibiotic … ’s total
exposure to all antibiotics and is conventionally reported
as mean days per 1,000 days of … to all
antibiotics per 1,000 days of followup.
2.
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www.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.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - Resident With a Suspected Urinary Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … No. 17(21)-0029
June 2021
AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Assessment … Mary Ann is feeling well
Temperature is 98.1oF
She is happy she was not exposed to any unnecessary antibiotics … Start a different antibiotic.
Send her to a urologist.
Examine the resident. … does not work, rather than try “better” antibiotics, consider other reasons for the resident’s signs
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Antibiotics are a powerful tool that have made once deadly infections easily treatable. … However,
overuse of antibiotics can lead to bacterial resistance, in which bacteria that were once responsive … Many of these prescriptions are suspected to be inappropriate
or unnecessary,4 ,5 such as antibiotics … The American Heart Association has also
published recommendations regarding antibiotics prior to dental … Dentists’ prescribing of antibiotics and opioids to Medicare Part D
beneficiaries: Medications of high
-
psnet.ahrq.gov/node/43049/psn-pdf
October 31, 2014 - Vital signs: improving antibiotic use among hospitalized
patients. … Vital signs: improving antibiotic use among hospitalized patients. … https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
Antibiotics … Many of these antibiotics were deemed to be unnecessary, and there was wide variation seen in
antibiotic … patients' exposure to broad-spectrum antibiotics by 30% would lead
to a 26% reduction in Clostridium