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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - No notification system
for when culture results
are available
No pharmacy alerts
for allergies to antibiotics … System
8
Case 1: continued
At the time of transfer, he is written for another 14-day course of oral antibiotics … He already received 3 days of antibiotics in the hospital.
His legs are improved but not better. … Introduce the Four Moments of Antibiotic Decision Making Form. … Guide for the Four Moments of Antibiotic Decision Making Form
Learning From Antibiotic-Associated Adverse
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
October 01, 2024 - When antibiotics are prescribed inappropriately or not taken correctly, the bacteria that antibiotics … Gonzales received a 5-year AHRQ grant to reduce the overuse of antibiotics to treat acute respiratory … His project, Minimizing Antibiotic Resistance in Colorado (MARC) , evaluated the impact of educational … The MARC project did help reduce antibiotic use in the community. … Gonzales received another 5-year AHRQ grant that allowed him to expand on his antibiotic stewardship
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psnet.ahrq.gov/node/73151/psn-pdf
April 14, 2021 - Could Efforts to Fight the Coronavirus Lead to Overuse of
Antibiotics? … https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics
Antibiotic overuse … This report discusses problems associated with
antibiotic prescribing during the first 6 months of the … /issue/two-pandemics-same-story-potentially-dangerous-overuse-antibiotics-and-road-medical-hell
https … ://psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - and Mechanical Bowel Prep 2
Antibiotic and Mechanical Bowel Prep in the 1970s
1970s
AHRQ Safety Program … 1970s
Antibiotic and Mechanical Bowel Prep in the 1980s
Badly done study in England appeared to show … and Mechanical Bowel Prep 4
1980s
1990s
Antibiotic and Mechanical Bowel Prep in the 1990s
Studies … and Mechanical Bowel Prep 5
1980s
1990s
2000s
Antibiotic and Mechanical Bowel Prep in the 2000s … Antibiotic prophylaxis for colorectal surgery.
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psnet.ahrq.gov/node/44937/psn-pdf
September 29, 2017 - Effect of behavioral interventions on inappropriate
antibiotic prescribing among primary care practices … Effect of Behavioral Interventions on Inappropriate Antibiotic
Prescribing Among Primary Care Practices … trial among 47 primary care practices, prompting clinicians to enter justifications
for prescribing antibiotics … mean antibiotic prescribing rates compared to controls. … Antibiotics are a
significant source of medical care overuse and inappropriate prescriptions can lead
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-one-pager.pdf
September 01, 2022 - with obvious signs and symptoms of community-acquired pneumonia (CAP), it is reasonable to initiate
antibiotics … Preferences Healthy Adults Adults With
Comorbidities or Recent
Hospitalization with
Parenteral Antibiotics … instructed to return to medical attention if they do not have some improvement in symptoms by
day 3 of antibiotics … if they experience mental status changes or become increasingly ill, regardless of how
many days of antibiotics … Community-Acquired Pneumonia 2 AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
December 24, 2008 - Toolkit
Toolkit to Improve Antibiotic Use in Long-Term Care. … Citation Text:
Toolkit to Improve Antibiotic Use in Long-Term Care. … The use of antibiotics should be monitored to reduce the potential for infection in care facilities … This toolkit outlines offers a methodology for launching or invigorating an antibiotic stewardship … Designed to align with four time elements of antibiotic therapy, its supports processes that enable
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/uti.html
September 01, 2022 - Discuss recommended durations of antibiotic therapy for UTIs. … 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/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
November 01, 2019 - Moment 1 occurs at the time initiation of antibiotic … therapy is considered:
Ask, “Does my patient have an infection that requires antibiotics?” … cultures before starting antibiotics? … Moment 3 occurs every day of antibiotic therapy:
Ask 3 questions, “Can I stop antibiotics? … when the infectious process is clear and the patient
responds to therapy:
Ask, “What duration of antibiotic
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
Discharged with IV antibiotics:
When issues arise, who manages
the complications … He was discharged to a skilled nursing facility (SNF) for continuation
of intravenous antibiotics. … receive their IV antibiotics in a clinical
setting without being hospitalized … – Could patient receive oral (PO) antibiotics instead? … • Is the correct antibiotic dose and duration ordered?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - Antibiotic Use in Nursing Homes
• Antibiotics are one of the most commonly prescribed medications … • Concerns about antibiotic use in nursing homes:
— Evidence has shown that antibiotics given to people … Antibiotic Stewardship
• Antibiotic stewardship is an approach or program that focuses on improving … antibiotic use by
avoiding unnecessary or inappropriate antibiotics … Antibiotic Use in Nursing Homes
Consequences of Overuse of Antibiotics in Nursing Homes
What Can
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psnet.ahrq.gov/node/73502/psn-pdf
July 14, 2021 - Toolkit to Improve Antibiotic Use in Long-Term Care. … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
The use of antibiotics should … Designed to
align with four time elements of antibiotic therapy, its supports processes that enable … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
https://psnet.ahrq.gov/issue … https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - Study
Lessons learned from a national hospital antibiotic stewardship implementation … Lessons learned from a national hospital antibiotic stewardship implementation project. … to reduce healthcare-associated infections and antibiotic-associated adverse events. … Lessons learned from a national hospital antibiotic stewardship implementation project. … July 20, 2022
Association of a Safety Program for Improving Antibiotic Use with antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
May 01, 2014 - prescribed pharmaceuticals in long-term care settings, yet reports indicate that a high proportion of antibiotic … when either no antibiotic or an older narrow-spectrum drug would suffice are believed to be the primary … As a result of the above complexities, nursing homes increasingly are recognized as reservoirs of antibiotic-resistant … to fewer clinical failures of antibiotics that are first prescribed. … To improve appropriate antibiotic use for the residents at [NAME OF NURSING HOME], the antibiogram program
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - to help prevent infection 98% 98%
Surgery patients whose preventive antibiotics were stopped at the … Johns Hopkins also does quite well at discontinuing antibiotics. … The front line said, we’re not always giving the antibiotics at the right time. … (n=972) 552 (56.8%)
Was antibiotic redosed? … So, even though there’s excellent level-one evidence to support the role of antibiotics in preventing
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - prescribed pharmaceuticals in long-term care settings, yet reports
indicate that a high proportion of antibiotic … when either no antibiotic or an
older narrow-spectrum drug would suffice are believed to be the primary … As a
result of the above complexities, nursing homes increasingly are recognized as reservoirs of antibiotic-resistant … to fewer clinical failures of antibiotics that are first prescribed. … To improve appropriate antibiotic use for the residents at [NAME OF NURSING HOME], the antibiogram
-
psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics
September 29, 2017 - Study
Time of day and the decision to prescribe antibiotics. … Time of day and the decision to prescribe antibiotics. … Unnecessary prescribing of antibiotics for viral conditions can pose patient safety risks . … Time of day and the decision to prescribe antibiotics. … Resources From the Same Author(s)
Effect of behavioral interventions on inappropriate antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 02, 2025 - Each time you take an antibiotic, you increase your risk of developing a
resistant infection in the … The Antibiotic Resistance Crisis
The overuse of antibiotics has contributed to increasing antibiotic … resistance
– which is the ability of bacteria to resist the effects of an antibiotic. … “Antibiotic resistance is rising for many different
pathogens that are threats to health. … Save antibiotics for when you really need them
The call to reduce unnecessary use of antibiotics is
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shebl-na-et-al-2007
January 01, 2007 - Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." … and after' studies published on clinical decision support systems (CDSS) used to support the use of antibiotics … 1970-2006) using the combinations of the following terms: (Decision support systems) or (CDSS) AND (antibiotics … It presents a promising future for optimising antibiotic use. … Objective
"To summarise the relevant literature available regarding the use of CDSS and antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic … Does prescribing prophylactic antibiotics help prevent urinary tract infections (UTIs)? … Would it be useful for LTC facilities to assess local antibiotic resistance patterns in their facility … Overuse of antibiotics can be harmful to you and makes them less effective later when antibiotics really … Provide them with additional resources and materials, such as the “When Do You Need an Antibiotic?”