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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - Appropriate Collection of Microbiologic Specimens
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … Case 3: Continued
How could you have—
Prevented the resident from being started on broad- spectrum antibiotics … Obtain an early-morning specimen, ideally before starting antibiotics. … Share feedback about the intervention with the Antibiotic Stewardship Team. … Apply the Four Moments of Antibiotic Decision Making Form to 5–10 residents each month.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2b-SBAR_LRI_Final.pdf
June 01, 2014 - __________________________________
¨ No ¨ Yes Advance directives for limiting treatment related to antibiotics … The resident may have a lower respiratory tract infection and need
a prescription for an antibiotic … The resident does NOT need an immediate prescription for an
antibiotic, but may need additional observation … (s)
Antibiotic 1 ______________________________________ Dose ________ Route ________ Duration _____ … ___
Antibiotic 2 ______________________________________ Dose ________ Route ________ Duration ______
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.doc
October 01, 2016 - Antibiotic Use Tracking Sheet [11x17 format]
Month:
Resident Name/Identifier
Room #
Admit Date
Admit … Other Contributing Factors
Prescribing Clinician (PC)
Prescription Date
Prescription Duration
Antibiotic … Name
Dose
Change of Antibiotic (if needed)
Followup With PC
Followup With Resident/Family
Comments … Antibiotic Use Tracking Sheet [11x14 format]
Month:
Resident Name/Identifier
Room #
Admit Date
Admit … Name
Dose
Change of Antibiotic (if needed)
Followup With PC
Followup With Resident/Family
Notes
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_disposition-comments.pdf
November 24, 2014 - Of note is that recommendations to increase dosing
levels for many antibiotics were included in the … In addition, therapeutic drug monitoring (TDM)
is only performed for a few selected antibiotics in practice … There was a lack of data to support the use of continuous
infusion of betalactam antibiotics compared … Again, readers of such a review are
likely looking for guidance on dosing antibiotics for multi-
drug … resistant organisms, or organisms with high MICs to
traditional antibiotics.
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www.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Antimicrobial Stewardship Modules are field-tested, evidence-based modules that can help nursing homes develop antibiotic … stewardship programs to help them use and prescribe antibiotics appropriately. … Appropriate antibiotics use can reduce antimicrobial resistance and help retain the effectiveness of … Toolkit To Improve Antibiotic Use in Long-Term Care helps nursing homes improve antibiotic stewardship
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www.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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psnet.ahrq.gov/node/866320/psn-pdf
January 01, 2025 - Rapid response systems, antibiotic stewardship and
medication reconciliation: a scoping review on
implementation … Rapid response systems, antibiotic stewardship and
medication reconciliation: a scoping review on implementation … https://psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation … influencing successful
implementation of three common patient safety practices: medication reconciliation, antibiotic … https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/838929/psn-pdf
October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
Inappropriate antibiotic … This toolkit assists in
simplifying the antibiotic decision-making process. … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
https://psnet.ahrq.gov/issue … /association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
https://
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psnet.ahrq.gov/node/46314/psn-pdf
November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use. … https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
Improving antibiotic use is … https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
https://psnet.ahrq.gov/primer … -2010-2011
https://psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes … https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
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psnet.ahrq.gov/node/836825/psn-pdf
March 30, 2022 - Antibiotic prescribing errors in patients discharged from
the pediatric emergency department. … Antibiotic prescribing errors in patients discharged from the
pediatric emergency department. … https://psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency- … department
Several factors contribute to pediatric antibiotic medication errors in the emergency department … https://psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency-department
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T1-Suggested_Agenda_for_Meeting_on_Monitoring_Final.pdf
October 01, 2016 - (a) Examples of simple measures: (1) the rate of antibiotic use (e.g., the number of
fluoroquinolones … (b) Examples of moderately complex measures: (1) number of antibiotic
prescriptions divided by the number … with prescribing criteria; or (2) Examine compliance with
antibiogram (e.g., percentage of prescribed antibiotics … Examples: Percentage of antibiotic prescriptions, number of
residents receiving antibiotics, number
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tympanostomy-tubes-executive-170523.pdf
May 01, 2017 - of antibiotics or
pain related to ear drops. … oral antibiotics and watchful waiting or placebo. … , topical antibiotic-glucocorticoid drops are superior to oral antibiotics and there is a
suggestion … drops vs. systemic antibiotics or watchful waiting
Topical antibiotic-glucocorticoid drops are superior … to oral
antibiotics in achieving clinical cure
Topical antibiotic drops are superior to oral antibiotics
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psnet.ahrq.gov/node/61047/psn-pdf
October 21, 2020 - COVID-19: an emerging threat to antibiotic stewardship in
the emergency department. … COVID-19: an emerging threat to antibiotic stewardship in the emergency
department. … https://psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
Antimicrobial … stewardship is one strategy to improve antibiotic use to reduce hospital-acquired infections. … https://psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
https
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psnet.ahrq.gov/node/837801/psn-pdf
August 10, 2022 - issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-
department
Appropriate antibiotic … prescribing is a core component of antibiotic stewardship programs to reduce the risk
of antibiotic-resistant … This study assessed the rate of misdiagnosed pediatric urinary tract
infections (UTI) and associated antibiotic … Using three interventions (diagnostic algorithm, callback system, standardized discharge
antibiotic … prescription), misdiagnosis of UTI decreased by half, and 2,128 antibiotic days were saved.
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effectivehealthcare.ahrq.gov/system/files/docs/acute-diverticulitis-topic-nomination.pdf
August 13, 2018 - Do the effectiveness/harms vary by route of administration of antibiotic, type of antibiotic,
duration … of course of antibiotic? … ,
clear liquid diet
only, antibiotics by
other route of
administration,
type of antibiotic,
duration … exp Anti-Bacterial Agents/ or ((oral* or parenteral*) adj3 (antibiotic* or
antibacterial* or anti-bacterial … cond=diverticulitis&term=&cntry=&state=&city=&dist=
KQ 1 (Antibiotics)
• Antibiotics vs. resection
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psnet.ahrq.gov/print/pdf/node/867658
January 26, 2022 - Perspectives
Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
This piece discusses overprescribing … of antibiotics and opioids in dental care and challenges in
implementing stewardship programs. … Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
This piece discusses overprescribing … of antibiotics and opioids in dental care and challenges in
implementing stewardship programs. … adverse-events-and-emergency-department-opioid-prescriptions-adolescents
https://psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
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psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - April 22, 2020
COVID-19: an emerging threat to antibiotic stewardship in the emergency … View More
Related Resources
Clinician distress and inappropriate antibiotic … May 5, 2021
Two pandemics, same story: the potentially dangerous overuse of antibiotics … January 29, 2020
Appropriateness of outpatient antibiotic prescribing among privately … September 12, 2018
Effect of behavioral interventions on inappropriate antibiotic prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
December 01, 2017 - antibiotics are appropriately redosed. … 0.9 0.93 0.95 0.98 Antibiotics discontinued at right time 2006 2007 2008 2009 2010 0.74 0.8 0.86 0.9 … at the right time
Discontinuing antibiotics at the right time
Clipping the skin as opposed to shaving … at the right time
Discontinuing antibiotics at the right time
Clipping the skin as opposed to shaving … 78% 83% 87% 92% 97%
Appropriate antibiotic 90% 90% 93% 95% 98%
Antibiotics discontinued at right time
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psnet.ahrq.gov/node/72528/psn-pdf
December 02, 2020 - Impact of remote consultations on antibiotic prescribing
in primary healthcare: systematic review. … Impact of remote consultations on antibiotic prescribing in primary
healthcare: systematic review. … https://psnet.ahrq.gov/issue/impact-remote-consultations-antibiotic-prescribing-primary-healthcare- … that there is insufficient evidence to determine whether remote
prescribing in primary care changes antibiotic … https://psnet.ahrq.gov/issue/impact-remote-consultations-antibiotic-prescribing-primary-healthcare-systematic-review
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. … No antibiotics were given. … Suspecting meningococcemia, the attending started antibiotic therapy and transferred the patient to the … Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet].