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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_executive.pdf
November 01, 2014 - Current antibiotic dosing strategies also do not directly
consider the variety of antibiotic-resistance … Given the PK/PD properties of antibiotics, clinicians can
optimize the PD effects of antibiotics by … Among them are improving appropriate use of antibiotics
by promoting antibiotic use only when indicated … antibiotic doses. … concepts such as using extended or prolonged infusions
of time-dependent antibiotics.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
September 01, 2022 - However, misuse of antibiotics has led to avoidable harm such as emergence of antibiotic
resistance … /index.html
2
who receive antibiotics in the hospital will develop an antibiotic-associated adverse … Antibiotic use was stratified by individual antibiotics. … Antibiotic use was
stratified by individual antibiotics. … Rethinking how antibiotics are prescribed: incorporating the 4
Moments of Antibiotic Decision Making
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
September 01, 2022 - among practice members and patients about management of common infectious diseases, including when antibiotics … will inform the annual sustainability plan is to examine the proportion of clinic visits for which antibiotics … These are three of the “never antibiotics” diagnoses—that is, diagnoses for which antibiotics should … and implemented changes, the practice had a decrease in the proportion of influenza visits for which antibiotics … technologists may be able to develop an alert in the electronic health record reminding clinicians that antibiotics
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
September 01, 2022 - among practice members and patients about management of common infectious diseases, including when antibiotics … will inform the annual sustainability plan is to examine the proportion of clinic visits for which antibiotics … These are three of the “never antibiotics” diagnoses—that is, diagnoses for which antibiotics should … and implemented changes, the practice had a decrease in the proportion of influenza visits for which antibiotics … technologists may be able to develop an alert in the electronic health record reminding clinicians that antibiotics
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
September 01, 2022 - among practice members and patients about management of common infectious diseases, including when antibiotics … will inform the annual sustainability plan is to examine the proportion of clinic visits for which antibiotics … These are three of the “never antibiotics” diagnoses—that is, diagnoses for which antibiotics should … and implemented changes, the practice had a decrease in the proportion of influenza visits for which antibiotics … technologists may be able to develop an alert in the electronic health record reminding clinicians that antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - for Improving Antibiotic Use
AHRQ Pub. … Forgetting to order needed cultures or diagnostic studies
Prescribing antibiotics for too long
Forgetting … to stop antibiotics when they are not needed
Accidentally miscounting days of therapy during transitions … She is placed on intravenous antibiotics for pyelonephritis and admitted to the hospital. … 10
Describe the next patient scenario for which antibiotics may not be prescribed optimally.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - Antibiotic Use – Ambulatory Care
2
The Importance of Antibiotics
Saved countless lives
Prompt administration … 30% of antibiotics prescribed in ambulatory practices are unnecessary9
59% of antibiotic expenditures … Lingering cough; antibiotics extended for a 14-day course
6
Focus on Antibiotic Prescribing
AHRQ … Care
10
Antibiotics & Clostridioides difficile12
Virtually all antibiotics can
increase the risk … antibiotics also have associated harm
Promoting antibiotic stewardship can improve patient outcomes
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-slides.pptx
September 01, 2022 - Antibiotic Use – Ambulatory Care
2
The Importance of Antibiotics
Saved countless lives
Prompt administration … 30% of antibiotics prescribed in ambulatory practices are unnecessary9
59% of antibiotic expenditures … Lingering cough; antibiotics extended for a 14-day course
6
Focus on Antibiotic Prescribing
AHRQ … Care
10
Antibiotics & Clostridioides difficile12
Virtually all antibiotics can
increase the risk … antibiotics also have associated harm
Promoting antibiotic stewardship can improve patient outcomes
-
www.healthcare411.ahrq.gov/antibiotic-use/index.html
October 01, 2022 - Decision Making to improve antibiotic use. … Access the Toolkit To Improve Antibiotic Use in Acute Care Hospitals . … About This Project
Antibiotics are life-saving drugs when used appropriately. … Using antibiotics inappropriately can lead to antibiotic-resistant bacteria and increase the risk of … antibiotic regimens, routes of administration, and durations.
-
healthcare411.ahrq.gov/antibiotic-use/index.html
October 01, 2022 - Decision Making to improve antibiotic use. … Access the Toolkit To Improve Antibiotic Use in Acute Care Hospitals . … About This Project
Antibiotics are life-saving drugs when used appropriately. … Using antibiotics inappropriately can lead to antibiotic-resistant bacteria and increase the risk of … antibiotic regimens, routes of administration, and durations.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
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pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
-
talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
-
cahps.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - of antibiotics is not entirely benign! … one antibiotic during their hospital stay.1
Approximately 30-50% of antibiotics hospitalized patients … Use – Patient Safety Issue
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
6
Antibiotics … Care
7
Antibiotics & Clostridiodes difficile
Antibiotics can increase the risk of Clostridiodes difficile … The Infectious Diseases Society of America’s 10 x ’20 Initiative (Ten new systemic antibacterial agents
-
effectivehealthcare.ahrq.gov/health-topics/antibiotic-resistance/
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pneumonia-antibiotic-treatment_research-protocol.pdf
July 19, 2013 - Antibiotic PD relates PK parameters to the
ability of an antibiotic to kill or inhibit growth of bacterial … , clinicians can optimize the PD effects of
antibiotics by altering the dosing methods for the antibiotic … Rates of antibiotic-related adverse events? … Rates of antibiotic-related adverse events? … ] OR "Anti-Bacterial Agents"[mesh])
Limits Humans
English language
Adults 19+ years or Adults 18
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/pneumonia-antibiotic-treatment_research-protocol.pdf
July 19, 2013 - Antibiotic PD relates PK parameters to the
ability of an antibiotic to kill or inhibit growth of bacterial … , clinicians can optimize the PD effects of
antibiotics by altering the dosing methods for the antibiotic … Rates of antibiotic-related adverse events? … Rates of antibiotic-related adverse events? … ] OR "Anti-Bacterial Agents"[mesh])
Limits Humans
English language
Adults 19+ years or Adults 18