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www.ahrq.gov/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html
February 01, 2022 - were on antibiotics. … Participating facilities also significantly reduced use of fluoroquinolones , a class of antibiotics … can enable organisms to develop a resistance to antibiotics, rendering them ineffective. … Significantly reduce oral antibiotic use compared with intravenous antibiotics, which is important because … oral antibiotics are used more frequently.
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www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescribing.html
July 01, 2022 - stewardship programs—coordinated internal programs that promote the appropriate use of antibiotics. … "Antibiotics save lives—but we must use them judiciously to reduce the chance of resistance and ensure … resistance developing in microbes, rendering antibiotics useless against them. … The Four Moments of Antibiotic Decision Making are the critical time periods to assess the need for antibiotics … ; clinicians can use the framework whenever antibiotics are being considered for treatment.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - Program for Improving Antibiotic Use
AHRQ Pub. … have risks and may cause harm
The Importance of Antibiotics
3
Patient Safety
3
5
Antibiotic … Patient Safety
5
6
Antibiotics Alter the Bacteria in the Gut4
Susceptible Bugs
Resistant Bugs
Antibiotic … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - Needs an antibiotic. … Think before you reach for antibiotics! … Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with resistant … Antibiotics won't help if he doesn't have a UTI.
Antibiotics could hurt him (e.g., diarrhea). … Slide 10: Avoid Knee-Jerk Antibiotics
Remember, unnecessary antibiotic use can lead to—
Resident
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/communicating-decisions.html
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions
After viewing or presenting … Learn how to effectively communicate about antibiotic use with patients. … Making
Communicating with Patients and Families Around Antibiotic Decisions – Clinician One-Page … Antibiotics: When Do You Need Them? … – Patient Handout (English) (DOCX, 318 KB)
Antibiotics: When Do You Need Them?
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www.ahrq.gov/antibiotic-use/ambulatory-care/index.html
October 01, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care
Welcome to the Toolkit To Improve Antibiotic … The Ambulatory Care Toolkit explains the Four Moments of Antibiotic Decision Making and has tools to … the Four Moments framework for all patients receiving antibiotics
Improve antibiotic prescribing … prescribing” and “Apply the Four Moments framework for all patients receiving antibiotics.” … allergies,” and “Apply the Four Moments framework for all patients receiving antibiotics.”
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www.ahrq.gov/hai/carb/index.html
May 01, 2022 - Combating Antibiotic-Resistant Bacteria
AHRQ works alongside Federal Agencies across the Government … as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). … The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described … resistance, and finding new ways to improve the use of antibiotics. … Every infection prevented is one less instance of antibiotic use, and using fewer antibiotics significantly
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title … Moments of Antibiotic Decision Making. … In this study, 96 percent of patients who were given an antibiotic prescription right away took antibiotics … antibiotics. … Slide 9
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 is: If antibiotics are indicated
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www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - the benefits and risks of antibiotic use and be engaged in reducing harm associated with antibiotic … Teamwork Around Antibiotic Decision Making
Identifying Targets for Improvement in Antibiotic Decision … Around Antibiotic Prescribing
Tools
The tools below are designed to be used to assist the Antibiotic … prescribing and takes action when harm related to antibiotics is detected. … Antibiotic Use Commitment Poster (DOCX)
Antibiotic Time Out Tool (DOCX)
Identifying Antibiotic–Associated
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www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). … Presentations
Improving antibiotic use should be viewed as a patient safety issue. … use and be engaged in reducing harm associated with antibiotic use. … Antibiotic Safety
Tools
The six tools below are designed to assist the Antibiotic Stewardship … and takes action when harm related to antibiotics is detected.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-guide.docx
September 01, 2022 - Moment One is, “Does my patient have an infection that requires antibiotics?” … Whether or not antibiotics are indicated, provide suggestions for symptomatic therapy. … that antibiotics don’t help and may cause bad side effects.” … those for which antibiotics are always indicated, sometimes indicated, and never indicated. … ” and “sometimes antibiotic” diagnoses who receive antibiotics could be evaluated to understand if there
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/index.html
September 01, 2022 - Learn Best Practices for Diagnosing and Managing Common Infectious Syndromes and Antibiotic Allergies … ambulatory care is essential to optimize antibiotic use and patient care. … The Never Antibiotics Diagnoses: Influenza and RSV
The Never Antibiotics Diagnoses: Viral Acute Upper … Antibiotics Diagnoses: Acute Otitis Media in Children
The Sometimes Antibiotics Diagnoses: Sinusitis … The Sometimes Antibiotics Diagnoses: Pharyngitis
The Usually Antibiotics Diagnoses: Community-Acquired
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www.ahrq.gov/antibiotic-use/acute-care/index.html
October 01, 2022 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
AHRQ Toolkit for Improving Antibiotic … Welcome to the Toolkit To Improve Antibiotic Use in Acute Care Hospitals. … diagnosis and treatment of infectious syndromes Apply the Four Moments framework for all patients receiving antibiotics … Improve Antibiotic Prescribing Antibiotic Stewardship Programs: it is recommended that you review the … treatment of infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
September 01, 2022 - The Never Antibiotics Diagnoses: Influenza and RSV – Slides
AHRQ Safety Program for Improving Antibiotic … that requires antibiotics? … of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … that requires antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
November 01, 2019 - Effective communication is a key skill to ensure best use
of antibiotics. … use and
preventing harm associated with antibiotics. … because the current
antibiotics are not working. … for all patients
being started on or already on antibiotics. … The prescriber should ask three questions:
“Can I stop antibiotics?
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/allergies.html
September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies
After viewing or presenting … before prescribing antibiotics. … Recognize types of reactions to antibiotics commonly prescribed in the outpatient environment. … Review the cross-reactivity between antibiotic classes. … Describe approaches to evaluating patients with reported antibiotic allergies.
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psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
July 20, 2022 - Study
Association of a Safety Program for Improving Antibiotic Use with antibiotic … Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset Clostridioides … regarding antibiotic use. … use in conjunction with traditional antibiotic stewardship programs. … Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset Clostridioides
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions
Communicating With … Patients and Families
About Antibiotic Decisions
Patients want to feel
HEARD1-3
• Say: “What … ”
• Say: “We now know that sometimes antibiotics can
actually cause more problems, like diarrhea … “I never get
better without an antibiotic”: antibiotic appeals and
how to respond. … Communication practices and antibiotic use for
acute respiratory tract infections in children.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antibiotics-respiratory-infection_research-protocol.pdf
September 22, 2014 - antibiotics for acute RTI. … antibiotics!for!RTI!
! Improved!clinician!
knowledge!regarding!use!
of!antibiotics!for!RTI!
! … antibiotics!
KQ#1:#
! Improved!appropriate!
prescription!of!antibiotics!
! Improved!appropriate! … antibiotics!
KQ#2:!
! Antibiotic!resistance!
! Medical!complications!)e.g.!
Mortality,!Adverse! … Respiratory tract Infections-
Antibiotic Prescribing: Prescribing of antibiotics for self-limiting respiratory
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - This tool will help your safety program team understand how appropriately you are using prophylactic antibiotics … (Leave the Antibiotic 2 subsection blank if only one antibiotic was used throughout the case.) … (Leave the Antibiotic 2 subsection blank if only one antibiotic was used throughout the case.) … Question 15: Assess if the antibiotics clindamycin or cefotetan were redosed during the case. … If the antibiotics were redosed, determine and document if the difference in time between the first antibiotic