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www.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - Facilitator Guide ( Word , 292 KB; HTML )
Role-Play Worksheet ( Word , 283 KB; HTML )
Antibiotic … Stewardship
Highlights reasons providers may prescribe antibiotics, explains why and how to document … signs and symptoms, and describes how to use communication strategies to address alternatives to antibiotic … case study and key accompany these materials to enhance knowledge and communication of the harms of antibiotic … overuse, as well as frequently asked questions and answers related to antibiotic stewardship.
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psnet.ahrq.gov/node/837662/psn-pdf
July 13, 2022 - analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-
outcomes-among
Inappropriate antibiotic … prescribing can result in patient harm and costly antibiotic-resistant infections. … worse short-term clinical outcomes but was associated with
potentially inappropriate broad-spectrum antibiotic … analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
https://psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset … https://psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding
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effectivehealthcare.ahrq.gov/sites/default/files/clinical-pathway-methods-report-appendix-k.pdf
February 01, 2018 - (Strong
recommendation, high-quality evidence)
• In patients in whom oral antibiotics cannot reach … therapy directed against the underlying
infection or who require retreatment with antibiotics shortly … • A prolonged course of oral antibiotics is acceptable therapy for recurrent or resistant disease … repeated antibiotic treatment, fecal transplantation in
combination with oral antibiotic treatment is … Antibiotics remain the mainstay of
treatment recommendations for mild-moderate CDI, with consideration
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections_executive.pdf
December 01, 2011 - Antibiotics that disturb colon flora enough to
allow CDI to develop must get into the colon, and they … the likelihood that the
recommended antibiotics might induce CDI. … While several studies found increased risk with specific
antibiotics or antibiotic classes, the antibiotics … Identifying
new antibiotics may be one approach. … Impact of a
reduction in the use of high-risk antibiotics on the
course of an epidemic of Clostridium
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psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
March 09, 2022 - Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic … May 18, 2022
Implementation of an antibiotic stewardship program in long-term care facilities … March 9, 2022
Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? … May 11, 2019
Appropriateness of outpatient antibiotic prescribing among privately insured … June 25, 2018
Antibiotic Stewardship in Acute Care: A Practical Playbook.
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psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - AH: Antibiotic stewardship is about the effective use of antibiotics to optimize how we treat infections … antibiotics and ensuring access to antibiotics. … As the
antimicrobial and antibiotic stewardship movement has evolved over the years, what are the main … You mentioned one, the delayed antibiotic idea. What are some of the others that
are taking root? … Antibiotic stewardship should be part of the quality agenda in hospitals; whether it sits
directly in
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - An order for IV
antibiotics every 6 hours was placed electronically at 8:00 PM, and arrangements were … morning rounds, the attending physician learned that the patient had not yet received any
doses of antibiotic … or why the antibiotics were not
scheduled to be given until 24 hours after admission. … This elderly patient with acute cholangitis experienced a critical delay in antibiotic administration … patient, an initial focus on the process of electronic order entry is critical to understanding why
antibiotic
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psnet.ahrq.gov/node/42598/psn-pdf
September 18, 2013 - Prompting physicians to address a daily checklist for
antibiotics: do we need a co-pilot in the ICU? … Prompting physicians to address a daily checklist for antibiotics: do we need a
co-pilot in the ICU? … https://psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot … checklists coupled with forcing functions in the intensive care unit as a
strategy to enhance appropriate antibiotic … https://psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot-icu
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psnet.ahrq.gov/node/43470/psn-pdf
September 10, 2014 - Identifying critically ill patients at risk for inappropriate
antibiotic therapy: a pilot study of a … Identifying critically ill patients at risk for inappropriate antibiotic
therapy: a pilot study of a … https://psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study … identify patients with health
care–associated infections (HAIs) who were being administered inappropriate antibiotic … These
findings suggest that clinical decision support systems can improve safety of antibiotic prescribing
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/procalcitonin_research-protocol.pdf
September 08, 2011 - Conversely, overuse and misuse of antibiotics can result in adverse events and add to the
increasing … problem of antibiotic resistance. … Discriminate use of antibiotics for exacerbation of COPD. … leukocytosis,
pyuria), as
described in
guidelines
The comparator is specified as initiation
of antibiotics … as described in
guidelines to clarify the true comparator
for procalcitonin-guided initiation of
antibiotics
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psnet.ahrq.gov/node/45425/psn-pdf
December 22, 2018 - Automated identification of antibiotic overdoses and
adverse drug events via analysis of prescribing … Automated identification of antibiotic overdoses and adverse
drug events via analysis of prescribing … https://psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events- … In this study, investigators used a trigger tool approach and reviewed all antibiotic prescriptions … In many cases, antibiotic overdoses reached patients and led to symptoms.
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psnet.ahrq.gov/node/50726/psn-pdf
December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December 11, 2019
Agency for Healthcare Research … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
Structured processes … This tool kit shares
training modules and tools to support a 4-point practice to improve antibiotic … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - Despite the antibiotics and additional intravenous fluids, she continued to
deteriorate. … In the ED, antibiotics
should be started within 3 hours from the time of presentation. … For inpatients, antibiotics should be started
within 1 hour from the time of presentation. … The pharmacist facilitates rapid antibiotic administration. … In sepsis, early and timely intervention via a well-established bundle (antibiotics, source control,
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psnet.ahrq.gov/node/43410/psn-pdf
August 20, 2014 - Antibiotic prescribing practice in residential aged care
facilities—health care providers' perspectives … Antibiotic prescribing practice in residential aged care facilities--
health care providers' perspectives … https://psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care … -
providers
This qualitative study explored barriers to appropriate antibiotic use in residential aged … https://psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers
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psnet.ahrq.gov/node/46983/psn-pdf
April 25, 2018 - Assessment of emergency department antibiotic
discharge prescription dosing errors for pediatric patients … Assessment of Emergency Department Antibiotic Discharge
Prescription Dosing Errors for Pediatric Patients … https://psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing … This
retrospective study found that 776 of 1934 antibiotic prescriptions written for pediatric patients … https://psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric
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psnet.ahrq.gov/node/37910/psn-pdf
February 28, 2011 - Public reporting of antibiotic timing in patients with
pneumonia: lessons from a flawed performance … Public reporting of antibiotic timing in patients with pneumonia:
lessons from a flawed performance … https://psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-
performance-measure … potential for the unintended consequences of reporting on flawed
performance measures, using time to first antibiotic … https://psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
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psnet.ahrq.gov/node/37588/psn-pdf
February 15, 2011 - Antibiotic timing and errors in diagnosing pneumonia. … Antibiotic timing and errors in diagnosing pneumonia. … https://psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
This study found that … efforts to meet a publicly reported quality measure on the timing of antibiotic
administration in patients … https://psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47390/psn-pdf
September 19, 2018 - antimicrobial-stewardship
Antimicrobial stewardship programs are a key strategy to reduce overprescribing of antibiotics … variety of clinicians in supporting antimicrobial
stewardship program implementation and optimizing antibiotic … expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
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psnet.ahrq.gov/node/44846/psn-pdf
August 31, 2016 - Making health care safer: protect patients from antibiotic
resistance. … https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance
Health … better use of catheters, appropriate patient isolation, and increased vigilance
to reduce the risks of antibiotic-resistant … https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance
https:// … issue/safety-patients-isolated-infection-control
https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015169-middleton-final-report-2009.pdf
January 01, 2009 - In the intent-to-intervene analysis, clinicians prescribed antibiotics to 43% of
patients with ARI diagnoses … , use of broad-spectrum antibiotics, all-cause
antibiotic use, rates of different ARI diagnoses, quality … Overall, during the pilot period, clinicians prescribed antibiotics to 35% (9 of 26) of patients
when … For antibiotic-appropriate diagnoses, clinicians prescribed antibiotics in 6
10
of 6 visits … In the intent-to-intervene analysis, clinicians
prescribed antibiotics to 43% of patients with ARI diagnoses