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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - Slide 4
Antibiotic-Associated Adverse Events
SAY:
All antibiotics have the potential to harm … Slide 8
Antibiotic Development Is on the Decline
SAY:
Furthermore, the number of new antibiotics … There has been
an upswing in antibiotic development recently, but
novel antibiotics to treat infections … Antibiotics
remain a very precious resource, and appropriate
antibiotic use is critical to preserve … Our patient was prematurely started on broad
spectrum antibiotics when supportive care without
antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - 1
Effective communication with patients around antibiotics can—
Improve antibiotic prescribing and reduce … Use – Ambulatory Care
Misconceptions About Antibiotic Prescribing
No antibiotics means reduced patient … course of illness, because antibiotics do not help acute bronchitis
9
“Antibiotics are the only thing … Antibiotics unfortunately don’t help viruses, and viruses are common in children. … and the risks associated with taking antibiotics when you don’t need them.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - Making
Does my patient have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy? … clinical response
Appropriate source control preferred
Patient needs to be able to take and absorb oral antibiotics … Cefepime vs other antibacterial agents for the treatment of Enterobacter species bacteremia.
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/sinusitis.html
September 01, 2022 - The "Sometimes Antibiotics" Diagnoses: Sinusitis
After viewing or presenting this presentation … Describe when to treat sinusitis with antibiotics. … Describe the non-antibiotic management of sinusitis. … The “Sometimes Antibiotics” Diagnoses: Sinusitis – Slides (PPTX, 2 MB)
The “Sometimes Antibiotics” … 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/improve/acute_care_implementation_guide.pdf
November 01, 2019 - of antibiotics. … frontline
clinicians to ensure a rational thought process is employed when making decisions about whether
antibiotics … encouraged to meet with
frontline teams and providers to review some portion of patients receiving antibiotics … use and why all individuals should work together to use antibiotics in
the best possible way. … use and enhance the safety of patients
receiving antibiotics.
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are … whenever the need for antibiotics is being considered. … Moment 2: Have I ordered appropriate cultures before starting antibiotics? … If there is no evidence of a bacterial infection, stop antibiotics. … antibiotic use using the Four Moments Framework for patients receiving antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue
Sustaining Stewardship Activities
Acute Care
AHRQ … Safety Program for Improving Antibiotic Use
AHRQ Pub. … Stewardship
1
Objectives
Review the goals of an antibiotic stewardship program in the first 1–2 years … antibiotic stewardship committee meeting at least quarterly
4
AHRQ Safety Program for Improving Antibiotic … Clinicians understand the importance of and continue to perform a daily “time out” for patients receiving antibiotics
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www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures … antibiotics, and why and how to document signs and symptoms, and use communication strategies to address … Antibiotic Stewardship educational video
This 5-minute educational video promotes antibiotic stewardship … When Do You Need An Antibiotic? … PDF , 814.2 KB)
A brochure to help facility staff communicate with residents and families on when antibiotics
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psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
February 27, 2019 - Study
Classic
Vital signs: improving antibiotic use among … Vital signs: improving antibiotic use among hospitalized patients. … Antibiotics are among the most remarkable life-saving advances of modern medicine. … Many of these antibiotics were deemed to be unnecessary, and there was wide variation seen in antibiotic … Vital signs: improving antibiotic use among hospitalized patients.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-slides.pptx
September 01, 2022 - The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Slides
The “Usually Antibiotics … that requires antibiotics? … that requires antibiotics? … Use – Ambulatory Care
13
Moment 3: Antibiotic Choice in Adults7,13
Antibiotics in prior 3 months or … 18
Gradual improvement by third day of antibiotics
If not improving, consider changing antibiotics,
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-guide.docx
September 01, 2022 - patient or family member requesting antibiotics. … Antibiotics do not help acute bronchitis. … These may have coincided with starting antibiotics, leading the patient to falsely believe that the antibiotics … Antibiotics don’t help viruses, and viruses are quite common in children. … and the risks associated with taking antibiotics when you don’t need them.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Five potential health problems can occur as a result of taking an antibiotic.
1. … But side effects vary a lot from
person to person, and from antibiotic to antibiotic.
3. … Antibiotic resistance
Antibiotics kill bacteria. Sometimes not all of the bacteria are killed. … In other words, the more often you use an antibiotic, the
greater the chance that the antibiotic won … As bacteria become more resistant to antibiotics, it becomes harder to find effective antibiotics.
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/posters.html
June 01, 2021 - The Four Moments of Antibiotic Decision Making Posters
Posters can be reproduced for posting … The Four Moments of Antibiotic Decision Making Explained (PDF, 170.3 KB)
The Four Moments of Antibiotic … Making Poster for workstations (small) (PDF, 122.2 KB)
The Four Moments of Antibiotic Decision Making … Poster as a pocket card (PDF, 137.5 KB)
Four Moments of Antibiotic Decision Making With Associated … Four Questions To Ask Your Doctor or Nurse About Antibiotics (PDF, 194 KB)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - of antibiotics. … encouraged to
meet with frontline teams and providers to review some portion of patients receiving
antibiotics … use and why all individuals should work together to use
antibiotics in the best possible way … • The Talking With Family Members About Antibiotics poster provides mock dialogues for the
discussion … use and enhance the safety of residents receiving
antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses: Pharyngitis
Ambulatory Care
Slide Title … Does my patient have an infection that requires antibiotics?
2. … an infection that requires antibiotics? … Does this patient require antibiotics? … Slide 12
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-slides.pptx
November 01, 2019 - use and prevent harm associated with antibiotics
3
Communication and Teamwork
AHRQ Safety Program … regarding antibiotic use on all patients being started or on antibiotics during patient rounds or at … that requires antibiotics? … 16
Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Sometimes Antibiotics” Diagnoses:
Sinusitis
Ambulatory Care
Slide Title and … and
· Describe the non-antibiotic management of sinusitis
Slide 2
The Four Moments of Antibiotic … Does my patient have an infection that requires antibiotics?
2. … infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision-Making
SAY:
Moment Three is: If antibiotics are
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - for Improving Antibiotic Use
The "Sometimes
Antibiotics" Diagnoses:
Acute Otitis Media in Children … of Antibiotic Decision Making
4
Does my patient have an infection that requires antibiotics? … Use – Ambulatory Care
When Antibiotics Are Indicated6,7
Child Age
< 6 months
Antibiotic therapy is … Four Moments of Antibiotic Decision Making
11
Does my patient have an infection that requires antibiotics … of ear findings supports antibiotics use in children greater than 2 years of age
Antibiotic treatment
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making … Second , what empiric antibiotics should be started? … Can we stop antibiotics? Can we narrow therapy? Can we change to oral antibiotics? … If the resident is getting an intravenous antibiotic, can they get an oral antibiotic instead? … The Four Moments of Antibiotic Decision Making Review Form and Guide
The Antibiotic Stewardship Team
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Antibiotic Stewardship FAQs
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI … Would it be useful for LTC facilities to assess local antibiotic resistance patterns in their facility … For example, if you think the antibiotic use is just a reflex or habit, you might bring up the concept … 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?”