-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022728-zhou-final-report-2018.pdf
January 01, 2018 - most
commonly reported drug allergies in this population were to penicillins (12.8%),
sulfonamide antibiotics … patients, 19,836
(1.1%) reported drug-induced anaphylaxis; penicillins (45.9 per 10,000), sulfonamide
antibiotics … anaphylaxis occurred in approximately 1%
of patients, most commonly from penicillins, sulfonamide antibiotics … common drug allergy alerts were
triggered by allergies to narcotics (48%) and other analgesics (6%), antibiotics
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015413-samore-final-report-2008.pdf
January 01, 2008 - The program had several different entry points: 1) automated trigger when an antibiotic is
chosen during … Ordering an antibiotic opened the algorithm page up automatically. … An antibiotic was prescribed in 65% percent of the URI visits. … Across individual
clinics, the fraction of URI visits prescribed an antibiotic ranged from 51% to 80% … post- implementation of the respiratory infection algorithm, the fraction of URI visits prescribed
an antibiotic
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - In contrast, there are modifiable intraoperative factors (e.g. late administration of antibiotics,
hypothermia … hypotension, low concentration of
inhaled anesthetic agent), or deviations from standard practice (e.g., antibiotic … documented temperature, proportion of
procedures with appropriate administration of repeat doses of antibiotics
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs027247-trikalinos-final-report-2020.pdf
January 01, 2020 - For Diverticulitis, this was driven by a large
percentage of the Key Question 2 (antibiotic treatment … the effectiveness of tympanostomy tubes,
compared to watchful waiting with episodic or prophylactic antibiotic … comorbidities, and sociodemographic risk factors, history of complications of acute
otitis media, antibiotic … In children with tympanostomy tube otorrhea, what is the comparative effectiveness of topical
antibiotic … drops versus systemic antibiotics or watchful waiting on duration of otorrhea, quality
of life, or
-
digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
January 01, 2023 - areas of research Evaluate attempts to change clinical practice and behavior, such as efforts to reduce antibiotic
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/annual-summary/2009
January 01, 2009 - errors, adverse drug events, infection rates, protocol compliance, length of stay, mortality rates, and antibiotic
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - Of the 7 studies evaluating isolated CDSSs, 3 demonstrated statistically significant improvements in antibiotic-associated
-
digital.ahrq.gov/sites/default/files/docs/survey/clinician-survey-quality-improvement.pdf
June 16, 2021 - These guidelines include recommendations on
administering antibiotics, influenza and pneumococcal vaccinations
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023395-kent-final-report-2017.pdf
January 01, 2017 - If diagnosed at an early stage, SSI can
be treated in the outpatient setting with oral antibiotics and … wound care, precluding the need for readmission,
intravenous antibiotics, and reintervention. … The focus of these interventions has been on the surgical procedure
itself employing appropriate antibiotics … surgeons spoke with the inpatient team at the other facility to
coordinate appropriate wound care and an antibiotic … was detected by the protocol, and he was sent to the emergency room, where he received appropriate
antibiotic
-
digital.ahrq.gov/sites/default/files/docs/citation/p30hs021645-fiks-final-report-2018.pdf
January 01, 2018 - • A collaborative grant between PROS and CHOP was awarded by CDC: A Novel Metric for Benchmarking Antibiotic … Outpatient Stewardship
o The study uses the CER2 dataset to develop an evidence-based benchmark rate of antibiotic … This would be a tool to guide national efforts to measure outpatient antibiotic
stewardship. … These R01-funded projects addressed a wide array of timely topics, including
antibiotic prescribing,
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/weingart-sn-et-al-2003
January 01, 2003 - "Physicians overrode only 7 of 17 antibiotic allergy alerts.
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digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
January 01, 2013 - Practices”
Hannah
Before Intervention After Benefits
ER with Bronchial infection
MD prescribed an antibiotic … complications
Hannah’s mother is off work for three days EHR
CDS
DSS
PI MD attempts to prescribe antibiotic … DSS system alerts MD of allergy
Different antibiotic prescribed
No complications Hannah’s health
-
digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - Informant Interviews
• DDI alerts are generally infrequent
• Not all DDI alerts clinically relevant
– Antibiotics … User generally wish the system would differentiate
between serious DDI alerts and common DDI alerts
(antibiotics … all sites
Approximately 64,000 unduplicated patients
• Many of DDIs were related to Warfarin and antibiotic
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - Christakis DA et al. 2001 "A randomized controlled trial of point-of-care evidence to improve the antibiotic …
determines " whether point-of-care evidence delivery regarding the use and duration of antibiotics for … Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." …
summarizes " the relevant literature available regarding the use of CDSS and antibiotics[, by] review … controlled trials (RCT) and before and after trials published on CDSS used to support the use of antibiotics
-
digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2020 - (PICU); however, overuse of blood cultures may result in unnecessary laboratory tests, unnecessary antibiotic
-
digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - had a greater impact on the outcome.39
In a pilot study, another group of investigators looks at antibiotic … Although it was a pilot study, of patients with an antibiotic-appropriate diagnosis, 100 percent
were … Clinicians also prescribed antibiotics to a small number of patients
with antibiotic-inappropriate diagnoses … Clinical
decision support to improve antibiotic
prescribing for acute respiratory infections:
Results
-
digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
January 01, 2023 - sepsis; however, overuse of blood cultures may result in unnecessary laboratory tests, unnecessary antibiotic
-
digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
June 16, 2021 - Patient is initiated on antibiotic therapy to treat a presumed urinary tract infection. … She is not
notified of the antibiotic or the previous evening by the covering physician. … The primary care physician was not aware
that a new medication, the antibiotic, had been prescribed … Here the patient is prescribed an
antibiotic, Cephalexin. … drug-drug interaction alerts for
drugs that the patients were no longer taking, so short courses of antibiotics
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025793-chui-final-report-2020.pdf
January 01, 2020 - patient), or those that were for over-
the-counter (OTC) medications or for acute conditions (i.e. antibiotics … did not warrant calls included OTCs, or medications without refills (including acute
therapies like antibiotics … create more
work, communicating messages for prescriptions that were already discontinued (such as antibiotics … They stated that most of the messages were meaningless in that they were for acute therapies (such as
antibiotics
-
digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - The program had several different entry points: 1) automated trigger when an antibiotic was chosen during