-
digital.ahrq.gov/sites/default/files/docs/HIT_and_Quality_062310_comp.pdf
June 23, 2010 - Gender Measures
Female 5
Male 0
Both 57
13
“Extra” Qualifying Conditions
• Antibiotic … is blank or
listed means there is no query
given/done) data at all)
Acute Bronchitis All 116 ANTIBIOTIC … AND CL.AB.ABX IS NULL 4120F
Cases CL.AB.ABX is NULL
Acute Bronchitis All 116 ANTIBIOTIC AND CL.AB.ABX … IS NOT NULL 4120F-1P
Cases CL.AB.ABX is not
NULL
Acute Bronchitis All 116 NO ANTIBIOTIC 4124F … Cases
• Patient is eligible
• One of many antibiotics is, or is not, prescribed within 3
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effects-computerized-physician
June 23, 2003 - Of the 7 studies evaluating isolated CDSSs, 3 demonstrated statistically significant improvement in antibiotic
-
digital.ahrq.gov/principal-investigator/guise-jeanne-marie
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/sites/default/files/docs/publication/r36hs023349-islam-final-report-2015.pdf
January 01, 2015 - strategies ID clinicians use to deal with
complexity: 1) watchful waiting instead of prescribing antibiotics … Patient monitoring tools such as therapeutic antibiotic monitors and adverse drug event monitors
embedded … Overuse of antibiotics has been a concern with respect to drug resistance
and public health [73, 74] … help clinicians by easing the social pressure that results from the active decision to not
prescribe antibiotics … following mechanisms to deal with decision complexity: 1) watchful waiting
instead of prescribing antibiotics
-
digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-4-types-cds-interventions
June 14, 2021 - medication newly withdrawn from the market
Environmental parameter reporting
Recent hospital antibiotic … function and age
Consequent order suggestions (for example, for drug levels when ordering certain antibiotics
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
January 01, 2009 - amnionitis
Health Care Delivery System & Practice
Patient Safety
Allergic reaction to
antibiotics … Inappropriate
administration of
antibiotics for GBS
negative women
Ecoli sepsis of neonate
Structure … GBS screening
Antibiotic therapy in Labor
According to this model, structure (that is … All patients known to have a positive GBS screen received antibiotic treatment in labor. … Whereas,
92% of patients without documented GBS status did not receive antibiotics in labor even though
-
digital.ahrq.gov/sites/default/files/docs/activity/using_health_information_technology__2010_pdf__2.pdf
January 01, 2010 - For example, they found specific problems in identifying newly
prescribed antibiotics for patients taking
-
digital.ahrq.gov/sites/default/files/docs/activity/improving_safety_and_quality_with_integrated_technology_2010_pdf__2.pdf
January 01, 2010 - alerts to increase the likelihood of patient screening and decrease the unnecessary prescription
of antibiotics
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-converting-electronic
June 01, 2007 - quality indicators showed statistically significant changes (% of pneumonia patients receiving initial antibiotic
-
digital.ahrq.gov/type-care/obstetrics-and-gynecology
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/ahrq-funded-projects/dissemination-and-implementation-qt-risk-clinical-decision-support
January 01, 2023 - Over 8 months, nearly 8,000 risk advisories were displayed, most often because of antibiotics.
-
digital.ahrq.gov/events/ahrq-annual-health-it-grantee-and-contractor-meeting/submissions
May 24, 2010 - Report Demonstration
Andrea Wessell
A Clinical Decision Support Tool to Promote Judicious Use of Antibiotics
-
digital.ahrq.gov/sites/default/files/docs/page/final-logan-story-7-2-12.pdf
July 02, 2012 - colonoscopy, informed
consent obtained including risks, and appropriate ac-
tion with regard to prophylactic antibiotics
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - 30 specific measures as follows:
Avoiding Potentially Inappropriate Therapy
• Avoidance of antibiotics … Avoiding Potential Drug-Drug Interactions
• Avoidance of macrolide antibiotics (excluding azithromycin
-
digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - The patient is
initiated on antibiotic therapy to treat
a presumed urinary tract infection. … She is not notified of the
antibiotic ordered the previous
evening by the covering physician. … interaction was not
recognized.
• Primary care physician was not aware that
a new medication (the antibiotic … drug-drug interaction alert for a drug the patient was no
longer taking (for example, a short course of antibiotics
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
January 01, 2022 - – 1st generation” and “cephalosporin
antibiotics – 2nd generation” were combined into “cephalosporins … Overall, the majority of reported reactions to antibiotic drug classes were potential
hypersensitivity … reaction distribution
across sites; however, rash was reported more at MGB than at UCHealth across all antibiotic … Reported reactions to non-antibiotics exhibited greater variability. … While the top reported drug allergens,
including antibiotics, opiates, and sulfonamides, were similar
-
digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - evidence-based treatment guidelines for women who are group B streptococcus positive including inappropriate antibiotic
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - Infarction (AMI) and Community Acquired Pneumonia (CAP) final measures
AMI CAP
Aspirin at Arrival Initial Antibiotic … Within 4 hrs of Arrival
Beta Blocker at Arrival Initial Antibiotic Selection
EKG Within 10 minutes … acquired pneumonia measures (goal > 90%)
MEASURE
FINAL
EASTERN WA
FINAL
WESTERN WA
Initial Antibiotic … within 4 Hrs of Hospital arrival 98% 98%
Initial Antibiotic Selection 99% 99%
Oxygenation Assessment
-
digital.ahrq.gov/ahrq-funded-projects/patient-centered-postoperative-wound-surveillance-using-current-technology
January 01, 2023 - However, if diagnosed at an early stage, SSI can often be treated in the outpatient setting with oral antibiotics
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Medication Safety, Standing Orders, Alcohol Screening
and Brief Intervention, and Judicious Use of Antibiotics … In a session
related to promoting judicious prescribing of antibiotics for acute respiratory infections … education into a structured visit guided by a template, and how to
respond to patients requesting antibiotics