-
digital.ahrq.gov/sites/default/files/docs/resource/Dataform_1_Prescription_Screening_Form.pdf
September 30, 2009 - Antibiotic
4.01 Cephalosporins
4.02 Clindamycin
4.03 Macrolides
4.04 Misc. antibiotics
4.05
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015002-ferris-final-report-2008.pdf
January 01, 2008 - prescribing and choice of
antibiotic. … We also referenced algorithms for the appropriate prescribing of antibiotics and antipyretics and
decongestants … significant reduction in weight based dosing errors in the intervention clinics,
particularly for antibiotics … Antibiotics were the class of medications
most frequently prescribed (70% of all prescriptions) and … comparison to the control clinics, intervention patients
were less likely to receive a prescription for antibiotics
-
digital.ahrq.gov/2020-year-review/research-dissemination/reaching-research-community-through-web-conferences
January 01, 2020 - network allows children to be seen quicker than an in-person visit as well as receive medication and antibiotics
-
digital.ahrq.gov/principal-investigator/ferris-timothy
January 01, 2023 - Ferris, Timothy
Impact of a computerized template on antibiotic prescribing … Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children
-
digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
January 01, 2023 - ADEs in primary care settings, comparing medication errors between specialties for errors related to antibiotics
-
digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - AOM:
► Adequate diagnostic evaluation
► Amoxicillin prescribed as first-line therapy
► Appropriate antibiotics … ear-related problem and
provided an aggregated history of previous OM encounters and the
child’s antibiotic … Care
This component displayed guidelines-based recommendations for
treatment including indicated antibiotics … Results
• Adherence to OM guidelines:
► Comprehensive care (all recommended guidelines
including antibiotic … 5% increase in use of amoxicillin as a first-line therapy
(p=0.007)
► 5% increase in appropriate antibiotic
-
digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - safety threats
Latent Safety Threats Changes made in PED
Nurses understood they could no
longer mix antibiotics … pharmacy
for medications
Clarified with pharmacy lack of this
policy and demonstrated presence of
antibiotics
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - compliance, self-extubations and percent reintubations, pressure
ulcers and skin erosion, percentage of antibiotics … Antibiotic Turnaround Time. … Antibiotic Turnaround Time (time between ordering an IV antibiotic and
administering the medication) … data were collected for first dose IV antibiotics ordered in the
Adult ICU in the periods February … Antibiotic Turnaround Time.
-
digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation
January 01, 2023 - Technology: Clinical Decision Support System
Improving diagnostic testing and reducing overuse of antibiotics … Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs028127-meeker-final-report-2023.pdf
January 01, 2023 - Stewardship, COVID-19, Antibiotics … Antibiotics included those from the National Committee for Quality
Assurance (NCQA) value sets for … If the index COVID-19-related
visit included diagnosis codes for which antibiotics are sometimes or … always appropriate, then
an antibiotic prescription was not classified as inappropriate. … it is treated as an inappropriate antibiotic
(steroid) prescription.
-
digital.ahrq.gov/funding-mechanism/research-centers-primary-care-practice-based-research-and-learning
January 01, 2023 - Use of an electronic health record clinical decision support tool to improve antibiotic … Use of an electronic health record clinical decision support tool to improve antibiotic prescribing for
-
digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
May 23, 2011 - related
Serious/Idiosyncratic
Mild/Dose related
Mild/Idiosyncratic
CCEB
Selected Interventions
• Antibiotics … for acute bronchitis & URI
• Antibiotic management program
• Anticoagulation management
program
-
digital.ahrq.gov/principal-investigator/ornstein-steven
January 01, 2023 - Use of an electronic health record clinical decision support tool to improve antibiotic … Use of an electronic health record clinical decision support tool to improve antibiotic prescribing for
-
digital.ahrq.gov/principal-investigator/alpern-elizabeth
January 01, 2023 - Medical Record Registry and Clinician Feedback
Racial and ethnic differences in antibiotic … Racial and ethnic differences in antibiotic use for viral illness in emergency departments.
-
digital.ahrq.gov/sites/default/files/docs/page/BASOW_AHRQ.pdf
October 01, 2012 - termination
Order approvals
Free-text order parsing
Documentation aids
Expert Systems
Antibiotic … Severe labile
HTN
Diltiazem Stop diltiazem
add atenolol
Community
acquired
pneumonia
IV antibiotics … Oral antibiotics
Diastolic heart
failure
Furosemide,
isosorbide,
hydralazine
Stop
hydralazine
-
digital.ahrq.gov/funding-mechanism/demonstrating-value-health-information-technology
January 01, 2023 - Support for Safe Nursing Care
Electronic health record feedback to improve antibiotic … Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections.
-
digital.ahrq.gov/sites/default/files/docs/page/Strom.ppt
May 28, 2005 - Inpatient Medication
Errors Leading to Acute Renal Failure
(Harold Feldman, MD, MSCE—PI)
To evaluate antibiotic … of ARF (defined by elevations in serum creatinine) occurring among patients receiving aminoglycoside antibiotics … Difficult to know/see all meds 28.5 25.4 46.1
Due to COE not DC’d meds 48.6 29.0 22.4
Due to COE delay antibiotic … QUALITATIVE SUMMARY OUTCOMES -1
Sometimes serious delays were caused because of the re-approval process for antibiotics
-
digital.ahrq.gov/ahrq-funded-projects/research-centers-primary-care-practice-based-research-and-learning
January 01, 2023 - Population: Physician
Use of an electronic health record clinical decision support tool to improve antibiotic … Use of an electronic health record clinical decision support tool to improve antibiotic prescribing for
-
digital.ahrq.gov/sites/default/files/docs/SFQD_Slides%20(2).pdf
January 01, 1993 - Patients �
Patient Charts/Smart Form
ARI Quality Dashboard
Features
• Focus on total and unnecessary antibiotic … use
• Narrow vs. broad spectrum antibiotics
• Stratified by type of ARI
• Relatively static because … outside consulting firm
ARI Smart Form –
Pilot Results
Smart Form Pilot Previous Season
Visits, Antibiotic … , Visits, Antibiotic, Visits,
N
Antibiotic,
N (%)
Visits,
N
Antibiotic,
N (%)
Antibiotic Appropriate … Diagnosis
6 6 (100) 367 154 (42)
Non-Antibiotic
Appropriate Diagnosis
20 3 (15) 1027 269 (26)
-
digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
June 01, 2006 - Commissioner for Health 16
Providers using the algorithms more
tended to prescribe fewer antibiotics … and Idaho
Slide No. 16 (No title)
Providers using the algorithms more tended to prescribe fewer antibiotics