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psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
May 11, 2022 - September 16, 2020
Two pandemics, same story: the potentially dangerous overuse of antibiotics
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - January 17, 2018
Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics
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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - April 10, 2024
Prevalence of inappropriate antibiotic prescriptions among US ambulatory … August 4, 2021
Assessment of changes in visits and antibiotic prescribing during the … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-
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psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
September 18, 2024 - November 20, 2019
Assessment of changes in visits and antibiotic prescribing during the … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID … June 19, 2024
Lessons learned from a national hospital antibiotic stewardship implementation
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psnet.ahrq.gov/issue/prescription-teratogenic-medications-united-states-ambulatory-practices
March 23, 2012 - The most frequent medications implicated include anxiolytics, anticonvulsants, and antibiotics such as
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psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
May 27, 2011 - hospital now places greater emphasis on improved reliability of processes, particularly in the use of antibiotics
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psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - Incorrect dosage represented the most common type of error, with antibiotics most frequently involved
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psnet.ahrq.gov/issue/nurse-error-spotlights-drugs-danger
November 21, 2016 - March 8, 2019
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery
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psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - February 6, 2008
WebM&M Cases
Lapse in Antibiotics Leads
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psnet.ahrq.gov/node/44442/psn-pdf
August 26, 2015 - ways hospitals and patients can help prevent them,
and emphasizes the need to advocate for reduced antibiotic … intervention-reduce-transmission-resistant-bacteria-intensive-care
https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
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psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship
March 04, 2020 - This article recommends taking a stewardship approach similar to widely used and successful antibiotic … June 5, 2013
Variability in antibiotic use across nursing homes and the risk of antibiotic-related
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psnet.ahrq.gov/node/46253/psn-pdf
August 28, 2017 - commentary suggests that
adjusting the diagnostic testing process could enhance the reliability of antibiotic … laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
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psnet.ahrq.gov/issue/national-steering-committee-patient-safety
December 24, 2008 - December 18, 2008
AHRQ Safety Program for Improving Antibiotic Use. … May 29, 2013
Assessment of changes in visits and antibiotic prescribing during the Agency … for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - as having septic shock and disseminated intravascular coagulation (DIC).
7
Case Details (4)
• Antibiotics … early life-saving treatments and
management.12
• According to guidelines, immediate administration of antibiotics … within the hour of
sepsis recognition is recommended.13
– For every hour antibiotics are delayed, … progression to septic shock increases by 8% and
mortality increases by 4-9%.12,13
• In addition to antibiotic … The Timing of Early Antibiotics and Hospital Mortality in Sepsis.
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psnet.ahrq.gov/issue/aligning-patient-safety-and-stewardship-harm-reduction-strategy-children
February 27, 2019 - Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic … August 16, 2023
Association of inappropriate outpatient pediatric antibiotic prescriptions … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic
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psnet.ahrq.gov/issue/impact-antiretroviral-stewardship-strategy-medication-error-rates
August 04, 2021 - pre–post analysis found a significant drop in medication error rates after implementation of an antibiotic … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic … May 27, 2011
Prevalence of inappropriate antibiotic prescriptions among US ambulatory
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - required an increased level of care that included ventilator support, infusion of blood products, and antibiotic … Patients in neonatal intensive care units (NICUs) often require parenteral antibiotics for treatment … inpatients' records found that PICCs were generally placed to administer chemotherapy, blood transfusions, antibiotics … ) In this population, PICCs were used to administer fluid, parenteral nutrition, anticancer agents, antibiotics
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psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
May 19, 2021 - March 16, 2022
Assessment of changes in visits and antibiotic prescribing during the … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID- … September 29, 2021
Association of inappropriate outpatient pediatric antibiotic prescriptions
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psnet.ahrq.gov/issue/prevalence-and-sources-duplicate-information-electronic-medical-record
October 21, 2020 - October 5, 2022
Assessment of changes in visits and antibiotic prescribing during the … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID … November 30, 2022
Association of inappropriate outpatient pediatric antibiotic prescriptions
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psnet.ahrq.gov/node/43310/psn-pdf
July 09, 2014 - Interventions to reduce unnecessary antibiotic use included guidelines for controlling Clostridium
difficile … psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
https://psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients