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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
November 01, 2019 - of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … that requires antibiotics? … that requires antibiotics? … that requires antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - Sample Policy Letter
[NAME OF NURSING HOME]
RE: Antibiogram Policy
[DATE]
Antibiotics are among … Unnecessary prescribing practices by clinicians
and overuse of newer, broad-spectrum antibiotics when … clinical specimens sent for laboratory testing and the
susceptibility of each organism to an array of antibiotics … Use of antibiograms helps reduce
reliance on broad-spectrum antibiotics as initial therapy and leads … to fewer clinical failures of
antibiotics that are first prescribed.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - Working With a Lab To Improve Antibiotic Prescribing
Tool 5. … Sample Policy Letter
[NAME OF NURSING HOME]
RE: Antibiogram Policy
[DATE]
Antibiotics are among the most … Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Use of antibiograms helps reduce reliance on broad-spectrum antibiotics as initial therapy and leads … to fewer clinical failures of antibiotics that are first prescribed.
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www.ahrq.gov/antibiotic-use/ambulatory-care/index.html
October 01, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care
Welcome to the Toolkit To Improve Antibiotic … The Ambulatory Care Toolkit explains the Four Moments of Antibiotic Decision Making and has tools to … the Four Moments framework for all patients receiving antibiotics
Improve antibiotic prescribing … prescribing” and “Apply the Four Moments framework for all patients receiving antibiotics.” … allergies,” and “Apply the Four Moments framework for all patients receiving antibiotics.”
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools1i.html
September 01, 2012 - assess prescribers' perceptions about antimicrobial resistance, including the scope of the problem, antibiotic … Antibiotic resistance is a problem in this institution.
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2. … develop a C. difficile infection during a stay at this institution.
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Antibiotic … Antibiotics are overused at this institution.
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6. … A majority of patients admitted to this institution will be prescribed at least one antibiotic during
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T5-Training_Slides_for_Nursing_Home_Nurses_Phase_3.docx
May 01, 2014 - Slide 1
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic … SAY:
Antibiotics are the most commonly prescribed medications in nursing homes. … The use of antibiotics can lead to problems. … As an example, the first column is the antibiotic tested, in this case Cipro. … SAY:
Slide 8
Nursing Home Antimicrobial Stewardship Guide
Help Clinicians Choose the Right Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
November 01, 2019 - Effective communication is a key skill to ensure best use
of antibiotics. … use and
preventing harm associated with antibiotics. … because the current
antibiotics are not working. … for all patients
being started on or already on antibiotics. … The prescriber should ask three questions:
“Can I stop antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.docx
October 01, 2016 - NAME]
RECIPIENT ADDRESS
CITY, STATE ZIP]
Re: Change in protocol regarding three common infections and antibiotic … Antibiotic treatments do not affect the prevalence of bacteriuria, the frequency of symptomatic urinary … Antibiotic use in nursing homes. Get Smart About Antibiotics Week November 18–2013. … Urine cultures should be used to identify the most appropriate antibiotic. … Minimum Criteria for Initiating Antibiotics for a Skin and SoftTissue Infection
Initiate antibiotics
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools2c.html
September 01, 2012 - Instructions: Use when considering ways to measure antibiotic use. … Gives an estimate of antibiotic consumption. … b
Number of courses
Number of prescribed courses of unique antibiotics per person. … ≥Three antibiotics
Number of patients on three or more antibiotics
Can be used to identify patients … Does not take into account specific combinations of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse … Events
An antibiotic-related adverse event is any event or situation involving the prescription or administration … of antibiotics that you would not want to happen again because it either caused your patient harm or … Identify the antibiotic-associated adverse event.
2. … From
Antibiotic-Associated
Adverse Events Form
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools2f.html
September 01, 2012 - Can influence choice of antibiotics before patients receive therapy. … May be less acceptable to prescribers (viewed as policing antibiotics). … Can affect initial antibiotic choice and further tailoring of antibiotic. … pharmacy tools, including automated pharmacy technology (e.g., Pyxis Medstation™) to offer and track antibiotic … Lectures on antibiotic use.
1.
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www.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - The toolkit provides ways to educate residents and their family members about antibiotics and the risks … involved with taking antibiotics, including Clostridium difficile (or C. diff) and antibiotic resistance … PDF ) ( Word ) and a
Short checklist version. ( PDF ) ( Word )
Resident Information Sheet: Antibiotic-Resistant … given to residents to explain the risks associated with unnecessary antibiotic use to treat a suspected … (tool 5) to help answer questions
Communicate with residents and families about antibiotic-resistant
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
May 01, 2014 - Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … *
Background: Antibiotic Prescribing
Antibiotics are frequently prescribed in nursing homes. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic. … Prescribe an oral antibiotic.
Prescribe an IV antibiotic.
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www.ahrq.gov/hai/carb/index.html
May 01, 2022 - Combating Antibiotic-Resistant Bacteria
AHRQ works alongside Federal Agencies across the Government … as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). … The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described … resistance, and finding new ways to improve the use of antibiotics. … Every infection prevented is one less instance of antibiotic use, and using fewer antibiotics significantly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
June 10, 2014 - We’re fast running out of antibiotics and we’re not getting new antibiotics very soon, and we know that … We also know that antibiotics have side effects and if you give people antibiotics unnecessarily, you … We also know that improving the use of antibiotics can actually reduce antibiotic resistance. … Well, very simply, antibiotics stewardship is simply ensuring that every patient gets an antibiotic only … some of the risks of antibiotics.
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - At least 25 percent of antibiotic prescriptions in nursing homes do not meet clinical guidelines for … This use and overuse of antibiotics results in side effects and drug-resistant bacteria. … Training increases staff understanding of inappropriate antibiotic use and of the tools available to … Training should include information about inappropriate antibiotic use, a description of the tools and … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-2.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making Questions
AHRQ Pub. … Moment 1: Does my patient have an infection that requires
antibiotics … Moment 3: If antibiotics are indicated, what is the narrowest,
safest, and shortest regimen I can prescribe
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/communicating-decisions.html
September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions
After viewing or presenting … Learn how to effectively communicate about antibiotic use with patients. … Making
Communicating with Patients and Families Around Antibiotic Decisions – Clinician One-Page … Antibiotics: When Do You Need Them? … – Patient Handout (English) (DOCX, 318 KB)
Antibiotics: When Do You Need Them?
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/allergies.html
September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies
After viewing or presenting … before prescribing antibiotics. … Recognize types of reactions to antibiotics commonly prescribed in the outpatient environment. … Review the cross-reactivity between antibiotic classes. … Describe approaches to evaluating patients with reported antibiotic allergies.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - As I have
more clinical and microbiologic data available can I stop
antibiotics, can I narrow antibiotics … , or can I change
from intravenous to oral antibiotics? … have an infection that
requires antibiotics? … Clinicians
should weigh the higher proportion of cure with
antibiotics with the potential for antibiotic … with antibiotic failure.