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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
November 01, 2019 - Examine what motivates health care providers
to prescribe antibiotics.
2. … Antibiotic
Prescribing
SAY:
This slide lists some of the reasons that antibiotics are
prescribed … –
Antibiotic Prescribing
Slide Title and Commentary Slide Number and Slide
Antibiotics Are Our Parrot … SAY:
Antibiotics are our parrot. … They tend to treat with broad-spectrum antibiotics for
long periods.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-milstone.html
November 01, 2018 - Milstone is also exploring how to slow the spread of bacteria that have become resistant to antibiotics … diagnostic testing for hospitalized children suspected of having sepsis can reduce the overall use of antibiotics … Because sepsis can be treated effectively with antibiotics, clinicians often prescribe these drugs when … 14 hospitals on the Bright STAR Collaborative to test whether new guidelines can help lead to lower antibiotic … use and fewer cases of Clostridium difficile, a serious gut infection that’s linked to antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Moment 1: Does my patient have an infection that requires antibiotics? … While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … The resident likely did not need any antibiotics. … Can we stop antibiotics? Can we narrow therapy? … Antibiotics should have been re-evaluated and stopped early on in his course.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - Slide 5
The Four Moments of Antibiotic Decision Making
SAY:
Let’s review our Four Moments of antibiotic … likely has an infection that requires antibiotics, let’s consider our second moment of antibiotic decision … stable within a few days after starting antibiotics. … Stopping antibiotics is not correct. … Prophylactic antibiotics can contribute to the development of antibiotic resistance and C. difficile
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
October 01, 2016 - • Antibiograms are important tools for health care professionals involved in prescribing empiric
antibiotics … • Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to
multiple antibiotics. … It may be helpful to
examine the antibiogram and identify the one two antibiotics that are not working … Please avoid that antibiotic.
Tool 1.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Antimicrobial stewardship is the act of using antibiotics appropriately—that is, using them only when … truly needed and using the right antibiotic for each infection. … Antibiotics are among the most commonly prescribed drugs in long-term care settings, yet reports indicate … laboratory tests and antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Decision Making
Does my patient have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy? … Decision Making
Defect Issue Moment
Patient remained on IV antibiotics for duration of hospitalization … Antibiotics could have been changed from IV to PO once clinical improvement and ability to tolerate
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www.ahrq.gov/antibiotic-use/index.html
October 01, 2022 - Decision Making to improve antibiotic use. … Access the Toolkit To Improve Antibiotic Use in Acute Care Hospitals . … About This Project
Antibiotics are life-saving drugs when used appropriately. … Using antibiotics inappropriately can lead to antibiotic-resistant bacteria and increase the risk of … antibiotic regimens, routes of administration, and durations.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Indicate if mechanical bowel preparation or oral antibiotics (Check all that apply)
Slide 9: Normothermia … Slide 12: Prophylactic Antibiotics
Image: Sample form covering prophylactic antibiotics:
Did the … Indicate name of antibiotic 1
Indicate administration time for antibiotic 1
Indicate name of antibiotic … 2
Indicate administration time for antibiotic 2
Slide 13: Prophylactic Antibiotics
Did the … Image: Sample form covering prophylactic antibiotics:
Case duration.
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use in unnecessary antibiotics … Unnecessary antibiotics can result in side effects and drug-resistant bacteria. … (“Minimum Criteria toolkit”) aims to reduce unnecessary prescribing for the three infections where antibiotics … help prescribing clinicians (physicians, nurse practitioners, and physician assistants) determine when antibiotics … 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/sustaining-antibiotic-guide.docx
September 01, 2022 - among practice members and patients about management of common infectious diseases, including when antibiotics … will inform the annual sustainability plan is to examine the proportion of clinic visits for which antibiotics … These are three of the “never antibiotics” diagnoses—that is, diagnoses for which antibiotics should … and implemented changes, the practice had a decrease in the proportion of influenza visits for which antibiotics … technologists may be able to develop an alert in the electronic health record reminding clinicians that antibiotics
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article10.html
August 01, 2018 - Antibiotic usage data were used for case-control and to assess changes in the volumes of antibiotics … antibiotic usage, total non-target antibiotic usage, and usage for each individual target antibiotic … duration of antibiotics). … PIP/TAZO (and other broad-spectrum antibiotics): Hospital-wide audit of longer antibiotic courses (8 … Change antibiotic policy/algorithms from Ciprofloxacin for empiric antibiotics for urinary tract infection
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
October 01, 2016 - Unnecessary prescribing practices by clinicians
and overuse of newer, broad-spectrum antibiotics when … Antimicrobial stewardship is
the act of using antibiotics appropriately—that is, using them only when … truly needed and using
the right antibiotic for each infection. … Antibiotics are
among the most commonly prescribed drugs in long-term care settings, yet reports indicate … laboratory tests and antibiotics.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/commitment-poster-english.docx
September 01, 2022 - Commitment Poster (English)
Signatures:
Antibiotics only fight infections caused by bacteria. … Taking antibiotics when you do not need them will NOT make you better. … You will still feel sick, and the antibiotic may give you a skin rash, diarrhea, or a yeast infection … WE COMMIT TO ONLY PRESCRIBING ANTIBIOTICS WHEN THEY WILL HELP YOU
How can you help? … If an antibiotic is not needed, we will explain this to you and will offer a treatment plan that will
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Effective communication helps bring about proper use of antibiotics. … The provider may feel pressured to prescribe antibiotics. … , so antibiotics will not be helpful, and antibiotics can cause unpleasant side effects.” … I think we need to stop the antibiotic now.” Dr. … He should not be on this antibiotic.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final.pdf
October 01, 2016 - Antibiotic Use in Nursing Homes
• Antibiotics are one of the most commonly prescribed medications … • Concerns about antibiotic use in nursing homes:
— Evidence has shown that antibiotics given to people … Antibiotic Stewardship
• Antibiotic stewardship is an approach or program that focuses on improving … antibiotic use by
avoiding unnecessary or inappropriate antibiotics … Antibiotic Use in Nursing Homes
Consequences of Overuse of Antibiotics in Nursing Homes
What Can
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - Antibiotic Use in Nursing Homes
• Antibiotics are one of the most commonly prescribed medications … • Concerns about antibiotic use in nursing homes:
— Evidence has shown that antibiotics given to people … Antibiotic Stewardship
• Antibiotic stewardship is an approach or program that focuses on improving … antibiotic use by
avoiding unnecessary or inappropriate antibiotics … Antibiotic Use in Nursing Homes
Consequences of Overuse of Antibiotics in Nursing Homes
What Can
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … Clinicians should weigh the higher cure rate with antibiotics with the potential for antibiotic side … antibiotics. … All patients received antibiotics for 5 days.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
September 01, 2022 - expenditures occurring in outpatients in the United States1
30% of all antibiotics prescribed in the … infection that requires antibiotics? … If antibiotics are indicated, what is the narrowest, safest, and shortest regimen I can prescribe?
… You wrote 2 prescriptions out of 20 acute respiratory infection cases that did not warrant antibiotics … Reducing inappropriate antibiotics prescribing: the role of online commentary on physical examination
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Does my patient have an infection that requires
antibiotics?
2. … Have I ordered appropriate cultures before starting
antibiotics? … Can I stop antibiotics?
Can I narrow therapy or change from IV to oral
therapy?
4. … Making
Continued
SAY:
The patient remained on intravenous antibiotics for the
duration of his … Negative team factors include no mechanism for daily
review of antibiotics; poor written or verbal