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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.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.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - 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? … clinical response
Appropriate source control preferred
Patient needs to be able to take and absorb oral antibiotics … Cefepime vs other antibacterial agents for the treatment of Enterobacter species bacteremia.
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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/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
October 01, 2016 - Suspected UTI SBAR Toolkit
Lesson Plan #1: Consequences of Overuse of Antibiotics
Antibiotic Use in … Concerns about antibiotic use in nursing homes:
Evidence has shown that antibiotics given to people who … Antibiotic Stewardship
Antibiotic stewardship is an approach or program that focuses on improving antibiotic … sure that residents only get antibiotics when needed. … Overview of Roles for Nurses in Antibiotic Stewardship
Participation in antibiotic stewardship
One of
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www.ahrq.gov/nhguide/toolkits/implement-monitor-sustain-program/toolkit2-monitor-sustain-program.html
October 01, 2016 - Doctors in the experimental group received an antibiotic guide and a copy of their antibiotic prescribing … Monitoring antibiotic use helps a nursing home assess progress in utilizing the right antibiotics and … avoiding unnecessary antibiotics. … For example, each team will need to consider how to report on residents who receive antibiotics more … Is there decreased use of particular antibiotics that may be of concern (e.g., fluoroquinolones)?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-6-tables-5-7.pdf
June 02, 2025 - 2 100% 1.00
Antibiotics administered
at referring hospital
3
67%
0.00
Severe sepsis 7 … 86% 0.72
Septic shock 7 86% 0.70
Hospital #2
Timely antibiotics 3 67% 0.00
Antibiotics administered … 4 100% 1.00
Antibiotics administered
at referring hospital
4
100%
1.00
Severe sepsis … 4 100% 1.00
Septic shock 4 100% 1.00
All Sites
Timely antibiotics 9 89% 0.00
Antibiotics … (within 60 minutes of
diagnosis)
2
100%
1.00
Hospital #2
Time of Antibiotics
(
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Communicating Infectious Concerns With Antibiotic … The resident is not receiving antibiotics and feels fine. … Start an antibiotic. … I don’t see a need to start him on antibiotics at this time. … He has received 10 days of antibiotics.
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www.ahrq.gov/antibiotic-use/acute-care/index.html
October 01, 2022 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
AHRQ Toolkit for Improving Antibiotic … Welcome to the Toolkit To Improve Antibiotic Use in Acute Care Hospitals. … diagnosis and treatment of infectious syndromes Apply the Four Moments framework for all patients receiving antibiotics … Improve Antibiotic Prescribing Antibiotic Stewardship Programs: it is recommended that you review the … treatment of infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.docx
May 01, 2014 - The purpose of today’s training is to discuss using an antibiogram to decide which antibiotics to use … .
· Prescribe an IV antibiotic. … .
· Prescribe an IV antibiotic.
· Which of the following do you think is/are the most appropriate antibiotic … Slide 4
Background: Antibiotic Prescribing
SAY:
Antibiotics are the most frequent medications prescribed … .
· Prescribe an IV antibiotic.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - for all residents receiving antibiotics to ensure that a
discussion happens for the ongoing need for … antibiotics. … antibiotics should become familiar with the educational toolkit. … The
Antibiotic Stewardship Team should monitor the use of antibiotics and Clostridioides difficile rates … readmission rates or the number of residents given antibiotics for asymptomatic bacteriuria.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study.docx
March 01, 2017 - Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic … During her last course of antibiotics, Valerie developed a Clostridium difficile infection. … Johnny thinks his mother might have another UTI and wants her started on antibiotics right away.
1. … Should the attending physician prescribe antibiotics for Valerie? Explain why or why not.
2. … How could the nurse respond to Johnny’s request to start his mother on antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study-key.docx
March 01, 2017 - Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic … During her last course of antibiotics, Valerie developed a Clostridium difficile infection. … Johnny thinks his mother might have another UTI and wants her started on antibiotics right away.
1. … Should the attending physician prescribe antibiotics for Valerie? Explain why or why not. … How could the nurse respond to Johnny’s request to start his mother on antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-one-pager.pdf
September 01, 2022 - with obvious signs and symptoms of community-acquired pneumonia (CAP), it is reasonable to initiate
antibiotics … Preferences Healthy Adults Adults With
Comorbidities or Recent
Hospitalization with
Parenteral Antibiotics … instructed to return to medical attention if they do not have some improvement in symptoms by
day 3 of antibiotics … if they experience mental status changes or become increasingly ill, regardless of how
many days of antibiotics … Community-Acquired Pneumonia 2 AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
November 01, 2019 - of antibiotics. … frontline
clinicians to ensure a rational thought process is employed when making decisions about whether
antibiotics … encouraged to meet with
frontline teams and providers to review some portion of patients receiving antibiotics … use and why all individuals should work together to use antibiotics in
the best possible way. … use and enhance the safety of patients
receiving antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - Consider a different beta-lactam
antibiotic or medication to help with symptoms if the same antibiotic … require hospitalization should be
evaluated by an allergy specialist before considering beta-lactam antibiotics … High risk These residents should NOT receive penicillin or other beta-lactam antibiotics in the absence … diarrhea)
� Headache
� Itching without rash
� Yeast infection
Laboratory abnormality
related to antibiotics … evidence supporting
the American Academy of Pediatrics
recommendation for prescribing cephalosporin
antibiotics
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www.ahrq.gov/pqmp/measures/acute-otitis-media.html
August 01, 2021 - Appropriate First-Line Antibiotics for Acute Otitis Media
Measure Domain: Management of Acute … Media
PQMP COE: CHOP
Associated NQF # and Name: 2811, Acute Otitis Media: Appropriate First-Line Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - prescribing
Describe how to effectively communicate the potential harms of antibiotics to other health … Therefore, antibiotics will not be helpful, and antibiotics can cause side effects.” … We need to start antibiotics.”
9
Improving Teamwork
9
Case 1: Mr. … We need to start antibiotics.”
10
Nurse should have mentioned:
“The resident has a fever.” … Recommendations I think we need to stop the antibiotic now.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T3-Concise_Antibiogram_Toolkit_Using_WHONET_to_Create_Your_Antibiogram.doc
May 01, 2014 - “Antibiotic result” fields can be defined for any or all of the antibiotics for which you have susceptibility … need to include those antibiotics. … ”
· Under “Antibiotics,” leave “All antibiotics” selected. … This can happen if you’ve added an antibiotic or edited an antibiotic name in your database since last … If this is the case, the antibiotic will not be listed in the key of antibiotic abbreviations at the
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease
Timeliness of Antibiotic … Preventive
antibiotics reduce the risk of life-threatening infections for children with SCD in this … Type of medication (antibiotic).
11.F. … However, prompt initiation of antibiotic prophylaxis in infants and consistent use of
antibiotics in … ; sometimes, they receive no antibiotics at all.