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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - of 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 … • The Talking With Family Members About Antibiotics poster provides mock dialogues for the
discussion … use and enhance the safety of residents receiving
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. … 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 … treatment of infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Working With Your Lab To Improve Antibiotic Prescribing
Overview of the Toolkit
How can a lab … help improve antibiotic prescribing at your nursing home? … suspected of having an infection along with the percent susceptibility of each organism to various antibiotics … antibiogram report helps prescribing clinicians make better, empirically-based decisions by avoiding antibiotics … What Is the Working with Your Lab to Improve Antibiotic Prescribing Toolkit?
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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/poster-8x11-UTI.pdf
June 01, 2021 - noncatheterized residents)
� Send a urinalysis (UA) & urine culture (UCx)
� Increase hydration
� Start antibiotics … resident appears ill
� If UA & UCx are positive and the resident has ongoing UTI symptoms,
modify antibiotics … or start antibiotics (if not receiving active antibiotics)
Signs & Symptoms of a UTI
Suspected … Development of minimum criteria for the
initiation of antibiotics in residents of long-term-care facilities
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiff-questions2.html
September 01, 2012 - As you begin to identify antibiotics to target, you will also need to look at prescribing practices that … will need to plan the strategies you will use with prescribers to appropriately limit the targeted antibiotics … Data Sources
Ø 2C RESOURCE: Possible Methods for Evaluating Antibiotic Use
2.2. … Resources and Tools
Ø 2D RESOURCE: Does Choice of Control Group Affect the Association of Antibiotics … What methods can we use to review the use of potential target antibiotics for intervention activities
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.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/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/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - delirium is identified
� Send a urinalysis (UA) & urine culture (UCx)
� Increase hydration
� Start antibiotics … resident appears ill
� If UA & UCx are positive and the resident has ongoing UTI symptoms, modify
antibiotics … or start antibiotics (if not receiving active antibiotics)
Do NOT Send a Urinalysis and Urine … Development of minimum criteria for the initiation
of antibiotics in residents of long-term-care facilities
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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/news/newsletters/e-newsletter/668.html
June 01, 2019 - More Than 80 Percent of Antibiotics Prescribed Before Dental Procedures Are Unnecessary, Analysis Concludes … Today's Headlines
More Than 80 Percent of Antibiotics Prescribed Before Dental Procedures Are Unnecessary … An AHRQ-funded study found that about 81 percent of nearly 169,000 antibiotic prescriptions given … procedures and procedures completed in the western United States were significantly associated with antibiotic … Researchers recommended using antibiotic stewardship in dental offices to reduce misuse.
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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/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share_approach_success_story2_jmu.pdf
June 01, 2016 - an ineffective
treatment.2
• Widespread use of antibiotics for viral illnesses can
promote spread of … “Get Smart About Antibiotics Week: Preserve the Power of Antibiotics.” http://www.cdc.gov/getsmart/
week … “Antibiotic Resistance Questions and Answers.” http://www.cdc.gov/getsmart/community/about/
antibiotic-resistance-faqs.html … ’s expectations and preference for antibiotics
2) Uses the provider’s knowledge about the benefits and … "Taking an Antibiotic or Not?
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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/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - in infectious diseases or
not, the physician lead should have an interest in both
optimal use of antibiotics … and restriction decisions regarding antibiotics and thus
should have ample ASP representation. … Since the primary target of guidelines is
clinicians who prescribe antibiotics, we recommend
selecting … are
to encourage clinicians to think about what the right
antibiotics are for the syndrome they suspect … It is, however, reasonable to consider guidelines for use
of select antibiotics that are expensive or
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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/antibiotic-use/long-term-care/improve/discuss-family.html
June 01, 2021 - presenting this presentation, viewers will be able to—
Review how to discuss the potential harms of antibiotic … Address end-of-life care as it relates to antibiotic use. … Recognize supportive and comfort care measures for residents who are uncomfortable (which may not involve antibiotics … and Caregivers – Video/Audio (24 minutes)
Poster – Talking With Residents and Family Members About Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu.pptx
March 01, 2015 - actually discovers or uses them
Antibiotics have societal impacts
Pressure from antibiotic mismanagement … forces significant resistance
70% of antibiotics in America go to Food production
29
Antibiotic … Stewardship
31
Antibiotic Stewardship in the ICU
Novel Antibiotic Development
1980’s: 16 new antibiotics … released
1990’s: 10 new antibiotics released
2000’s: 5 new antibiotics released
2008-2012: ONLY 1 new … Stewardship in the ICU
Prescribing Antibiotics
Day 1: Empiric Antibiotics
Based on disease and ICU’
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article8.html
June 01, 2014 - and situations in which antibiotics are not indicated; and (4) ongoing monitoring and feedback in the … Resident and Family Education
Recognizing that many lay people consider antibiotics to be the first … and explained situations where antibiotics are not needed, why a doctor might prescribe an antibiotic … Antibiotic use in nursing homes. … Optimizing antibiotics in residents of nursing homes: protocol of a randomized trial.
-
www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article8.html
June 01, 2014 - and situations in which antibiotics are not indicated; and (4) ongoing monitoring and feedback in the … Resident and Family Education
Recognizing that many lay people consider antibiotics to be the first … and explained situations where antibiotics are not needed, why a doctor might prescribe an antibiotic … Antibiotic use in nursing homes. … Optimizing antibiotics in residents of nursing homes: protocol of a randomized trial.