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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - __ Yes
__ No
Slide 5
Why We Have to Improve Antibiotic Use
Antibiotics are unlike any other … We are running out of antibiotics.
We won’t get new ones soon. … visits to emergency departments for adverse events attributed to antibiotics. … restrictions for 5 antibiotics: Ticar/clav, Imipenem, Aztreonam, Cefta and Cipro. … It’s to ensure that there are systems and support to help every provider use antibiotics optimally.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. … Start an antibiotic based on the urine culture results.
C. … Start an antibiotic based on the urine culture results.
C. … Mark receives all 10 days of his antibiotics. … Should we consider stopping the antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
November 01, 2019 - Moment 2: Have I ordered appropriate cultures before
starting antibiotics? … Can I stop
antibiotics? Can I narrow therapy or change from
intravenous to oral therapy? … “Does my patient have
an infection that requires antibiotics?” … It may not occur
immediately after discontinuing antibiotics. … Slide 21
Clostridioides difficile and Antibiotics
SAY:
Virtually all antibiotics can increase
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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/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.pdf
May 01, 2014 - Antibiograms are important tools for health care professionals involved in prescribing
empiric antibiotics … susceptibility in those bacteria,
and to track changes in antibiotic susceptibility over time. … Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to
multiple antibiotics. … Antibiograms provide guidance for empiric antibiotic use in patients, but other factors
including
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.doc
May 01, 2014 - · Antibiograms are important tools for health care professionals involved in prescribing empiric antibiotics … susceptibility in those bacteria, and to track changes in antibiotic susceptibility over time. … · Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to multiple antibiotics. … · Antibiograms provide guidance for empiric antibiotic use in patients, but other factors including
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Broad spectrum antibiotics should
be given even if these tests cannot be performed
(p. 28). … analysis and other cultures
as indicated), and prompt administration of a
broad‐spectrum parenteral antibiotic … Relatively high doses (75‐100
mg/kg) are sometimes recommended in regions
with high prevalence of antibiotic … • Parenteral antibiotics should be
given before other procedures. … SCD with a fever greater than or
equal to 38.5 degrees C should be given
parenteral broad spectrum antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T3-Concise_Antibiogram_Toolkit_Using_WHONET_to_Create_Your_Antibiogram.pdf
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
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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/publications/files/cdifftoolkit.pdf
September 01, 2012 - The goal of this focused case-
control study is to identify the antibiotics or antibiotic classes most … The strengths and weaknesses of the four
main types of antibiotic data (purchasing, orders, antibiotics … If the
shift is to a more narrow antibiotic, an oral antibiotic regimen, or no antibiotics, the patient … /Class
(strength of
association)
Review of Aggregate
Antibiotic Use for
Each Class of
Antibiotics … patients where antibiotic order form
was used, e.g., to continue or stop
antibiotics
Total number
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www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - the benefits and risks of antibiotic use and be engaged in reducing harm associated with antibiotic … Teamwork Around Antibiotic Decision Making
Identifying Targets for Improvement in Antibiotic Decision … Around Antibiotic Prescribing
Tools
The tools below are designed to be used to assist the Antibiotic … prescribing and takes action when harm related to antibiotics is detected. … Antibiotic Use Commitment Poster (DOCX)
Antibiotic Time Out Tool (DOCX)
Identifying Antibiotic–Associated
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - Nursing homes serve
as one of our most fertile breeding grounds for antibiotic-resistant strains of … bacteria—a very
high rate of antibiotic use gives rise to multidrug-resistant organisms, including … more likely to develop Clostridium difficile infection within the 3 months following their course
of antibiotics … .8
Embedded in the Suspected UTI SBAR form is our new protocol for initiating antibiotics
for UTIs … 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/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - delay administration of antibiotics [p.
615]. … organisms should
be drawn before starting antimicrobial therapy,
as long as sampling does not delay antibiotic … Sampling before
antibiotic therapy is important, because
sterilization of blood cultures can occur … Identification of
causative organisms facilitates adjustment of
antibiotic therapy. … Administer
antibiotics and antivirals as indicated.
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www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB). … Presentations
Improving antibiotic use should be viewed as a patient safety issue. … use and be engaged in reducing harm associated with antibiotic use. … Antibiotic Safety
Tools
The six tools below are designed to assist the Antibiotic Stewardship … and takes action when harm related to antibiotics is detected.
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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/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
September 01, 2022 - Sustaining Antibiotic Stewardship Efforts – Slides
AHRQ Safety Program for Improving Antibiotic Use … Sustaining Antibiotic Stewardship Efforts
AHRQ Safety Program for Improving Antibiotic Use
Ambulatory … Step four: Determine how to access antibiotic prescription data. … Step seven: Monitor and report back antibiotic prescription data to practice. … After this period, ongoing antibiotic stewardship efforts are needed to continue to observe optimal antibiotic
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www.ahrq.gov/antibiotic-use/long-term-care/safety/teamwork.html
June 01, 2021 - viewers will be able to—
Recognize the importance of seeking input from all team members when making antibiotic … change; A ssessment or appearance; and R equest for action), to improve communication related to antibiotic … Describe how to effectively communicate the potential harms of antibiotics to other health care practitioners … Communication – Facilitator Guide (DOCX, 2.2 MB)
Poster – Talking With Residents and Family Members About Antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - When antibiotics were
not prescribed, students often went directly from the
Student Health Center to … a local urgent care facility to get
antibiotics. … Their goals were to
increase decisional comfort with the appropriate use of
antibiotics, maintain or … prescribing for RTIs,
Taking an Antibiotic or Not? … They selected To Take Antibiotics or Not?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Resident With a Suspected Respiratory Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … Bordetella is the only one of these that requires antibiotic treatment.3
‹#›
Assessment of RTI
12 … His daughter asks you for some antibiotics to make her dad’s cough go away. … Antibiotics are great at making coughs go away. … He has bacterial pneumonia and needs antibiotics.
Case 3: Peter, Diagnosis?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Yes
No
Why We Have to Improve Antibiotic Use
Antibiotics are unlike any other drug, in that the use … We are running out of antibiotics.
We won’t get new ones soon. … departments for adverse events attributed to antibiotics.
1. … It’s to ensure that there are systems and support to help every provider use antibiotics optimally. … Overuse
Hospitalized patients are ill
Early, appropriate antibiotics are life saving
“Chagrin” factor