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www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
June 01, 2021 - Improving Antibiotic Use Is a Patient Safety Issue
After viewing or presenting this presentation … viewers will be able to—
Discuss the potential harms associated with antibiotic use. … Improving Antibiotic Use Is a Patient Safety Issue – Slides (PPTX, 6.7 MB)
Improving Antibiotic Use
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www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
June 01, 2021 - Changing the System To Improve Antibiotic Safety
After viewing or presenting this presentation … Changing the System To Improve Antibiotic Safety – Slides (PPTX, 4.3 MB)
Changing the System To Improve … Antibiotic Safety – Facilitator Guide (DOCX, 2.3 MB)
Learning From Antibiotic-Associated Adverse
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-technical-specifications.pdf
November 26, 2013 - Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic … Detailed Measure Specifications
Sickle Cell Disease
Measure 2: Timeliness of Antibiotic Prophylaxis … of children with a newborn screen positive for sickle cell disease (SCD) who received
appropriate antibiotic … Erythromycin
Erythromycin estolate
Erythromycin ethylsuccinate
Erythromycin stearate
Miscellaneous antibiotics … Numerator Eligible children who received appropriate antibiotic prophylaxis at ≤ 90 days of
age.
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www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
January 01, 2025 - during their clinic visit. ePneumonia is linked to
pneumonia order sets that enact site-of-care and antibiotic … • Hypothesis #4: Antibiotic prescribing will more closely follow guideline best
practice recommendations … Basic laboratory tests, chest x-rays, and initial
administration of antibiotics are available. … patients for whom no chest x-ray has been done, A flag/alert comes
on to the provider screen if an antibiotic … Risk of antibiotic resistance is assessed using the DRIP score (Webb B et al.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
June 02, 2025 - – Stomal infection requiring antibiotics (45%). … ■ Send swab for culture and treat with
appropriate topical or systemic antibiotics. … Diarrhea ■ Antibiotic therapy
■ Infusion rate/
volume too high
■ Gastroenteritis
■ Low serum
albumin … ■ Review antibiotic therapy.
■ Obtain stool sample for culture.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapvtables.html
April 01, 2018 - CABG
All of the following:
Presence of a post-operative culture, and
Post-operative antibiotics … Absence of a post-operative culture and one of the following criteria:
Post-operative antibiotics … given and any post-operative leukocyte count test drawn
Post-operative antibiotics not given … Arthroplasty:
All of the following:
Presence of a post-operative culture, and
Post-operative antibiotics … count greater than 9,000/mm3, or
C-reactive protein greater than 3mg/dL, or
Any post-operative antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-one-pager.pdf
September 01, 2022 - bacteria
− Recent antibiotic exposure
− History of recurrent urinary tract infections (UTIs)
… 100,000 CFU/mL of a urinary pathogen (most commonly
Escherichia coli)
Treatment
• Do not start antibiotics … UTI in the future3-4
• Review prior urine culture results as previous susceptibility data can guide antibiotic … choice
Condition Antibiotic Options2 Comments
Uncomplicated cystitis2 • Nitrofurantoin
• TMP … Asymptomatic bacteriuria treatment is
associated with a higher prevalence of
antibiotic resistant strains
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/respiratory-assess.html
June 01, 2021 - Identify indications for antibiotics and supportive care measures for residents with a cough. … Review testing, empiric treatment options, and reasonable durations of antibiotic therapy for pneumonia … Discuss opportunities for de-escalation of antibiotic therapy for pneumonia using results of diagnostic
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapc.html
April 01, 2018 - ANTIBIOTIC
Include all antibiotics that were given one month before or after surgery … ANTIBIOTIC
ABX_ID
Integer
A unique ID for the antibiotic
ANTIBIOTIC
NAME
Varchar(64) … The name of the antibiotic given
ANTIBIOTIC
DOSE
Varchar(64)
The dose of the antibiotic … ANTIBIOTIC
FREQUENCY
Varchar(64)
The frequency of the antibiotic
ANTIBIOTIC
START_DTM … Date
The date of when the antibiotic treatment began
ANTIBIOTIC
DC_DTM
Date
The date
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
October 01, 2016 - Stewardship in Nursing Homes
CDC’s About Antimicrobial Resistance
CDC’s Antibiotic Resistance Threats … These champions should have the following qualities:
A basic knowledge of antibiotics
An interest in … An antibiotic prescription induces resistance at the individual level more than the group level. … Pharmacist-led model of antibiotic stewardship in a long-term care facility. … Antibiotic use in nursing homes. 2014 Oct. Publication P-00886.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions – Slides
AHRQ Safety … Program for Improving Antibiotic Use
Improving Communication Between Members of the Practice Around … Antibiotic Decisions
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub … He feels sick and
thinks he needs an antibiotic.” … Communication
Around Antibiotic Decisions
Could we try to replace this image?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-one-pager.pdf
September 01, 2022 - fevers.1
• Most cases of acute sinusitis (approximately 98%) are caused by a virus and do not require
antibiotics … dental pain, or colored nasal discharge are not accurate
predictors of a bacterial etiology.4
Antibiotic … Therapy
• Antibiotics should be considered for sinusitis if any of the following criteria are met … cephalosporin if there is high risk
of Streptococcus pneumoniae resistance, such as extensive prior antibiotic … Acute Sinusitis
AHRQ Safety Program for Improving Antibiotic
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www.ahrq.gov/pqmp/measures/otitis-media-effusion.html
August 01, 2021 - Avoidance of Antibiotics To Treat Otitis Media With Effusion
Measure Domain: Management of Acute
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www.ahrq.gov/hai/quality/tools/cauti-ltc/engage.html
March 01, 2017 - Antibiotic Stewardship educational video
This 5-minute educational video promotes antibiotic stewardship … When Do You Need an Antibiotic? … PDF , 814.2 KB)
A brochure to help facility staff communicate with residents and families on when antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-1-tables-1-3.pdf
June 02, 2025 - Suspected
infection
Infection is suspected when one of the following is documented:
• Orders for antibiotics … OR
• Antibiotics administered OR
• Orders for urine, blood or spinal culture OR
• Urine, blood or … acute organ
dysfunction
995.94
Bacteremia 790.7
Septic shock 785.52
Table 3: Parenteral Antibiotics
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www.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
September 01, 2021 - Improve Your Stewardship Program
Presentations and tools to help a nursing facility develop an antibiotic … use, read the Implementation Guide for Long-Term Care Antibiotic Stewardship Programs (PDF, 402 KB … Developing an Antibiotic Stewardship Program (presentation)
Tracking and Measuring Antibiotic Use ( … communication about the potential risks and benefits to antibiotic use. … your antibiotic stewardship program and continue to build on your team’s successes.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Staff Safety Assessment
PURPOSE OF THIS FORM: … To discuss issues that may result in antibiotic-associated adverse events or have the potential to cause … you think the next resident at your facility will be harmed by an event related to administration of antibiotics
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www.ahrq.gov/hai/index.html
April 01, 2025 - Toolkits To Improve Antibiotic Use Three toolkits that help hospitals, long-term care facilities, and … ambulatory practices apply the Four Moments of Antibiotic Decision Making to improve antibiotic use. … stewardship program, determine if it’s necessary to treat a resident with antibiotics, help clinicians … select the right antibiotic, and engage residents and families in infection prevention. … Universal Glove and Gown Use and Acquisition of Antibiotic-Resistant Bacteria in the ICU: A Randomized
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www.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
October 01, 2016 - For example, if the nursing home is already monitoring antibiotic use, staff may have identified that … prescribing clinicians are using antibiotics for bacteria that are not usually sensitive to that antibiotic … nursing home may want to select one of the tools designed to help prescribing clinicians choose the right antibiotic … are high rates of prescribing for specific infections or residents referred from hospitals with an antibiotic … Family Members
Low
Suspected UTI SBAR
Working with a Lab to Improve Antibiotic
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www.ahrq.gov/nursing-home/resources/module-14-antibiotic-stewardship.html
April 01, 2022 - Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course … Resource: Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist … Training Course
This module discusses the importance of antibiotic stewardship and identifies strategies … to implement antibiotic stewardship activities in nursing homes. … At the conclusion of this module, participants will be able to: 1. define antibiotic stewardship and