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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/management-SSTI-8x10-pocket-cards.pdf
June 01, 2021 - Tissue Infections
* Patients who have severe sepsis or septic shock should receive broad-
spectrum antibiotics
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www.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - Facilitator Guide ( Word , 292 KB; HTML )
Role-Play Worksheet ( Word , 283 KB; HTML )
Antibiotic … Stewardship
Highlights reasons providers may prescribe antibiotics, explains why and how to document … signs and symptoms, and describes how to use communication strategies to address alternatives to antibiotic … case study and key accompany these materials to enhance knowledge and communication of the harms of antibiotic … overuse, as well as frequently asked questions and answers related to antibiotic stewardship.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
November 26, 2013 -
Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic … Validation Testing for Sickle Cell Disease Measure 2
(Percentage of Children in State with SCD Receiving Antibiotics
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www.ahrq.gov/funding/grantee-profiles/index.html
June 01, 2025 - More >> Investigating Interventions to Reduce Unsafe Use of Antibiotics Larissa Grigoryan, M.D., Ph.D … With AHRQ’s help, my goal is to improve antibiotic use and minimize antimicrobial resistance.” … More >> Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance … Medicine “Without funding from agencies such as AHRQ, I could not conduct this kind of research on antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
May 20, 2016 - Obtain blood cultures, administer antibiotics, measure serum
lactate, and manage fluid status for hypotension … Evaluate compliance by using process measures such as door-
to-antibiotic time; share reports regularly … Collect blood cultures before administration of the initial antibiotic. … Administer broad-spectrum antibiotics. … • Appropriate medications, including antibiotics and vasopressors.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Appropriate Collection of Microbiologic Specimens … a good microbiologic specimen is important to determine whether a resident needs to be treated with antibiotics … Biofilm formation
· A biofilm is a layer of slime secreted by bacteria that protects them from antibiotics … Next, she is started on broad-spectrum antibiotics. … She continues on broad-spectrum antibiotics because culture results are not available to tailor the therapy
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - for the antibiotic. … Why aren’t patients receiving appropriate redosing of antibiotics? … ASK:
Do providers understand that antibiotic A needs to be redosed every 4 hours or that antibiotic B … • Have antibiotics been given, if indicated? … · Have antibiotics been given, if indicated?
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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/whento-order/urine-cultures-key.docx
March 01, 2017 - I’m going to put her on Bactrim—can you get a urine culture now, before she starts antibiotics? … We definitely need to get her on some antibiotics.
Nurse Nohai: No, I didn’t mean bladder pain. … And let’s hold off on the urine culture and antibiotics. I’ll keep a close eye on her this shift. … culture will not help decipher between a CAUTI and asymptomatic bacteriuria and may lead to unnecessary antibiotic … culture will not help decipher between a CAUTI and asymptomatic bacteriuria and may lead to unnecessary antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-1.pdf
December 01, 2013 - Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic … anemia) Hb F,S 282.6, 282.61, 282.62
Table 2: Penicillins and Erythromycins for Sickle Cell Disease Antibiotic … Erythromycin
Erythromycin estolate
Erythromycin ethylsuccinate
Erythromycin stearate
Miscellaneous antibiotics
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www.ahrq.gov/antibiotic-use/long-term-care/improve/intervention.html
June 01, 2021 - Change
A decision on an intervention should be informed by input from frontline staff and the antibiotic … The Staff Safety Assessment Form and the Learning from Antibiotic-Associated Adverse Events Form … The Monthly Data Collection Form can help track antibiotic use, urine cultures, and Clostridioides … Staff Safety Assessment Form (DOCX, 330.3 KB)
Learning From Antibiotic-Associated Adverse Events Form
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/penicillin.html
May 01, 2022 - Penicillin Allergies and Other Side Effects of Antibiotic Use
After viewing or presenting this … Approach to Residents With Reported Penicillin Allergy (PDF, 230 KB)
One-Page Document – Antibiotic
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www.ahrq.gov/antibiotic-use/acute-care/improve/index.html
June 01, 2021 - Safety Program for Improving Antibiotic Use. … Antibiotic Stewardship Program Development (Part 1)
Antibiotic Stewardship Program Development (Part … The Role of the Bedside Nurse in Antibiotic Stewardship Interventions
How Can Your Antibiotic Stewardship … All ASPs should be making daily interventions to improve antibiotic use; the Team Antibiotic Review Form … Review Form
Antibiotic Time Out Tool (DOCX)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - epicardial echocardiography should be
available if needed during the surgical case.4
Use Appropriate Antibiotic … Selection and Timing
Administer timely and appropriate antibiotics preoperatively
and postoperatively … staff support should be available if needed during a case.4
Recommended Practice: Use appropriate antibiotic … selection and timing
• Administer prophylactic antibiotics within 1 hour prior to surgical incision … .4,5
• Administer appropriate antibiotic selection based on evidence-based guidelines.4,5
Recommended
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - epicardial echocardiography should be
available if needed during the surgical case.4
Use Appropriate Antibiotic … Selection and Timing
Administer timely and appropriate antibiotics preoperatively
and postoperatively … staff support should be available if needed during a case.4
Recommended Practice: Use appropriate antibiotic … selection and timing
• Administer prophylactic antibiotics within 1 hour prior to surgical incision … .4,5
• Administer appropriate antibiotic selection based on evidence-based guidelines.4,5
Recommended
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - for the antibiotic. … Why aren’t patients receiving appropriate redosing of antibiotics? … No care provider is intentionally ignoring evidence about antibiotics and surgical site infections. … Ask:
Do providers understand that antibiotic A needs to be redosed every 4 hours or that antibiotic … If antibiotics redosing is required, is the medication readily available?
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Surgical Site Infections :
Emerging evidence [Skin preparation, Normothermia, Glucose control, Antibiotic … Antibiotics, airway risk, allergies? … Antibiotics (ABX) given.
ABX redosing time.
Beta blockers.
Airway risk.
Access issues. … Antibiotics redosing time - 0% Yes.
Antibiotics given - 90% Yes.
Patient consent - 60% Yes.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/095-mrsa-surveillance.docx
April 01, 2025 - surveillance approach can complement universal decolonization and help identify patients needing prophylactic antibiotics … needed to identify patients at high risk for MRSA infections and those who would benefit from anti-MRSA antibiotic … Antibiotic Usage
· Positive MRSA culture will inform antimicrobial choice and contact isolation precaution
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Assessment of the Resident With a
Suspected Urinary … She is happy that she was not exposed to any unnecessary antibiotics, and that she had a delicious piece … have a UTI, it is uncommon for a urine culture to not grow bacteria if they were not already receiving antibiotics … The nitrofurantoin is stopped and continuing antibiotics is unnecessary and can worsen her yeast infection … repeating the workup or prescribing different antibiotics, consider other reasons for the resident’s
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/index.html
October 01, 2016 - Help Prescribing Clinicians Choose the Right Antibiotic
Toolkit 1. … Working With a Lab To Improve Antibiotic Prescribing
Toolkit 2. … Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit)
Toolkit
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www.ahrq.gov/antibiotic-use/acute-care/improve/program-part2.html
November 01, 2019 - Antibiotic Stewardship Program Development (Part 2)
After viewing or presenting this presentation … viewers will be able to—
Discuss the pros and cons of common antibiotic stewardship program (ASP … Discuss evaluation metrics for ASPs
Describe the steps involved in driving interventions to promote antibiotic