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effectivehealthcare.ahrq.gov/sites/default/files/diverticulitis-nomination-extra.pdf
May 29, 2025 - Key Questions and PICOTS
KQ1: Antibiotics KQ1: Antibiotics vs. … No Antibiotics
KQ2: Diagnostic
imaging
KQ3: Follow-up
colonoscopy
KQ4: Surgical and
interventional … KQ1: Antibiotics vs. … antibiotics by other
route of
administration, type
of antibiotic, duration
of course
Other … KQ1: Antibiotics vs.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase_4_Monitoring.pdf
May 01, 2014 - Infections and antibiotic
use generally are monitored through the nursing home’s infection-control … antibiotics and (2) the use of broad- versus narrow-spectrum antibiotics. … Action Checklist
Quality-Improvement Program
• Add monitoring of antibiotic prescribing patterns to … Materials Included
Quality Assurance
• Antibiotic Use Tracking Sheet
• Quality-Improvement Review … Tool for Antibiotic Use in Urinary Tract Infection
Monitoring
• Prescribing Clinician Feedback Survey
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Infections and antibiotic use generally are monitored through the nursing home’s infection-control log … antibiotics and (2) the use of broad- versus narrow-spectrum antibiotics. … Action Checklist
Quality-Improvement Program
· Add monitoring of antibiotic prescribing patterns to … Materials Included
Quality Assurance
· Antibiotic Use Tracking Sheet
· Quality-Improvement Review Tool … for Antibiotic Use in Urinary Tract Infection
Monitoring
Prescribing Clinician Feedback Survey
� Furman
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effectivehealthcare.ahrq.gov/products/antibiotics-respiratory-infection/clinician
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
November 01, 2019 - Effective communication is a key skill to ensure best use
of antibiotics. … use and
preventing harm associated with antibiotics. … because the current
antibiotics are not working. … for all patients
being started on or already on antibiotics. … The prescriber should ask three questions:
“Can I stop antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - antibiotics
Optimizes empiric antibiotic choices
Gives opportunity to advise about sending appropriate … antibiotics
Optimizes empiric antibiotic choices
Gives opportunity to advise about sending appropriate … antibiotics
Optimizes empiric antibiotic choices
Gives opportunity to advise about sending appropriate … Con
Providers or clinical teams review their patients who are receiving antibiotics to determine if … the antibiotics are truly needed or if they could be modified Engages frontline clinicians/teams to
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
June 01, 2021 - The use of antibiotics is not without consequences. … This is one of the most distressing features of antibiotics. … You meet with your antibiotic stewardship team to brainstorm problems related to antibiotics in your … At this point, she has been on antibiotics for 8 days. … · Length of therapy
· Cost of antibiotics
· Use of guideline-concordant antibiotics
· Clostridioides
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www.ahrq.gov/news/newsletters/e-newsletter/939.html
November 01, 2024 - AHRQ Grantee Profile Highlights Work of Larissa Grigoryan To Reduce Unsafe Use of Antibiotics . … Antibiotic Stewardship Helps Protect Newborns in Neonatal Intensive Care Units Antibiotics are often … AHRQ Grantee Profile Highlights Work of Larissa Grigoryan To Reduce Unsafe Use of Antibiotics Antibiotic … use can lead to antibiotic-resistant bacteria, which can make antibiotics ineffective. … infections leading to the overprescribing of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
November 01, 2019 - Does my patient have an infection that requires antibiotics?
2. … Have I ordered appropriate cultures before starting antibiotics? … Does my patient have an infection that requires antibiotics? … Does my patient have an infection that requires antibiotics?
2. … Have I ordered appropriate cultures before starting antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - Program for Improving Antibiotic Use
AHRQ Pub. … have risks and may cause harm
The Importance of Antibiotics
3
Patient Safety
3
5
Antibiotic … Patient Safety
5
6
Antibiotics Alter the Bacteria in the Gut4
Susceptible Bugs
Resistant Bugs
Antibiotic … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - NAME OF NURSING HOME]
Protocol for Three Common Infections
[DATE]
Between 25 percent and 75 percent of antibiotic … when either no antibiotic or a narrow-spectrum drug would suffice are large contributors to this problem … To improve appropriate antibiotic use for the residents at [NAME OF NURSING HOME], the minimum criteria … Urine cultures should be used to identify the most appropriate antibiotic. … For residents with acute dysuria, it may be appropriate to initiate empirical antibiotic therapy; but
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - Discharged with IV antibiotics: When issues arise, who manages the complications?. … Discharged with IV antibiotics: When issues arise, who manages the complications?. … their IV antibiotics in a clinical setting without being hospitalized. … Often treatment with an oral antibiotic agent is an appropriate alternative to IV antibiotic therapy. … Managing an outpatient parenteral antibiotic therapy team: challenges and solutions.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - About Residents With Family Members and Caregivers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … use to family members of residents
Address end-of-life care as it relates to antibiotic use
Recognize … “…in retrospect I just shouldn’t have done it [prescribed antibiotics]. … of life
15
Discussing Concerns With Family
15
End-of-Life Care4,5
Antibiotic therapy may cause … End-of-life treatment and bacterial antibiotic resistance: a potential association.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
November 01, 2019 - Moment 1 occurs at the time initiation of antibiotic … therapy is considered:
Ask, “Does my patient have an infection that requires antibiotics?” … cultures before starting antibiotics? … Moment 3 occurs every day of antibiotic therapy:
Ask 3 questions, “Can I stop antibiotics? … when the infectious process is clear and the patient
responds to therapy:
Ask, “What duration of antibiotic
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www.ahrq.gov/pqmp/measures/scd-preventive-antibiotics-newborns.html
August 01, 2021 - Timeliness of antibiotic prophylaxis for children with sickle cell disease
Measure Domain: Management
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/four-moments-poster-2.pdf
September 01, 2022 - Poster_Four Moments of Antibiotic Decision Making Questions
AHRQ Pub. … Moment 1: Does my patient have an infection that requires
antibiotics … Moment 3: If antibiotics are indicated, what is the narrowest,
safest, and shortest regimen I can prescribe
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study-key.html
March 01, 2017 - Antibiotic Stewardship: Case Study Facilitator Key
AHRQ Safety Program for Long-Term … 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/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study.html
March 01, 2017 - Antibiotic Stewardship: Case Study Worksheet
AHRQ Safety Program for Long-Term Care … 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? … 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/long-term-care/one-pager-aspiration-pneumonia.docx
June 01, 2021 - Respiratory support
Treatment
· Aspiration event and the resident remains stable2,5
· Antibiotics … residents with a history of infection or colonization with Pseudomonas aeruginosa, consider using an antibiotic … and who have not improved or have worsened, consider a course of antibiotic therapy (as above).2
Prevention … provide thickened liquids at meals if appropriate.2
References
AHRQ Safety Program for Improving Antibiotic … Are antibiotics indicated for the treatment of aspiration pneumonia?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.doc
January 01, 2014 - Antibiograms aggregate information about susceptibility patterns of organisms to commonly prescribed antibiotics … indicates that a high proportion of antibiotic prescriptions are inappropriate. … Using an antibiogram to guide empiric antibiotic selection can help to improve the likelihood that the … antibiotic will be effective even before the bacteria have been identified by the laboratory. … as initial therapy and can result in fewer clinical failures of antibiotics that are first prescribed