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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Team Antibiotic Review Form
*Questions 1–6 should … Question 2: Record antibiotic regimen and indication below:
Antibiotic:
Indication:
Antibiotic … :
Indication:
Antibiotic:
Indication:
Antibiotic:
Indication:
Moment ONE
Question … ☐ Yes
☐ No
2
Team Antibiotic Review Form
AHRQ Safety Program for Improving Antibiotic Use – … Moment THREE
Question 7: Are antibiotics still needed?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Identifying Targets To Improve Antibiotic Use
Long-Term … · Prescribing antibiotics for too long
· Forgetting to stop antibiotics when they are not needed
· Accidentally … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we narrow therapy? … She met criteria for empiric antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse Events
An … Negative Factor
Positive Factor
Patient
Factors
Example: Family preferred antibiotics. … X
Team
Factors
Example: Team discussion about need to start antibiotics occurred … Have we collected appropriate cultures and diagnostic tests before starting antibiotics? … Can we stop antibiotics? Can we narrow therapy?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form-completion-guide.pdf
November 01, 2019 - Completion Guide_Team Antibiotic Review Form
AHRQ Safety Program for Improving Antibiotic Use … Day of antibiotic therapy:
For the antibiotic or antibiotic regimen you are evaluating, day 1 is the … Antibiotic regimen and indication:
Include all antibiotics that the patient is receiving. … • If the patient has a reported antibiotic allergy but the specific antibiotic was not recorded or … Day of antibiotic therapy:
Question 2. Antibiotic regimen and indication:
Question 3.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … day #:
Check the patient’s indication(s) for continuing antibiotics below:
Antibiotic Time Out … for any of the following conditions even though antibiotics are NOT typically recommended? … Can any of the antibiotics be discontinued? … ☐ Yes
☐ No
Are the antibiotics selected consistent with local guidelines?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
March 01, 2017 - When Do You Need An Antibiotic?
When Do You
Need An
Antibiotic? … What is “antibiotic resistance”? … to the antibiotic. … That’s why it’s
best to use an antibiotic only when it’s absolutely necessary. … Don’t take an antibiotic for a virus (cold or flu).
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T4-Be_Smart_About_Antibiotics_Final.pdf
May 01, 2014 - Be Smart
About Antibiotics
Taking antibiotics when you don’t need them is like leaving the lights on … • Some patients and families think they are not getting good care
unless they get an antibiotic and … What not to do:
• Don’t ask for an antibiotic when the doctor says it isn’t needed. … • Don’t take an antibiotic for a virus (cold, cough, or flu). … The more often you use an antibiotic, the
greater the chance that the germs will become resistant.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
June 01, 2021 - The prescriber should choose an antibiotic
that covers the most likely pathogens. … What duration of antibiotic therapy is needed for the resident’s
diagnosis? … It’s been 2–3 days since we started antibiotics. … Can we stop antibiotics? Can we
narrow therapy? Can we change to oral antibiotics? … If the resident is getting an intravenous antibiotic, can they
get an oral antibiotic instead?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-form.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Form
AHRQ Safety Program for
Improving Antibiotic … Antibiotic regimen and indication:
Antibiotic: ___________________________________________________ … Were appropriate cultures ordered before antibiotics were started? … CAN WE STOP ANTIBIOTICS? CAN WE NARROW THERAPY?
11. Are antibiotics still needed? … CAN WE STOP ANTIBIOTICS? CAN WE NARROW THERAPY?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Improving Antibiotic Use Is a Patient Safety Issue … Slide 3
Antibiotic Development Is on the Decline
SAY:
Antibiotics are a precious resource. … For all of us, using antibiotics judiciously is critical to making sure antibiotics continue to remain … Slide 5
Antibiotics Alter the Bacteria in the Gut
SAY:
When people take antibiotics to treat an … Slide 6
Antibiotics & Clostridioides difficile
SAY:
After taking an antibiotic, people are at greater
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-slides.pptx
September 01, 2022 - that requires antibiotics? … -3
6
Acute Bronchitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
6
Antibiotics … Moments of Antibiotic Decision Making
Does my patient have an infection that requires antibiotics? … that requires antibiotics? … Antibiotics for Acute Bronchitis
11
Year
Percentage of Bronchitis Visits With Antibiotic Prescriptions
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Inappropriate Antibiotic Use. PSNet [internet]. … infectious cause not covered by antibiotics. … Many physicians find it hard to limit antibiotic use when they think that broad-spectrum antibiotic coverage … How can overuse of antibiotics be prevented? … Strategies to improve antibiotic stewardship and reduce antibiotic resistance have recently been summarized
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/antibiotic-use-commitment-poster.docx
November 01, 2019 - No. 17(20)-0028-EF
November 2019
Our institution is committed to prescribing the most appropriate antibiotics … when they are needed and to not prescribing antibiotics when they are not needed. … Please ask a member of your medical team if you have any questions about antibiotics.
Thank you! … Antibiotics are lifesaving drugs but can have harmful side effects. … the individuals you believe are important to indicate your institution’s commitment to prescribing antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-residents.pdf
June 01, 2021 - Do I need an
antibiotic? … Question 2
Is this the right
antibiotic? … help
your doctor and
nurse know if an
antibiotic will work. … These should be
collected before
starting an antibiotic. … Question 2
Is this the right antibiotic?
Question 3 How long
do I need to be on antibiotics?
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www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
November 01, 2024 - antibiotic use can lead to antibiotic-resistant bacteria, which can make antibiotics ineffective. … Unsafe antibiotic use includes using antibiotics without a prescription, which could mean using another … person’s medication or using your own leftover antibiotics. … nonprescription antibiotic use. … , from the unsafe use of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docx
September 01, 2022 - Guide
AHRQ Safety Program for Improving
Antibiotic Use
The “Never Antibiotics” Diagnosis: Acute Viral … Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … About 10 percent of people who receive an antibiotic develop diarrhea. … Second, patients may expect an antibiotic because in previous medical encounters an antibiotic has been … Slide 16
The Four Moment of Antibiotic Decision Making
SAY:
Returning to the Four Moments of Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - for Improving Antibiotic Use
1
The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia
Ambulatory … infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … was noninferior to 8 days of antibiotics. … He hasn’t taken any antibiotics recently.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - Antibiotic Use
1
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
Slide Title … Moments of Antibiotic Decision Making. … In this study, 96 percent of patients who were given an antibiotic prescription right away took antibiotics … antibiotics. … Slide 9
The Four Moments of Antibiotic Decision Making
SAY:
Moment 3 is: If antibiotics are indicated
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - antibiotic prescribing practices in the ambulatory care setting
Slide 2
The Importance of Antibiotics … SAY:
The discovery of antibiotics has led to countless lives being saved compared to the pre-antibiotic … Slide 4
Antibiotic Overuse
SAY:
At least 30 percent of all antibiotics prescribed in ambulatory practices … It is susceptible to all tested antibiotics. … Program for Improving Antibiotic Use – Ambulatory Care Antibiotics & Clostridioides difficile 12
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/index.html
September 01, 2022 - Learn Best Practices for Diagnosing and Managing Common Infectious Syndromes and Antibiotic Allergies … ambulatory care is essential to optimize antibiotic use and patient care. … The Never Antibiotics Diagnoses: Influenza and RSV
The Never Antibiotics Diagnoses: Viral Acute Upper … Antibiotics Diagnoses: Acute Otitis Media in Children
The Sometimes Antibiotics Diagnoses: Sinusitis … The Sometimes Antibiotics Diagnoses: Pharyngitis
The Usually Antibiotics Diagnoses: Community-Acquired