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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shebl-na-et-al-2007
January 01, 2007 - Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." … and after' studies published on clinical decision support systems (CDSS) used to support the use of antibiotics … 1970-2006) using the combinations of the following terms: (Decision support systems) or (CDSS) AND (antibiotics … It presents a promising future for optimising antibiotic use. … Objective
"To summarise the relevant literature available regarding the use of CDSS and antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - an infection that requires antibiotics? … flora may become resistant to commonly used antibiotics over time. … Differences exist, however, in the dosing of antibiotics. … to guide the selection of effective antibiotics. … Most cases of uncomplicated cystitis can be treated with 3 to 5 days of antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - Moment 1: Does my patient have an infection that requires antibiotics? … While the decision to prescribe antibiotics occurred in the hospital, whether to continue antibiotics … The resident likely did not need any antibiotics. … Can we stop antibiotics? Can we narrow therapy? … Antibiotics should have been re-evaluated and stopped early on in his course.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - Slide 5
The Four Moments of Antibiotic Decision Making
SAY:
Let’s review our Four Moments of antibiotic … likely has an infection that requires antibiotics, let’s consider our second moment of antibiotic decision … stable within a few days after starting antibiotics. … Stopping antibiotics is not correct. … Prophylactic antibiotics can contribute to the development of antibiotic resistance and C. difficile
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www.ahrq.gov/antibiotic-use/index.html
April 01, 2025 - Antibiotic Stewardship Toolkits
AHRQ’s antibiotic stewardship toolkits were developed based on … Decision Making rubric to improve antibiotic use. … the Toolkit To Improve Antibiotic Use in Acute Care Hospitals . … About This Project Antibiotics are life-saving drugs when used appropriately. … Using antibiotics inappropriately can lead to antibiotic-resistant bacteria and increase the risk of
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/index.html
October 01, 2016 - Determine Whether It Is Necessary To Treat a Potential Infection With Antibiotics
Minimum Criteria … for Antibiotics Tool
Toolkit 1.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-2-tech-specs.pdf
June 02, 2025 - emergency
department with fever during the measurement year who received parenteral broad-spectrum antibiotic … calculated as follows:
The percentage of eligible children who received parenteral broad-spectrum antibiotic … Parenteral See Table 15-A for a list of acceptable antibiotics. … broad-spectrum antibiotic treatment
Fever Body temperature ≥ 38 degrees C (100.4 degrees F). … Administration of oral
antibiotics does not qualify as a numerator event.
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psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
November 06, 2015 - Study
Variability in antibiotic use across nursing homes and the risk of antibiotic-related … Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes … with higher antibiotic use compared to nursing homes with overall lower antibiotic use. … These findings demonstrate the need to manage antibiotics effectively to improve the safety of all nursing … Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
Discharged with IV antibiotics:
When issues arise, who manages
the complications … He was discharged to a skilled nursing facility (SNF) for continuation
of intravenous antibiotics. … receive their IV antibiotics in a clinical
setting without being hospitalized … – Could patient receive oral (PO) antibiotics instead? … • Is the correct antibiotic dose and duration ordered?
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - prophylaxis to inaccurate selection of empiric antibiotics. … antibiotics at all.( 3 ) In our case, antibiotics were administered only after completion of the surgical … What measures can improve the proper administration of antibiotic prophylaxis? … Exploring obstacles to proper timing of prophylactic antibiotics for surgical site infections. … A computer-assisted management program for antibiotics and other antiinfective agents.
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - antibiotics at all.(3)
In our case, antibiotics were administered only after completion of the surgical … What measures can improve the proper administration of antibiotic prophylaxis? … Obstacles to proper timing
of surgical antibiotic prophylaxis include the perception that timing of … Appropriate timing of antibiotic administration improved from 51% to 98%, and clean
wound infection … A computer-assisted management program for antibiotics
and other antiinfective agents.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Decision Making
Does my patient have an infection that requires antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Can I stop antibiotics? Can I narrow therapy or change from IV to oral therapy? … Decision Making
Defect Issue Moment
Patient remained on IV antibiotics for duration of hospitalization … Antibiotics could have been changed from IV to PO once clinical improvement and ability to tolerate
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - of antibiotics. … encouraged to
meet with frontline teams and providers to review some portion of patients receiving
antibiotics … use and why all individuals should work together to use
antibiotics in the best possible way … • The Talking With Family Members About Antibiotics poster provides mock dialogues for the
discussion … use and enhance the safety of residents receiving
antibiotics.
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use in unnecessary antibiotics … Unnecessary antibiotics can result in side effects and drug-resistant bacteria. … (“Minimum Criteria toolkit”) aims to reduce unnecessary prescribing for the three infections where antibiotics … help prescribing clinicians (physicians, nurse practitioners, and physician assistants) determine when antibiotics … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/news/newsletters/e-newsletter/946.html
February 01, 2025 - New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment
Issue Number
946 … Today's Headlines: New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment . … New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment More careful use of antibiotics … to measure how often and for how long hospitals prescribe antibiotics at discharge. … This shift could improve care and reduce reliance on other antibiotics.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Effective communication helps bring about proper use of antibiotics. … The provider may feel pressured to prescribe antibiotics. … , so antibiotics will not be helpful, and antibiotics can cause unpleasant side effects.” … I think we need to stop the antibiotic now.” Dr. … He should not be on this antibiotic.
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effectivehealthcare.ahrq.gov/health-topics/antibiotic-resistance
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.docx
October 01, 2016 - · Antibiograms are important tools for health care professionals involved in prescribing empiric antibiotics … · Antibiograms encourage responsible use of antibiotics throughout facilities. … They do not provide the prevalence resistance to multiple antibiotics.
· Antibiograms provide guidance … It may be helpful to examine the antibiogram and identify the one two antibiotics that are not working … Please avoid that antibiotic.
AHRQ Pub.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - infection that requires antibiotics? … Slide 11
The Four Moments of Antibiotic Decision Making
SAY:
Moment Three is: If antibiotics are … Clinicians should weigh the higher cure rate with antibiotics with the potential for antibiotic side … antibiotics. … All patients received antibiotics for 5 days.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … Antimicrobial stewardship is the act of using antibiotics appropriately—that is, using them only when … truly needed and using the right antibiotic for each infection. … Antibiotics are among the most commonly prescribed drugs in long-term care settings, yet reports indicate … laboratory tests and antibiotics.