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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
August 01, 2014 - Sepesis or Septic Shock Technical Specifications
Q-METRIC Sepsis Measure 4, Timely Administration of Antibiotics … Sepsis and Septic Shock
U18HS020516 Page 50
Submitted August 2014
Sepsis
Measure 4: Timely Antibiotics … Parenteral
antibiotics
Administration of antibiotics via the intravenous, intramuscular or intraosseous … Antibiotics must be in one of the classes listed in Table 4-C. … OR
• Antibiotics administered OR
• Orders for urine, blood or spinal culture OR
• Urine, blood or
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - An order for IV antibiotics every 6 hours was placed electronically at 8:00 PM, and arrangements were … morning rounds, the attending physician learned that the patient had not yet received any doses of antibiotic … or why the antibiotics were not scheduled to be given until 24 hours after admission. … This elderly patient with acute cholangitis experienced a critical delay in antibiotic administration … patient, an initial focus on the process of electronic order entry is critical to understanding why antibiotic
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic … prescription and asymptomatic bacteriuria, which does not require antibiotics and should not be treated … clinicians explaining the form and its rationale (tool 2) ( PDF | Word ) Not All “Infections” Need Antibiotics … The handout Not All “Infections” Need Antibiotics (tool 3) also should be given to nurses. 1 American … Standardizing antibiotic use in long-term care settings (SAUL study).
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T4-Concise_Antibiogram_Toolkit_How_to_Enter_Data_Manually_into_an_Antibiogram_Template.pdf
May 01, 2014 - %) susceptibilities
based on 20 isolates should still give a general idea of how effective various antibiotics … Only include percent (%) susceptibilities for antibiotics where at least 70 percent of
the isolates … Different isolates of an organism are not always tested for
susceptibilities to the exact same antibiotics … Because of this uncertainty, we recommend
you only include percent (%) susceptibilities for antibiotics … So, in the example, percent (%)
susceptibilities for antibiotics which about 20 or more E. coli isolates
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-slides.pptx
September 01, 2022 - antibiotics
Recognize types of reactions to antibiotics commonly prescribed in the outpatient setting … reports an allergy to penicillin
95% of people who report a penicillin allergy can tolerate beta-lactam antibiotics … antibiotics are more likely to receive an alternative, broader spectrum antibiotic that:
Is less effective … Palpable purpura
Joint pain
Urticaria
Lymphadenopathy
Fevers
Most commonly occur after several days of antibiotics … DRESS syndrome
Nonsevere reactions
Maculopapular/morbilliform rash
Generally occur days to weeks after antibiotics
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psnet.ahrq.gov/node/60879/psn-pdf
September 02, 2020 - Why do hospital prescribers continue antibiotics when it
is safe to stop? … Why do hospital prescribers continue antibiotics when it is safe to
stop? … https://psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results … Prescribers (from acute/general hospitals) were more
likely to continue antibiotics when discontinuation … would conflict with local guidelines, when systems clearly
indicated antibiotics, and when patients
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.doc
May 01, 2014 - Laboratory Name
Antibiogram for dd/mm/yyyy to dd/mm/yyyy
Gram Negative
Gram Positive
Antibiotic … The antibiograms will be most applicable when selecting antibiotics to treat urine infections and systemic … One antibiotic from each class is usually tested. … Antibiotics from the same class are likely to have similar resistance patterns, for example with cephalosporins … · Significant resistance to commonly used antibiotics is seen among the gram-negative organisms that
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.pdf
May 01, 2014 - Name/Clinical Laboratory Name
Antibiogram for dd/mm/yyyy to dd/mm/yyyy
Gram Negative Gram Positive
Antibiotic … The antibiograms will be
most applicable when selecting antibiotics to treat urine infections and systemic … One antibiotic from each class is usually tested. … Antibiotics from the same
class are likely to have similar resistance patterns, for example with cephalosporins … • Significant resistance to commonly used antibiotics is seen among the gram-negative organisms that
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Tracking and Measuring Antibiotic Use Data
Long-Term … It is useful to look at individual antibiotics as well as the combined total of all antibiotics. … This is the number of new prescriptions for each antibiotic and for all antibiotics. … Note that new admissions already on antibiotics should be counted as an antibiotic start. … If a resident receives two different antibiotics, count each as a start.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.docx
October 01, 2016 - Summary Report of Infections and Antibiotic Use
(This example focuses on data for evaluating antibiotic … use for suspected UTIs)
Month
Number of Resident Days
Number of Antibiotic Rx
Number of Antibiotic … Rx Divided by Number of Resident Days
Number of Residents Receiving Antibiotics for UTI (incl. … tracking use of specific antibiotics of concern in the nursing home)
Month
[Antibiotic Name]
[Antibiotic … Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
[Antibiotic Name]
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - to help prevent infection 98% 98%
Surgery patients whose preventive antibiotics were stopped at the … Johns Hopkins also does quite well at discontinuing antibiotics. … The front line said, we’re not always giving the antibiotics at the right time. … (n=972) 552 (56.8%)
Was antibiotic redosed? … So, even though there’s excellent level-one evidence to support the role of antibiotics in preventing
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - As a reminder, the Four Moments include:
Moment 1: Does my patient have an infection that
requires antibiotics … Moment 2: Have I ordered appropriate cultures
before starting antibiotics? … Can I stop
antibiotics? Can I narrow therapy or change from
intravenous to oral therapy? … Lower cutoffs may be considered if the patient has
received antibiotics before the culture was sent, … In addition to antibiotics, management of the
underlying associated process must also occur
whenever
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.pdf
October 01, 2016 - Summary Report of Infections and Antibiotic Use
(This example focuses on data for evaluating antibiotic … of
Antibiotic
Rx Divided
by Number
of Resident
Days
Number of
Residents
Receiving
Antibiotics … Agents in Use
(This example focuses on tracking use of specific antibiotics of concern in the nursing … home)
Month
[Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
[ … Antibiotic
Name]
[Antibiotic
Name]
[Antibiotic
Name]
Jan In each cell,
enter the
number of
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-discussion-guide.docx
September 01, 2022 - Also, remind staff how they can access the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care … How is the practice currently deciding which children with acute otitis media to treat with antibiotics … What guidelines/educational tools is the practice currently using to address the length of antibiotic … What measures will the practice use to guide decision making for observation without antibiotic therapy … What anticipatory guidance will the practice use for patients who will not be started on antibiotics
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.docx
October 01, 2016 - clinician]
This [quarterly / monthly] report is provided for your reference as we continue to monitor antibiotic … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home residents … Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17. … This report provides information regarding your prescriptions for antibiotics for residents over the … Resident Name
Infection Type/ Diagnosis
Last Treated
Organism Identified
Rx Date
Rx Duration
Antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.pdf
October 01, 2016 - clinician]
This [quarterly / monthly] report is provided for your reference as we continue to monitor
antibiotic … Between 25 percent and 75 percent of antibiotics are prescribed unnecessarily for nursing home
residents … This report provides information regarding your prescriptions for antibiotics for residents over
the … for your information only and is meant to help you
maintain an awareness of trends in infections and antibiotic … Infections and antibiotic resistance in nursing homes. Clin Microbiol
Rev. 1996 Jan;9(1):1-17.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
November 01, 2019 - Around Antibiotic Prescribing
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. … antibiotics. … – Antibiotic Prescribing
7
Drivers of Suboptimal Antibiotic Prescribing
Fear of inadequate antibiotic … Behavior Changes – Antibiotic Prescribing
11
Antibiotics Are Our Parrot
St. … broad empiric coverage
Are worried about stopping MRSA or Pseudomonas coverage
Want to keep antibiotics
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psnet.ahrq.gov/node/41019/psn-pdf
December 18, 2014 - Antibiotic prescribing in ambulatory pediatrics in the
United States. … Antibiotic prescribing in ambulatory pediatrics in the United States. … https://psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
Prescribing … of antibiotics for non-bacterial illnesses remains very common in outpatient pediatrics. … /web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Lapse in Antibiotics Leads to Sepsis
October 1, 2016
Levy MM. … Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. 2016. … The delay in appropriate treatment of sepsis
with continued antibiotic therapy on admission resulted … have demonstrated that any delay in antibiotic
administration is associated with significant increased … Empiric antibiotic treatment reduces mortality in severe
sepsis and septic shock from the first hour
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
November 01, 2019 - cultures should be considered when the diagnosis is unclear, if
purulent sputum is being produced, or if antibiotic … Treatment
• Hemodynamically stable patients with aspiration events
o Antibiotics are not warranted … o Prophylactic antibiotics have not been shown to be helpful in preventing the development
of pneumonia … If clincial symptoms resolve, antibiotics can be discontinued. … no improvement or there is clinical worsening within the first 48–72 hours,
consider a course of antibiotic