-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/procalcitonin_executive.pdf
October 01, 2012 - Early initiation of appropriate
antibiotics and goal-directed therapies
reduces mortality. … Conversely, overuse
and misuse of antibiotics, including
continuing antibiotics longer than
necessary … In view of the present emphasis on the overuse of
antibiotics, other interventions to reduce antibiotic … ’s total
exposure to all antibiotics and is conventionally reported
as mean days per 1,000 days of … to all
antibiotics per 1,000 days of followup.
2.
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - The patient was started on intravenous antibiotics, then switched to oral antibiotics, and eventually … The patient was readmitted to the hospital and started on intravenous antibiotics again. … The patient cleared his bacteremia with antibiotics and was discharged home to finish his treatment. … She was diagnosed with a CAUTI and associated septicemia and was treated with intravenous antibiotics … The patient was treated with two antibiotics targeting Pseudomonas species, but continued to deteriorate
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T8-Sample_Pocket_Card_Long_Version_Phase_3.doc
May 01, 2014 - cultures
· Enterococcus species: xx%
· Klebsiella pneumoniae: xx%
· Proteus mirabilis: xx%
· Not all antibiotics … are tested—one antibiotic from each class is usually tested. … It is reasonable to consider that similar antibiotics
have similar resistance patterns; for example … · Several commonly used antibiotics have significant resistance patterns to the gram-negative organisms
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - · Yes
· No
· N/A
Oral antibiotics completed at home (for procedures with planned bowel resection)? … · Yes
· No
· N/A
Preoperative antibiotics administered within 1 hour of presentation for emergency … thromboembolism
[Procedure] Pathway Checklist: INTRAOPERATIVE AREA
Yes/No
INTRAOPERATIVE AREA
· Yes
· No
Antibiotic … [Fill in prophylactic antibiotics in your pathway]
· Yes
· No
Alcohol-based skin preparation applied … Date:
Time:
If no, note reason:
· Yes
· No
Postoperative antibiotics administered for emergency
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/DESC-technique.pdf
June 01, 2021 - like herself
today, and the last time this happened, someone told you she had a UTI and
gave her antibiotics … I am concerned that the risks of another course of antibiotics outweigh the potential
benefits. … DESC Technique
for Conflict With Residents and Families
I do not want to give her an antibiotic if
-
www.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - Antimicrobial Stewardship Modules are field-tested, evidence-based modules that can help nursing homes develop antibiotic … stewardship programs to help them use and prescribe antibiotics appropriately. … Appropriate antibiotics use can reduce antimicrobial resistance and help retain the effectiveness of … Toolkit To Improve Antibiotic Use in Long-Term Care helps nursing homes improve antibiotic stewardship
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-slides.pptx
June 01, 2021 - Resident With a Suspected Urinary Tract Infection
Long-Term Care
AHRQ Safety Program for Improving Antibiotic … No. 17(21)-0029
June 2021
AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care
Assessment … Mary Ann is feeling well
Temperature is 98.1oF
She is happy she was not exposed to any unnecessary antibiotics … Start a different antibiotic.
Send her to a urologist.
Examine the resident. … does not work, rather than try “better” antibiotics, consider other reasons for the resident’s signs
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2c-SBAR_SST_Final.pdf
June 01, 2014 - __________________________________
¨ No ¨ Yes Advance directives for limiting treatment related to antibiotics … The criteria are met to initiate antibiotics if one of situations below are met
No Yes
¨¨ ¨ 1. … The resident may have a skin and soft tissue infection and
need a prescription for an antibiotic agent … The resident does NOT need an immediate
prescription for an antibiotic, but may need additional observation … Antibiotic 1 __________________________________ Dose ________ Route ________ Duration ________
Antibiotic
-
www.ahrq.gov/antibiotic-use/ambulatory-care/improve/index.html
October 01, 2022 - to promote antibiotic stewardship is necessary to optimize antibiotic prescribing in ambulatory practices … Practice” and “Sustaining Antibiotic Stewardship Efforts” are more pertinent for the Antibiotic Stewardship … Practice Around Antibiotic Decisions
Sustaining Antibiotic Stewardship Efforts
Tools
The … Accessing and Reporting Antibiotic Prescription Data details how to obtain antibiotic prescribing data … Antibiotic Stewardship in Ambulatory Care (DOCX, 403 KB)
Gap Analysis Tool for Antibiotic Stewardship
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Return to the Contents
Antibiotic Use and Resistance
Key Messages
Antibiotics are medications … Used incorrectly, antibiotics can lead to antibiotic-resistant infections. … for antibiotics. … overuse of antibiotics can also lead to antibiotic-resistant organisms, which can threaten not only … An antibiotic stewardship program is a coordinated program that promotes the appropriate use of antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-1-ef.pdf
November 01, 2015 - Timeliness of Confirmatory Testing for Sickle Cell Disease: Timeliness of Antibiotic Prophylaxis for … a
newborn screen
positive for sickle cell
anemia who received
appropriate preventive
antibiotic … Prompt
initiation and consistent use of antibiotics in young children with sickle cell anemia increases … sickle cell
anemia be started on twice-daily penicillin as early as possible and remain on preventive antibiotics … Prophylactic antibiotics for preventing pneumococcal infection in children with sickle cell disease.
-
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.pptx
March 01, 2017 - , sediments
Inappropriate use of urine culture
Overinflated CAUTI rates
Inappropriate treatment and antibiotic … Urinalysis
Urine culture
Urinalysis and antibiotics
Culture and antibiotics
Nothing
Urine Culturing ׀ … At least, don’t send urine for urinalysis or culture
Definitely don’t start antibiotics! … Possible side effects of antibiotic use
Promote shared decision making
Urine Culturing ׀ 12
AHRQ SAFETY … familiar with SBAR, it can be a helpful tool to outline your conversation about urine cultures and antibiotic
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
April 01, 2025 - Are results available in time to guide decision making about antibiotic prophylaxis? … Does the facility have a protocol for the addition of vancomycin to pre-procedure antibiotic prophylaxis … Yes, Antibiotic Stewardship monitors compliance.
No, compliance is not monitored.
34. … Does the facility have a protocol in place to ensure perioperative antibiotic prophylaxis is stopped … Yes, Antibiotic Stewardship monitors compliance.
No, compliance is not monitored.
40.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diverticulitis-research-protocol.pdf
January 01, 2019 - Initially reserved for the sickest, highest-risk surgical patients,
drainage and antibiotic treatment … • Do the (comparative) effects and harms vary by route of administration of antibiotics,
type of antibiotic … , and duration of course of antibiotics? … versus No antibiotics or versus Alternative antibiotic regimen (for any
patient)
o Any class, route … to each
other and to placebo (or no antibiotics).
-
psnet.ahrq.gov/node/73502/psn-pdf
July 14, 2021 - Toolkit to Improve Antibiotic Use in Long-Term Care. … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
The use of antibiotics should … Designed to
align with four time elements of antibiotic therapy, its supports processes that enable … https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
https://psnet.ahrq.gov/issue … https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
-
digital.ahrq.gov/technology/generative-artificial-intelligence
January 01, 2023 - Artificial Intelligence
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant … outcomes, with the goal of shaping future clinical guidelines that help doctors select the most effective antibiotics … for each patient, reduce unnecessary use of broad-spectrum antibiotics, lower the risks of drug resistance
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
April 01, 2025 - review
Electronic algorithms to detect patients who may have an SSI (e.g., readmission, receipt of antibiotics … review
Electronic algorithms to detect patients who may have an SSI (e.g., readmission, receipt of antibiotics … review
Electronic algorithms to detect patients who may have an SSI (e.g., readmission, receipt of antibiotics … review
Electronic algorithms to detect patients who may have an SSI (e.g., readmission, receipt of antibiotics … review
Electronic algorithms to detect patients who may have an SSI (e.g., readmission, receipt of antibiotics
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.pdf
October 01, 2016 - clinicians, the medical director can
review the antibiogram and create a statement regarding which antibiotics … Antibiograms have been shown to improve the appropriate use of antibiotics by providing the
actual susceptibilities … The remaining columns of the
antibiogram are the antibiotics that were tested and the organisms’ susceptibilities … Toolkit 1/Tool 4 5
Sample cautionary statement regarding antibiotic resistance
CAUTION: Antibiotic … We recommend avoiding these antibiotics for empiric usage.
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraexh13.html
April 01, 2018 - Event 30 Fail to prepare skin appropriately
0.0042
0.0038
0.0039
0.0040
0.0041
Gate 239 Antibiotics-related … Event 30 Fail to prepare skin appropriately
0.0040
0.0033
0.0035
0.0037
0.0038
Gate 239 Antibiotics-related … Event 30 Fail to prepare skin appropriately
0.0039
0.0027
0.0032
0.0035
0.0035
Gate 239 Antibiotics-related
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Examples of overuse of services include:
Antibiotics . … In that year, 12 million antibiotic prescriptions were written during office visits for colds, upper … These prescriptions accounted for one out of every five antibiotic prescriptions to adults in that year … reactions, and contributes to the emergence of antibiotic-resistant pathogens. … the need for a second antibiotic course within 24 days of the initial therapy, was associated with a