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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-one-page.docx
November 01, 2019 - Endotracheal aspirate <100,000 CFU/mL
· Obtain blood cultures; may be positive in up to 15% of patients
· Consider … obtaining Legionella urine antigen in patients with immunocompromise, risk factors
· Consider obtaining … Enterobacteriaceae, P. aeruginosa, streptococci, and S. aureus with an anti-pseudomonal beta-lactam; consider … If patient is able to be weaned from a ventilator within 1–2 days of diagnosis, VAP is less likely; consider … pathogen recovered
· After clinical improvement is observed and oral medications can be tolerated, consider
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
November 01, 2019 - sputum Gram stain and culture whenever possible
· Obtain blood cultures for severely ill patients
· Consider … obtaining Legionella urine antigen in immunocompromised patients or if severely ill
· Consider obtaining … viral respiratory testing during respiratory virus season
· Consider noninfectious causes such as pulmonary … Enterobacteriaceae, P. aeruginosa, streptococci, and S. aureus with an anti-pseudomonal beta-lactam; consider … patient risk factors
· After clinical improvement is observed and oral medications can be tolerated, consider
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - case with knowledge of the patient’s outcome (hindsight bias)
Lack of a gold standard
Failure to consider … the spectrum of clinical presentations
Failure to consider the consequences of competing diagnoses … Failure to Consider Hindsight Bias
Patient classified as low risk for adverse outcomes (0.1%-0.4% mortality … cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12008187
Failure to Consider Consequences of Competing … Improving Diagnosis of Errors
Use the threshold model of decision making
Consider explicit tradeoffs
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effectivehealthcare-admin.ahrq.gov/products/methods-guidance-tests-outcomes/methods
October 01, 2019 - Consider inclusion of outcomes in all five domains: clinical management effects; direct test effects; … Consider to which group the outcomes of testing are most relevant. … The authors of this review did not consider the costs of the test to the patient as an outcome. … A broader review may consider the effectiveness of CT angiography, and the investigators would consider … Consider to which group the outcomes of testing are most relevant.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
April 13, 2017 - Consider these factors when collecting
baseline data:
· Use neutral observers when possible in lieu of … Consider using the 3 A’s to decide what to
do next:
· Adopt – The goal was reached. … Consider testing a new intervention. … Once again, consider using the 3 A’s to
decide what to do next:
· Adopt – The goal was reached. … Consider testing a new intervention.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-aspiration-pneumonia.docx
June 01, 2021 - relative hypotension or temperatures persistently above 99°F or above the resident’s baseline.6,7
· Consider … .7
· It is not necessary to add additional anaerobic or atypical coverage to beta-lactam therapy.3
· Consider … · For unstable residents with a history of infection or colonization with Pseudomonas aeruginosa, consider … with a history of colonization or infection with methicillin-resistant Staphylococcus aureus (MRSA), consider … days.8
· For residents who were not started on antibiotics and who have not improved or have worsened, consider
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-aspiration-pneumonia.docx
June 01, 2021 - relative hypotension or temperatures persistently above 99°F or above the resident’s baseline.6,7
· Consider … .7
· It is not necessary to add additional anaerobic or atypical coverage to beta-lactam therapy.3
· Consider … · For unstable residents with a history of infection or colonization with Pseudomonas aeruginosa, consider … with a history of colonization or infection with methicillin-resistant Staphylococcus aureus (MRSA), consider … days.8
· For residents who were not started on antibiotics and who have not improved or have worsened, consider
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pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1worksheet.html
March 01, 2014 - Which of the following tools or strategies might you consider implementing to address the issue? … Which of the following tools might you consider implementing to address the issue? … Which of the following tools might you consider implementing to address the issue? … Which of the following tools or strategies might you consider implementing to address the issue?
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1worksheet.html
March 01, 2014 - Which of the following tools or strategies might you consider implementing to address the issue? … Which of the following tools might you consider implementing to address the issue? … Which of the following tools might you consider implementing to address the issue? … Which of the following tools or strategies might you consider implementing to address the issue?
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/sDvjG49sFm7t3f3CnZUuFw
October 04, 2005 - If there are at least 4 s in the shaded section (including Questions #1 and #2), consider a depressive … Consider Major Depressive Disorder
- if there are at least 5 s in the shaded section (one of which … corresponds to Question #1 or #2)
Consider Other Depressive Disorder
- if there are 2-4 s in … A2662B 10-04-2005
A2662B.PDF
Consider Other Depressive Disorder
Scoring: add up all checked boxes
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - It is
important to consider alternative causes of respiratory
symptoms that could be contributing to … If Legionella is
suspected, consider obtaining a Legionella urinary
antigen. … If the
patient is severely ill, consider adding an
aminoglycoside to these agents. … If pseudomonal coverage is needed, consider
ciprofloxacin or levofloxacin. … If pseudomonal coverage
is not needed, consider a second or third generation
oral cephalosporin or
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - It is
important to consider alternative causes of respiratory
symptoms that could be contributing to … If Legionella is
suspected, consider obtaining a Legionella urinary
antigen. … If the
patient is severely ill, consider adding an
aminoglycoside to these agents. … If pseudomonal coverage is needed, consider
ciprofloxacin or levofloxacin. … If pseudomonal coverage
is not needed, consider a second or third generation
oral cephalosporin or
-
www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt6.html
December 01, 2017 - risk:
Ativan 1 mg PRN
Zoloft 50 mg QD
Paxil 40 mg QD
Review medications and consider … Consider psychiatric evaluation if indicated to evaluate psychotropic meds
Consider consultant pharmacist … ( ) Low vision
Consider optometry or ophthalmology evaluation. … Consider blood work for BUN/Creatinine ratio.
Consider TED hose. … (X) Unsafe gait, transfers, and/or wheelchair seating problems
Consider OT/PT evaluation.