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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Urine culture was 10,000 CFU/ml E. coli. … :
Different Incentives and Goals from Physicians
May See Physicians as Barriers
Physician Culture : … 24
Engaging Physicians in Quality and Safety
Discover a Common Purpose
Reframe Values and Beliefs … Improved Efficiency
Excellent Reputation
Greater Cause
25
Reframe Values and Beliefs … What can we do with our resources and culture?
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - During operative process, culture collected. … Culture considered positive if > 30cfu of bacteria identified. … During the operative procedure, a semiquantitative culture was collected from subcutaneous fat in the … positive cultures had colony counts that were too numerous to count. … , compared with 82 of 1,576 patients (5.2%) with negative cultures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - Prevent project fatigue
Control processes
Monitor progress
Engage senior leaders
Establish improvement culture … Are values, beliefs, and practices incorporated into the mission of your organization and/or are they … Safety Program for Ambulatory Surgery
9
Sustainability
Embedding a successful improvement into the culture … Surgical site infection rate
Percentage of staff with a safety culture assessment score > 4
Process … change, embedding into culture, etc.)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … AHRQ Safety Program for Improving Antibiotic Use – Acute Care
12
Narrow therapy based on available culture … data if available
If no culture data, switch to oral therapy when the patient has clinical improvement … , use previous culture data to guide therapy
Acute cholecystitis
Lower yield for blood cultures
Common … stone and/or stent placement
Cholecystectomy or percutaneous drainage
Narrow therapy based on available culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
June 02, 2025 - The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture … · Organizational culture: Does the organizational culture embrace change? … · Adoptable: The process is compatible with organization and unit values, attitudes, beliefs, and facilities … The patient population, the process, and the social system and culture of a unit can affect the ease … Expecting early, marked improvement in outcomes without paying attention to process reliability
The belief
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - The nurse also found after they drew blood cultures that they had accessed the central line, leaving … The nurse saw the resident drawing a blood culture from the central line, leaving the stop cock without … Institutional Factors (related to institution’s culture and resources)
The nurse was hesitant to speak … up as she did not feel supported when the cultures were drawn incorrectly. … Enter recurrence ranking
The Infection Preventionist will hold an education session about the blood culture
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www.ahrq.gov/practiceimprovement/delivery-initiative/gilmerstudysnapshot/index.html
April 01, 2015 - Internal culture, staffing, and protocols: High-fidelity programs describe clients as "underserved" … They also tend to hire staff whose personal values and beliefs align with this philosophy (or support … consider, such as placing a singular focus on client needs, hiring staff whose personal values and beliefs … Critical importance of program director: The program director plays a significant role in creating a culture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - found that CHG bathing resulted in 87 percent reduction in CLABSI and a 41 percent decrease in blood culture … MRSA-positive cultures. … also received mupirocin for 5 days, twice a day, if they were known to be MRSA-positive by history, culture … dark purple line shows patients’ cumulative daily hazard of having a Staphylococcus aureus clinical culture … of MRSA clinical cultures.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
June 02, 2025 - At what frequency are routine MRSA nasal surveillance cultures performed in the unit? … Is there a process for training unit staff about appropriate methods for blood culture collection? … Yes
No
Blood cultures not collected by unit staff
Question 39. … culture)? … Is feedback provided to the unit regarding blood culture contamination rates?
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi4.html
January 01, 2013 - Most patients with a positive infection also had a secondary culture noted as being obtained at the time … of the initial culture (59.6 percent). … Five out of the six questions in the Attitudes/Beliefs section have shown improvement since baseline. … nurses, physicians, etc.) in our unit can list at least three maintenance interventions
Attitudes/Beliefs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - vancomycin and piperacillin/tazobactam
On day 2, he undergoes ERCP and the stone is removed
Blood cultures … Have I ordered appropriate cultures before starting antibiotics? … daily briefing about antibiotic regimen with team
Institutional factors are related to institution culture … revealed E. coli
Develop guidelines for intra-abdominal infections that discuss culture-directed therapy … and feedback for patients on vancomycin
Develop vancomycin auto-stops
Educate nurses about reviewing culture
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - His blood cultures grew methicillin- resistant Staphylococcus aureus (MRSA). … Blood and urine cultures grew Escherichia coli . … Blood cultures grew Staphylococcus aureus , and the catheter tip grew the same organism. … The patient’s bacteremia persisted, and his repeat blood cultures continued to be positive for more than … His sputum culture grew Pseudomonas aeruginosa .
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www.ahrq.gov/sites/default/files/publications/files/gilmerstudysnapshot.pdf
April 01, 2015 - consider, such
as placing a singular focus on client
needs, hiring staff whose personal
values and beliefs … Critical importance of program
director: The program director plays
a significant role in creating a culture … f Internal culture, staffing, and protocols: High-fidelity programs describe
clients as “underserved … They also
tend to hire staff whose personal values and beliefs align with this philosophy
(or support
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/gilmerstudysnapshot/gilmerstudysnapshot.pdf
April 01, 2015 - consider, such
as placing a singular focus on client
needs, hiring staff whose personal
values and beliefs … Critical importance of program
director: The program director plays
a significant role in creating a culture … f Internal culture, staffing, and protocols: High-fidelity programs describe
clients as “underserved … They also
tend to hire staff whose personal values and beliefs align with this philosophy
(or support
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.doc
May 01, 2014 - : Of XXX cultures used to make the antibiograms, XX% were urine cultures, YY% were wound cultures, and … Z% were sputum cultures. … · The leading organisms for positive urine cultures were:
· E. coli: XX% of urine cultures
· Enterococcus … Urinary tract infections (UTIs) from gram-negative organisms
· XX% of positive urine cultures were due … Gram positives
· XX of XX (XX%) Staph. aureus cultures were MRSA.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - antibiotics
· Microbiology: Escherichia coli, Klebsiella pneumoniae, Enterococcus species
· Blood cultures … should be obtained in all patients with cholangitis
· Blood cultures should be obtained in patients … with cholecystitis that have concomitant sepsis
· Bile cultures should be obtained if the biliary tree … P. aeruginosa, and anaerobes; consider coverage for Enterococcus species
· Review any prior biliary cultures … here]
· [Place local recommendations here]
· Narrowing and oral therapy
· Narrow based on available culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/decision-making.pdf
March 01, 2022 - clinical trials and adoption
after definitive trials must be determined based upon local needs and culture … Choose a 1-year
period and count the number of unique patients who have a positive blood culture
from … Use your current processes for identifying MRSA carriers using reported
history, prior culture result … The
order of approaching these key stakeholders will depend on the culture, standard
processes, and … cultures, and history of MRSA to target those with
devices
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.pdf
May 01, 2014 - : Of XXX cultures used to make the antibiograms, XX%
were urine cultures, YY% were wound cultures, … and Z% were sputum cultures. … • The leading organisms for positive urine cultures were:
o E. coli: XX% of urine cultures
o Enterococcus … Urinary tract infections (UTIs) from gram-negative organisms
• XX% of positive urine cultures were due … Gram positives
• XX of XX (XX%) S. aureus cultures were MRSA.
-
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - The following are appropriate conditions for urine culture use:
Evaluation of sepsis without a clear … , evaluate current processes for obtaining urine cultures (e.g., avoid urinalysis or urine cultures as … Have periodic audits on urine culture use in intensive care units to look for trends, especially if CAUTI … avoid inappropriate antimicrobial use in catheterized patients is to refrain from obtaining a urine culture … When a urine culture is positive in a catheterized patient who has no symptoms of infection, do not treat
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T8-Sample_Pocket_Card_Long_Version_Phase_3.doc
May 01, 2014 - Version
9” (4 @ 2.25”) x 3.25”
Key Findings From the Antibiograms
· Most of our data come from urine cultures … : Of 192 cultures used to make the antibiograms, 93% were urine cultures, 6% were wound cultures, and … 1% were sputum cultures. … · The leading organisms for positive urine cultures were:
· E. coli: xx% of urine cultures
· Enterococcus … Gram Positives
· 11 of 14 (xx%) Staphylococcus aureus cultures were Methicillin-resistant Staphylococcus