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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
June 01, 2021 - Collecting Bacterial Cultures
AHRQ Pub. … No. 17(21)-0029
June 2021
• Only collect bacterial cultures
from … AHRQ Safety Program for Improving Antibiotic Use
Collecting Bacterial Cultures
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiological-cultures.pdf
June 01, 2021 - Collection of Microbiological Cultures
Only collect bacterial cultures in symptomatic patients … Urine Cultures
Symptom-Free Pee Let It Be! … Respiratory Cultures
When to collect a specimen
• Only if pneumonia is suspected—not for chronic … Collection of Microbiological Cultures
AHRQ Safety Program for Improving Antibiotic Stewardship … – Long-Term Care Culture Collection 2
References
CDC Specimen Collection Guidelines.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
March 01, 2017 - 4 Things You Should Know about Urine Cultures
4 Things You Should Know
About Urine Cultures
1. … Bacteriuria is the term used to describe a positive urine culture, the
presence of bacteria in the urine … Inappropriate triggers for urine cultures include—
■ Urine color
■ Urine smell
■ Urine sediment
■ … Urine cultures should only be ordered if one
or more CAUTI symptoms are present.
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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents
1
Project Title: Creating … Learning Cultures Around Mistakes for Residents
Timothy J. … mistake, not excusing one’s part in the incident but not letting the
event create untrue or exaggerated beliefs … This need to integrate learning cultures
into existing residency work cultures means mean that the development … Implementing safety cultures in medicine: What we
learn by watching physicians.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures
AHRQ Safety Program … Order Urine Cultures
Welcome to today's educational session on The Culture of Culturing: The Importance … Determine when (or not) to order urine cultures. … If a urine culture is sent, and bacteria are found (in other words, a positive urine culture), that resident … Urinalysis
Urine culture
Urinalysis and antibiotics
Culture and antibiotics
Nothing
Slide
-
www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/05-SHARE-Cultural-Competence.pdf
October 25, 2024 - Remember that each patient has a unique set of beliefs and
values, and they may not share yours. … > Be aware of your own culture and how that may affect how you communicate with
your patients. … > You won’t be able to learn about every aspect of every patient’s culture. … Don’t be
afraid to let your patients know that you are unfamiliar with their culture. … > Recognize that in many cultures, family members are deeply involved in health
decisions.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - Slide 6
Importance of Blood Culture Stewardship
SAY:
Blood cultures are one of the most common microbiologic … Unfortunately, up to half of these positive blood cultures may represent blood culture contaminants rather … For example, one study of ICUs in Europe reported a blood culture utilization rate of 60 blood cultures … by blood culture contamination or S. aureus cases, which require repeated blood cultures. … Slide 16
Blood Culture Collection Process
SAY:
When collecting blood cultures, the number of sets
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - This module will identify the situations in which urine cultures are appropriate or inappropriate. … It is needed because urine cultures can be harmful if they’re ordered in the wrong situation. … This includes how a culture is collected, what container is used and how transport time can impact culture … There are inaccurate beliefs and rote behaviors. … Beliefs can be corrected with stewardship education.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/014-bcx-algorithm-decision-support-tool.docx
October 01, 2024 - Blood Culture Algorithm Decision Support Tool
Originally published in “Does This Patient Need … Is the primary site of infection not readily available for culture?
iii. … Assess if blood culture is to document clearance in three scenarios:
i. … Assess if blood culture is needed for either:
i. … Single positive blood culture with skin flora in a symptomatic patient
ii.
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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 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
The Culture of Culturing … —
The Importance of Knowing When To Order Urine Cultures
AHRQ Pub. … Determine when (or not) to order urine cultures—sometimes a urine culture just isn’t needed. … If a urine culture is sent, and bacteria are found (in other words, a positive urine culture), that resident … Urinalysis
Urine culture
Urinalysis and antibiotics
Culture and antibiotics
Nothing
Urine Culturing ׀
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section7.html
May 01, 2023 - Obtaining any culture needs to be based on a suspicion of infection of the site cultured. … Indications for Urine Cultures
Many clinicians order urine cultures in catheterized patients who are … What Triggers Urine Cultures? … cultures based on urinalysis results may lead to inappropriate urine culture and unnecessary antimicrobial … Discourage Urine Culture Use
Appropriate Urine Culture Use
Urine quality: color, smell
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - Create an alert that requires prescribers to review and sign off on cultures when they return from the … and beliefs
Identifies system opportunities to prevent them from occurring again
Identifying Targets … Clinicians are not using appropriate criteria to order urine cultures. … Pocket guides with criteria for when to order urine cultures. … Identifying Targets
15
Adaptive Problems
Adaptive solutions require a change in attitudes, beliefs,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/013-strategies-prevent-bcc.docx
October 01, 2024 - ICU & Non-ICU
Optimize Patient Selection for Blood Cultures.1
Use a Blood Culture Decision Support Tool … to guide ordering of blood cultures to limit inappropriate cultures. … Use Venipuncture To Draw Blood Cultures; Avoid Central Line Blood Draws.2
Peripherally drawn blood cultures … Don gloves prior to drawing blood cultures. … Draw At Least Two Sets of Blood Cultures.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - Section 5, Table 3
Table 3: Evidence for Obtaining a Blood Culture for Treatment of Children with Sepsis … Q-METRIC Sepsis Measure 3, Timely Blood Culture for Sepsis Syndrome
U18HS020516
Page 20
Submitted … should be considered in
addition to routine aerobic cultures. … If antibiotics
have already been given, blood culture should
be obtained immediately prior to the next … Q-METRIC Sepsis Measure 3, Timely Blood Culture for Sepsis Syndrome
U18HS020516
Page 21
Submitted
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - Program for Improving Antibiotic Use – Acute Care
4
Adaptive Problems
Require a change in attitudes, beliefs … and beliefs
Identifies system opportunities to prevent harm from occurring again
6
Identifying Targets … Have I ordered appropriate cultures before starting antibiotics? … Sputum cultures grow a pan-susceptible E. coli.
Not necessary to continue broad-spectrum therapy. … A sputum culture is pending.
In this case, the diagnosis is highly likely to be heart failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
October 01, 2024 - Practices
and Stewardship
6
Importance of Blood Culture Stewardship
Blood cultures are one of the … Only 2 to 10 percent of blood cultures grow.3 Up to half of these positive results represent blood culture … Inappropriate blood culture ordering: Records show blood cultures are often ordered for cases that do … Obtaining blood cultures by venipuncture versus from central lines: impact on blood culture contamination … Does this patient need blood cultures?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians
15
Implementing … Safety Cultures in Medicine:
What We Learn by Watching Physicians
Timothy J. … mistake, not excusing one’s part in the incident but not
letting the event create untrue or exaggerated beliefs … Observing Safety Culture
17
Table 1. … The interpretation of cultures. New York:
Basic Books; 1973.
36. Strauss AL.
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.doc
May 01, 2014 - You will need the results of diagnostic cultures—that is, cultures taken from residents suspected of … performed for each culture. … Request this data for diagnostic cultures (cultures from residents suspected of having an infection). … name
· Culture date
· Culture source
· Culture results (organism(s))
· Antibiotic susceptibilities … You should record the culture information for every diagnostic culture result in the timeframe of interest
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - this presentation, participants will be
able to:
Review recommendations for appropriate
blood culture … SAY:
Before we focus on specific organisms, it is
important to review indications for blood culture … 24-hour
period, 73 percent of bacteremic episodes were
detected with one blood culture, 94 percent … In these cases, bacteria
are usually growing in more than one blood culture
set. … It
is important that appropriate blood culture
collection criteria are used.
-
www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/blood-culture.html
October 01, 2024 - Implementation of MRSA Prevention
Fundamental Best Practices Up to half of all positive blood cultures … Discuss strategies to promote blood culture stewardship and reduce blood culture contamination. … Documents: Blood Culture Practices and Stewardship – Slides (PPTX, 11.2 MB) Blood Culture Practices … a decision-making algorithm for optimal use of blood cultures, with appropriate clinical indications … for initial and follow-up blood cultures in non-neutropenic populations.