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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
November 01, 2019 - aspiration events are usually unlikely to produce significant sputum, making the
utility of sputum cultures … o Sputum Gram stain and cultures should be considered when the diagnosis is unclear, if
purulent sputum
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - these individuals come from racial and ethnic backgrounds that follow different cultural norms and customs … use or to get care from providers who speak their native language and/or understand their norms and customs … This program led to a significant increase in the number of behavioral health practitioners with cultural … backgrounds commonly requested by members, including African Americans (which rose by 80 percent over … Tools 9 and 10 deal with addressing language differences and considering culture, customs, and beliefs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Have I ordered appropriate cultures before starting
antibiotics? … Furthermore, the patient continued on vancomycin
even after the blood culture results indicated growth … Finally, institutional factors are those related to
institution culture and resources. … Educate nurses about reviewing culture results. … The
comfort level of nurses to review culture results may
vary but they should feel secure voicing
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - Slide
Adaptive Problems
SAY:
Adaptive problems are those that require a change in
attitudes, beliefs … Sputum cultures grow a
pan-susceptible E. coli. … It is not necessary to continue broad-spectrum therapy
when cultures have grown E. coli susceptible … MRSA and Pseudomonas aeruginosa generally grow
easily in culture. … A
sputum culture is pending.
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www.ahrq.gov/news/newsletters/e-newsletter/947.html
February 01, 2025 - Project Provides Insights To Optimize Respiratory Culture Practices . … clinical practice statements to consider before, during and after collection of endotracheal aspirate cultures … 38 experts, these practices outline key practices, including preparation before deciding to obtain cultures … , clinical indications for obtaining cultures and scenarios in which to avoid obtaining them, methods … for specimen collection, and interpretation of culture results.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
November 01, 2019 - Ask, “Have I ordered appropriate
cultures before starting antibiotics? … The prescriber should ask, “Have I ordered appropriate cultures
before starting antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
November 01, 2019 - influenzae, Legionella pneumophilia, respiratory viruses (e.g., influenza)
· Obtain sputum Gram stain and culture … smoking, age older than 50 years, significant immunocompromise, or other risk factors
· Obtain blood cultures … therapy
· After clinical improvement is observed, convert from intravenous to oral therapy
· Use sputum culture … pneumoniae urinary antigen is positive, switch to ampicillin (intravenous) or amoxicillin (oral)
· If cultures
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - In a child with no
obvious sources of infection, a minimum
evaluation should include blood culture, … evaluated, if possible, at
a site where complete blood cell (CBC) and
reticulocyte counts, blood cultures … degrees C require rapid triage
and physical assessment, urgent CBC and
reticulocyte counts, blood culture … (plus
cerebrospinal fluid analysis and other cultures
as indicated), and prompt administration of
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
October 01, 2024 - bacterial colonization on skin
CHG daily bathing was effective at reducing rates of CLABSI and blood culture … Purpose: Examine effectiveness of real-world patient cleansing with CHG on rates of CLABSI and blood culture … negative bacteria, and yeast
CHG daily bathing was effective at reducing rates of CLABSI and blood culture … and decolonization of all patients)
· Results: Universal decolonization in ICU reduced MRSA clinical cultures … of CHG bathing in non-ICUs to determine effect on MDROs and bacteremia, specifically MRSA clinical cultures
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
August 01, 2024 - A well-known example is ordering urine cultures in patients without urinary tract symptoms, which can … at the time of collection can result in wrong diagnosis and unnecessary treatment. 10 , 29,30 Blood cultures
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/worksheet.html
May 01, 2017 - National Content Series Discussion Guide - The Culture of Culturing: The Importance of Knowing When To … Order Urine Cultures
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Discussion
-
www.ahrq.gov/topics/antimicrobial-stewardship.html
homes establish the use of an antibiogram, a tool used to document the strains of bacteria present in cultures
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
June 01, 2021 - Slide 4
Monthly Rates of Urine Cultures per 1,000 Bed-Days
SAY:
The graph shows changes in the … rates of urine cultures ordered in both study arms. … The intervention resulted in a significant reduction in the number of urine cultures sent. … The reduction in unnecessary urine cultures was sustained, even after the intervention period was over … The data also show how frequently he ordered a urine culture prior to initiating antibiotics for a UTI
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www.ahrq.gov/news/newsletters/e-newsletter/914.html
May 01, 2024 - Study Finds Link Between Workplace and Patient Safety Cultures . Upcoming AHRQ Webinars . … Study Finds Link Between Workplace and Patient Safety Cultures The safety culture of hospital providers … and staff is fundamentally linked to patient safety culture, according to an AHRQ study published in … The study underscores the essential role of fostering robust safety cultures in healthcare to enhance … ET.: Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey and Workplace Safety Item Set:
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - Urine cultures should not be performed on a scheduled basis (e.g., monthly).
1. … Urine cultures should not be used to identify UTIs in the absence of symptoms.
1. … Urine cultures should be used to identify the most appropriate antibiotic. … appropriate to initiate empirical antibiotic therapy; but for all other symptoms, wait for a urine culture
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.docx
May 01, 2014 - .
· In addition to ordering a urine culture, which of the following procedures would you follow? … · Wait for the urine culture results.
· Have the patient transferred to the emergency department for … Typically, a clinician does not have cultures or test results to identify a specific medication to prescribe … SAY:
As you can see, of the cultures used to make the antibiograms, the most common were urine/wound/ … The most common positive urine cultures were….
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/022-ss-mrsa-surveillance.pptx
April 01, 2025 - for MRSA
Performing culture or polymerase chain reaction (PCR) screening
| 10
AHRQ Safety Program … Positive MRSA clinical cultures: Studies show that this method underestimates overall hospitalwide prevalence … Usually based on nasal surveillance culture or PCR. … Considerations for inpatient surveillance
Additional resources
Establishing an active surveillance program
Culture … collection sites
When to collect cultures
| 16
AHRQ Safety Program for MRSA Prevention | Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - Let’s take a minute to review our indications for collection of urine cultures. … False positive culture
· A “positive” urine culture obtained from an indwelling urinary catheter may … Slide 13
Case 3: Carol
SAY:
Let’s move on to discuss sample collection of respiratory cultures. … · Sputum cultures should only be sent on residents whom you are concerned have a lower respiratory … For example, we often see sputum cultures positive for yeast, or Candida albicans.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T5-Antibiogram_Tool_Phase_2.xlsm
January 01, 2016 - non-Vancomycin resistant Enterococcus species P
B9 Vancomycin resistant Enterococcus species P
B10 …
Cultures … forms that generate an antibiogram report based on a user's selection of antibiotics, bacteria, and cultures … enter the nursing home's address and contact information and to select the antibiotics, bacteria, and cultures … The lists of antibiotics, bacteria, and cultures are fully customizable, and the rest of the workbook … Negative
B7 A0 Culture: Blood Culture: Urine Culture: Sputum Culture: Wound Culture: Combined
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
October 01, 2015 - Solution
To achieve CAUTI reduction and sustain these improvements, a strategy to address both unit culture … Culture consists of the unit team’s values, attitudes, and beliefs, which will all have an impact on … described on the following pages and is available on the AHRQ Web site, can be used to improve unit culture … Appropriate use of urine cultures and nontreatment of asymptomatic bacteriuria are also critical factors