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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/039-mrsa-surveillance-slides.pptx
October 01, 2024 - Cons of Active Surveillance:
Additional costs and staff time to collect samples and perform cultures … Who will collect the cultures?
Which body site(s) will be cultured? … When will the cultures be collected? … | 13
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
MRSA Surveillance
Culture Collection Sites16 … 14
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
MRSA Surveillance
14
When To Collect Cultures
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - the time you are reviewing the case:
• If the resident was suspected to have an infection for which cultures … ”
• If the resident was suspected to have an infection for which cultures were not collected (or
attempted … ”
• If the resident was suspected to have an infection for which cultures were not indicated, mark
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - Universal CHG and mupirocin
Group C: Routine care
Group B:
37% less MRSA positive clinical
cultures … mupirocin
Group B: Universal CHG and iodophor
Group A:
18% less S. aureus positive clinical
cultures … 14% less MRSA positive clinical
cultures
Equivalent to Group B for
bloodstream infections … Routine contact
precautions continued to occur for known MRSA carriers by history or clinical cultures … define MRSA carriers as patients known to the hospital to be MRSA carriers (by
reported history, prior culture
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www.ahrq.gov/antibiotic-use/long-term-care/improve/specimens.html
June 01, 2021 - One-Page Document – Collection of Microbiological Cultures (PDF, 159.2 KB)
Poster – Appropriate Collection
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www.ahrq.gov/hai/quality/tools/cauti-ltc/education-bundles.html
February 01, 2019 - of facility staff, and when appropriate, residents and families, on infection prevention and safety culture … Communication Strategies
Describes how barriers to effective communication can impact the safety culture … Word , 282 KB; HTML )
Urine Culturing and Antibiotic Stewardship
Know When To Order Urine Cultures … Summarizes reasons why more urine cultures lead to more CAUTI diagnoses, tools to use to appropriately … identify when to order a urine culture, and strategies to apply to communicate signs and symptoms effectively
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.pdf
October 01, 2016 - Urine cultures should not be performed on a scheduled basis (e.g., monthly).
2. … Urine cultures should not be used to identify UTIs in the absence of symptoms. … 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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.docx
March 01, 2022 - a 32 percent reduction in all-cause bloodstream infections, and a 37 percent reduction in positive cultures … for MRSA and VRE cultures. … medical devices of interest who are known to be MRSA carriers by history, screening test, or clinical culture … of interest who are known to be MRSA carriers by history, screening test (if performed), or clinical culture
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-6k.pdf
August 01, 2017 - 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/long-term-care/poster-4x6-four-moments-single.pdf
June 01, 2021 - Have we
collected appropriate cultures before
starting antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-poster.pdf
June 01, 2021 - Have we collected appropriate cultures
before starting antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-section-5-table-4.pdf
January 01, 2014 - Blood
cultures should be obtained before administering
antibiotics when possible, but this should not … children,
antibiotics should not be delayed to obtain a
specific specimen; but, at minimum, a blood
culture … Clinical protocol Given the importance of timely antimicrobial
treatment, delaying treatment to await culture … Clinicians
should be aware that blood cultures will be
negative in more than 50% of severe sepsis/septic … therapy should be started within
the first hour of recognition of severe sepsis,
after appropriate cultures
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - clinical trials versus adoption after definitive trials must be determined based on local needs and culture … Two positive blood cultures should be required for skin commensals to be considered an infection. … obtain, a simplified estimate can be made by identifying all ICU patients who have a positive blood culture … Determining MRSA clinical cultures. … The order of approaching these key stakeholders will depend on the culture, standard processes, and existing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - Culture Check-Up Tool
Problem statement: Improving safety culture in a patient care area takes time. … What is culture? … Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. … issues (between survey administrations), and monitor the progress of culture change. … Remember, attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
June 01, 2021 - diagnostic criteria to determine if a patient has an infection, cite
common causative organisms and cultures … Develop a Culture of Safety Around Antibiotic Prescribing
Next, as you focus on setting up or revitalizing … your ASP, it is important to work on changing the culture
of antibiotic prescribing at your facility … Under the Create a Culture of Safety Around Antibiotic
Prescribing section, several presentations can … They cover: how to collect cultures, assessment and
management of the resident with a suspected urinary
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - Slide 11
Moment 2: Microbiologic Diagnosis
SAY:
In patients with cellulitis, blood cultures … Wound cultures should be obtained if purulence is
present. … For patients with purulent cellulitis
and culture data, convert to oral therapy based on
these results … For patients without culture data, convert
to TMP/SMX or doxycycline. … These infections often don’t
have associated culture data to make prescribing
decisions easier and,
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.pdf
March 01, 2022 - a 32 percent reduction in all-cause bloodstream
infections, and a 37 percent reduction in positive cultures … for MRSA and VRE cultures. … medical
devices of interest who are known to be MRSA carriers by history, screening test, or
clinical culture … interest who are known
to be MRSA carriers by history, screening test (if performed), or clinical culture
-
www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - clinical trials versus adoption after definitive trials must be determined based on local needs and culture … Two positive blood cultures should be required for skin commensals to be considered an infection. … obtain, a simplified estimate can be made by identifying all ICU patients who have a positive blood culture … Determining MRSA clinical cultures. … The order of approaching these key stakeholders will depend on the culture, standard processes, and existing
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-one-option.pdf
November 01, 2019 - occurs when the decision is made to start antibiotics:
Ask 2 questions, “Have I ordered appropriate cultures
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - advanced practitioner to discuss need for antibiotics
o If abscess, refer for incision and drainage with culture … pus
• If clinically unstable (hypotension, fever, tachycardia) or severe symptoms:
o Obtain blood cultures
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T3-Sample_Monthly_Summary_Reports_Final.docx
October 01, 2016 - Repeats)
Number of UTI SBAR Forms Used
Number of UTIs That Met Diagnostic Criteria
Number of Negative Cultures