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161. 5 Tk2 P2T3-Antibiogram Specifications Phase 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_Specifications_Phase_2.pdf
     May 01, 2014 - The antibiogram should only include culture results from specimens that were taken to diagnose clinical … Some patients receive multiple microbiological cultures during their stay in a nursing home. … Antimicrobial sensitivity results from clinical culture specimens are frequently reported in three categories … Include only diagnostic isolates (not surveillance cultures).

162. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
     February 23, 2008 - culture is a safe culture.3 These components identify the beliefs and practices present in an organization … culture, a just culture, and a flexible culture but not for the beliefs and practices that support … Perceptions of organizational beliefs and practices that support a just culture, a flexible culture, … and practices of just, flexible, and learning cultures. … However, a reporting culture must interact with just, flexible, and learning cultures.

163. Improving Communication and Teamwork Around Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
     November 01, 2019 - Communication and Teamwork SAY: Communication and teamwork are two key elements of patient safety culture … Sputum Gram stain and cultures as well as blood cultures are negative, but his creatinine has increased … Since his cultures don’t show MRSA or Pseudomonas, I think it would be reasonable to stop the vancomycin … Sputum Gram stain is negative and cultures grow normal respiratory flora. … The prescriber should ask two questions, “Have I ordered appropriate cultures before starting antibiotics

164. Acute Care ASP Development
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
     November 01, 2019 - antibiotics Optimizes empiric antibiotic choices Gives opportunity to advise about sending appropriate cultures … antibiotics Optimizes empiric antibiotic choices Gives opportunity to advise about sending appropriate cultures … antibiotics Optimizes empiric antibiotic choices Gives opportunity to advise about sending appropriate cultures

165. Appendix C: "Long List" of Delivery System Research Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapc.html
     February 01, 2014 - Culture Type of culture How can organizational culture be measured in health care delivery organizations … What are the distinct types of organizational culture and their prevalence? … Leadership Type of leadership Analogous questions as for culture. … For example, what organizational structures and cultures are likely to result in the use of better processes … How do external incentives affect organizational structures, cultures, and processes?

166. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     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-worksheet.docx
     March 01, 2017 - AHRQ Safety Program for Reducing CAUTI in Hospitals National Content Series Discussion Guide The Culture … of Culturing: The Importance of Knowing When To Order Urine Cultures Discussion Questions About the

167. 5 Tk2 P2T2-Sample Data Request Phase 2 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T2-Sample_Data_Request_Phase_2.doc
     May 01, 2014 - guidelines recommend only using a single organism per resident, so that residents who have had multiple cultures … · Breakdown of source of culture. … If possible, please list the type of sample (urine, blood, sputum, wound culture) from which the microbiology … know the proportion of each type in the total (e.g., 60% urine, 10% blood, 20% sputum, and 10% wound culture

168. 4 Tk3 T4-Letter To Prescribing Clinicians (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.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

169. Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
     October 01, 2014 - Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality Search All Impact … The tool—the Hospital Survey on Patient Safety Culture —was used in the labor and delivery units at … allows hospitals, nursing homes, and ambulatory medical offices to assess their current patient safety cultures … addition, the survey allows hospitals and hospital units to compare their performance in creating a culture … and Fetal Health, expected that staff at the hospital system would rate the hospital's patient safety culture

170. Streptococcal Pharyngitis – Discussion Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-discussion-guide.docx
     September 01, 2022 - practice develop and implement approaches to standardize use of rapid strep testing and reflex bacterial cultures

171. Quality Improvement in Action Slides
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
     April 01, 2022 - (SIR) and standardized utilization ratio (SUR) ICU Assessment Additional data: Unit patient safety culture … skill audits CAUTI Monthly adherence to skill audits Multidisciplinary catheter rounds Adaptive Unit culture … staff; daily ICU goal sheet not used—it is old and needs revision to be actionable All cases had blood cultures … documentation did not support  All 6 cases had fever; 2 cases had symptoms of UTI other than fever; all cultures … Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Worksheet Video – Addressing Attitudes and Beliefs

172. 021-Ss-Mrsa-Surveillance-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/021-ss-mrsa-surveillance-fg.docx
     April 01, 2025 - Another passive surveillance method is to monitor the results of all clinical cultures collected from … Active surveillance is the collection of cultures from asymptomatic patients to identify those who are … This is usually based off a preoperative nasal surveillance culture or polymerase chain reaction (PCR … on inpatient MRSA surveillance including topics such as establishing an active surveillance program, culture … collection sites, and when to collect cultures, please access the MRSA Surveillance section of the ICU

173. 4 Tk3 T4-Letter To Prescribing Clinicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.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. 3. … 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

174. Tables 1-7 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chirpa-215-scd-ed-tables.pdf
     January 01, 2002 - reticulocyte fraction (IRF), reticulocyte volume (MRV), RNA content), direct measurement Blood culture … 87040 Blood culture Isolation and identification of microorganisms and susceptibility testing, when … 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 … (plus cerebrospinal fluid analysis and other cultures as indicated), and prompt administration of

175. Diagnostic Stewardship Interventions To Reduce Diagnostic Error | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship5.html
     August 01, 2024 - of appropriate diagnostic testing practices requires coordinated interventions to change clinician culture … For blood cultures, several strategies have been shown to reduce contamination rates: education of clinical … and associated antibiotic use with these practices. 14 , 62-65 Diagnostic stewardship of rapid blood cultures

176. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
     December 01, 2017 - , and then when to treat and not treat those positive urine cultures. … those cultures the right way. … Have the cultures come back? … So, three quarters do not have guidelines for ordering urine cultures, a quarter do. … Changing culture is not an easy thing to do.

177. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
     September 26, 2019 - , and state that 3 months since the last culture is recommended for community, general hospital, and … Zimmerman et al. (2013) obtained follow-up cultures from 97 patients who had a positive culture during … Using Kaplan-Meier survivor analysis, the authors found a mean time to culture negativity of 387 days … Seventy-eight percent of the patients had positive cultures at 3 months, 65 percent had positive cultures … at 6 months, and 39 percent had positive cultures at 1 year.

178. 5 Tk2 P3T3-Antibiogram Factsheet Phase 3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.doc
     January 01, 2014 - be generated by the nursing home’s contracted clinical laboratory, using the results from residents’ cultures

179. 5 Tk2 P1T4-Antibiogram Factsheet Phase 1 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T4-Antibiogram_Factsheet_Phase_1.doc
     January 01, 2014 - be generated by the nursing home’s contracted clinical laboratory, using the results from residents’ cultures

180. Webinar Lean Redesigns-Slides
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/leanprimarycarewebinar/webinar_lean_redesigns-slides.pptx
     March 01, 2017 - Inner Setting: networks and communications, culture 5. … 13 Inner Setting Matching implementation style to existing organizational cultures … : Top-down style not as effective in clinics with “democratic, non-hierarchical” cultures. … Micro-cultures, largely fostered by local leadership, can powerfully affect implementation efforts. … Bottom-up Inner setting Organizational culture Standardization Local leadership Employee engagement