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  1. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-guide.docx
    September 01, 2022 - If Arcanobacterium is identified in a bacterial throat culture, antibiotic therapy may not be indicated … However, if Fusobacterium is detected in a throat culture and the patient is ill appearing, consider … Although Neisseria can be identified on routine cultures, it can sometimes be difficult to grow. … Often, a reflex bacterial culture is performed by the laboratory if the rapid strep test is negative. … The clinical significance of group C or group G strep in throat cultures is unclear and there is no consensus
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
    March 01, 2022 - As is the case with many infection prevention programs, it will take time to achieve culture change. … identifying MRSA carriers include: o Past history of MRSA flagged in EMR system o MRSA-positive culture … or history documented on transfer o MRSA-positive screening test (if performed) or clinical culture … Use your current processes for identifying MRSA-positive clinical cultures, screening cultures, and … Recognize that there may be patients with a history of MRSA, but with recent negative surveillance cultures
  3. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - of Safety Culture Enduring, shared, learned 1 beliefs and behaviors that reflect an organization … ’s willingness to learn from errors 2 Four beliefs present in a safe, informed culture 3 : Our … reporting and just cultures create atmosphere of trust Sensemaking 8 of patient safety events and … BELIEF 88% 2. … BELIEF 78% 2. Staff feel free to question the decisions or actions of those with more authority.
  4. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
    May 01, 2017 - of Culturing: The Importance of Knowing When to Order Urine Cultures Facilitator Instructions This … situation-background-assessment-recommendation) to effectively communicate resident care and when to order urine cultures … The interaction led to a urine culture being ordered for Mrs. … I nappropriate Recommendations: Ordering a urine culture . … Inappropriate Recommendations: Ordering a urine culture .
  5. www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - Serum vancomycin levels within 24 hours following surgery were recorded, and microbiology cultures from … Microbiology Analyses Microbial cultures were obtained from the anterior nares and surgical site preoperatively … Cultures were initially stored at 4°C and later were incubated in 6% sodium chloride–supplemented tryptic … Microbiology cultures were evaluated based on frequency of pre- and postoperative S.
  6. 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
  7. 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
  8. www.ahrq.gov/patient-safety/reports/safer-together.html
    January 01, 2025 - Implementation Resource Guide , the Plan centers on four foundational and interdependent priority areas:   Culture … demonstrate and foster commitments to safety as a core value and promote the development of safety cultures
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
    September 01, 2022 - indicated  2 or 3 points: GAS possible; obtain a rapid strep test and if positive (or if reflex bacterial culture … antibiotics  4 points: GAS likely; treat with antibiotics ± obtain a rapid strep test ‒ Reflex bacterial cultures … • Positive strep culture in the absence of symptoms of streptococcal pharyngitis: do not treat. … • Do not send a test of cure rapid strep test or bacterial culture.
  10. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T4-Antibiogram_Formats_and_Instructions_final.docx
    October 01, 2016 - TMP/SMX), the medical director can draft a caution alerting prescribers to avoid these drugs unless culture … Yellow highlighting in any row indicates that fewer than 30 residents were included in the set of cultures … ; these results are less reliable than those for 30 cultures or more. … Enterococcus sp * * 30 100 100 50 75 25 100 100 * This antibiogram uses 2 years of culture
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/hrccdocumentationhandout_0.pdf
    June 02, 2025 - increased urgency/frequency 1 22 Infection 23 IV fluids given 1 1 24 Blood cultures
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
    October 01, 2022 - Prevention | ICU & Non-ICU Antibiotic Stewardship Fundamental Best Practices Antibiotic Stewardship Blood Culture … Have I ordered appropriate cultures before starting antibiotics? … treatment: Vancomycin and piperacillin/tazobactam Diagnostic results: Negative sputum Gram-stain and cultures … , negative blood cultures. … Since his cultures don’t show MRSA or Pseudomonas, I think it would be reasonable to stop the vancomycin
  13. www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
    January 01, 2014 - Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture Search All Impact Case Studies … " since 2009 to understand and improve the hospital's culture, identify areas ripe for quality improvement … and has been validated in many contexts and cultures," says James M. … AHRQ's tool helps hospitals assess their patient safety culture, track changes, and evaluate the impact … that is striving to implement a just culture throughout the entire institution.
  14. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T4-Antibiogram_Factsheet_Phase_1.pdf
    May 01, 2014 - generated by the nursing home’s contracted clinical laboratory, using the results from residents’ cultures
  15. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.pdf
    May 01, 2014 - generated by the nursing home’s contracted clinical laboratory, using the results from residents’ cultures
  16. www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
    February 01, 2017 - domains of safety culture. … Identifying organizational cultures that promote patient safety. … Promoting a Culture of Safety. … Identifying organizational cultures that promote patient safety. … Promoting a Culture of Safety.
  17. www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1-slides.html
    February 01, 2023 - Issues Evidence-based guidelines Socio-adaptive (cultural issues) Staff behavior and unit culture … Slide 13 Adaptive or Cultural Changes Require a change of values, attitudes, or beliefs (i.e. … organisms (MDROs) Slide 16 Behavioral or Cultural Factors Pan culturing ICUs may obtain cultures … from multiple sites when a patient has a temperature spike Not an automatic culture Belief that
  18. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
    June 01, 2021 - Remember that residents who have positive urine cultures but have NO symptoms of infection do NOT have … The second column of the antibiogram shows the number of bacterial cultures in the last year that grew … Slide 12 Case 1: Urine Culture Results SAY: You receive Melba’s urine culture results. … Remember from our culture collection presentation that urine cultures should always be obtained from … You collect a urine cultures and start Billy on cephalexin for possible UTI based on your local antibiogram
  19. www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - Culture is made up of the values, beliefs, underlying assumptions, attitudes and behaviors shared by … (Schein, 2010, pp. 24, 27) Image: Pyramid with the top level saying Behaviors, middle level Beliefs … Reporting Culture Just Culture Flexible (Teamwork) Culture Learning Culture: Effective … reporting and just cultures create atmosphere of trust Sense-making of patient safety events and high … Conduct internal and external benchmarking Meet regulatory requirements Identify gaps between beliefs
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
    January 01, 2013 - 5 Culture is made up of the values, beliefs, underlying assumptions, attitudes and behaviors shared by … Basic underlying assumptions: Unconscious, taken for granted beliefs & values; Determine behavior, thought … , feeling Espoused beliefs and values Observed behavior 14 Behaviors Beliefs & Values Underlying … ) Culture Learning Culture Effective reporting and just cultures create atmosphere of trust Sense-making … These components represent four areas of beliefs and behaviors that interact to produce an organization

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