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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … In cross-cultural clinical encounters, multiple cultural influences and health belief systems come into … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … backgrounds has often been debated.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … In cross-cultural clinical encounters, multiple cultural influences and health belief systems come into … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … backgrounds has often been debated.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.docx
March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical cultures and prevents infection
· Therefore, we use mupirocin ointment to prevent … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical cultures and prevents infection
· Therefore, we use mupirocin ointment to prevent
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - for Improving Antibiotic Use – Acute Care
1
Objectives
Review recommendations for appropriate blood culture … Have I ordered appropriate cultures before starting antibiotics? … infectious process not meeting above criteria
BC are not indicated since low yield
If known source, culture … possible source (e.g., oral, gastrointestinal, endocarditis), signs of infection, & > 1 positive blood culture … of bacteremia6
77% had at least one followup blood culture
Only eight cultures grew Gram-negative rods
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.pdf
March 01, 2022 - methicillin-resistant Staphylococcus aureus
(MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical
cultures and prevents infection
Therefore, we use mupirocin ointment to … methicillin-resistant Staphylococcus aureus
(MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical
cultures and prevents infection
Therefore, we use mupirocin ointment to
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/cost-implications.pdf
March 01, 2022 - Second, identify all annual MRSA and VRE clinical cultures in non-ICU patients with central lines,
midline … A 37 percent reduction in MRSA and VRE clinical cultures is expected if
decolonization is implemented … patients with selected
devices
AA [AA * (1-0.32)]
Annual non-ICU positive MRSA and VRE
clinical cultures … The cost savings from prevented MRSA and VRE clinical
cultures are not estimated here since the costs … averted bloodstream
infections (C)
[AA * (0.32)] * $32,0002 = C
$ Saved from MRSA/VRE
clinical cultures
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - For residents with a catheter, urine culture specimens should be obtained from freshly placed catheters … Collection of Specimens
17
Summary
Bacterial cultures should only be collected from … Review the Collecting Bacterial Cultures and Urine Culture Collection posters and display them in common … Supporting Materials
Collection of Microbiological Cultures
Collecting Bacterial Cultures Poster
Urine … Culture Collection Poster
Four Moments of Antibiotic Decision Making Form
Monthly Data Collection Form
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form-completion-guide.pdf
November 01, 2019 - should have been collected before
antibiotics were started and all of those cultures were collected … • If the patient was suspected to have an infection for which cultures should have been collected … before
antibiotics were started and all of those cultures were not collected, “No” should be marked … with
suspected urosepsis who had blood cultures but not urine cultures collected would be marked “ … • If the patient was suspected to have an infection for which cultures were not indicated, “N/A”
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/095-mrsa-surveillance.docx
April 01, 2025 - Surveillance
Category
Active Surveillance
Passive Surveillance
Definition
Collection of nasal cultures … indicated samples such as reports of laboratory-identified (LabID) MRSA bacteremia or past clinical cultures … additional resources, including increased supplies and staff time to collect and process the surveillance cultures … · Misses cases of asymptomatic MRSA colonization not identified through review of existing culture … · Targeted decolonization requires review of available historical culture and risk-factor data.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … AHRQ Safety Program for Improving Antibiotic Use – Acute Care
12
Narrow therapy based on available culture … data if available
If no culture data, switch to oral therapy when the patient has clinical improvement … , use previous culture data to guide therapy
Acute cholecystitis
Lower yield for blood cultures
Common … stone and/or stent placement
Cholecystectomy or percutaneous drainage
Narrow therapy based on available culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
January 01, 2003 - C-VAD Line Cultures: Indications
The utility of catheter cultures is controversial; nonetheless, proper … Routinely removed catheters should not be sent for culture. … Do not give antibiotics based on a positive catheter culture only. … C-VAD Line Cultures: Interpretation
*
Blood Cultures
Patients with a new episode of suspected … Always send a second set of blood cultures from a separate venipuncture site.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - found that CHG bathing resulted in 87 percent reduction in CLABSI and a 41 percent decrease in blood culture … MRSA-positive cultures. … also received mupirocin for 5 days, twice a day, if they were known to be MRSA-positive by history, culture … dark purple line shows patients’ cumulative daily hazard of having a Staphylococcus aureus clinical culture … of MRSA clinical cultures.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - antibiotics
· Microbiology: Escherichia coli, Klebsiella pneumoniae, Enterococcus species
· Blood cultures … should be obtained in all patients with cholangitis
· Blood cultures should be obtained in patients … with cholecystitis that have concomitant sepsis
· Bile cultures should be obtained if the biliary tree … P. aeruginosa, and anaerobes; consider coverage for Enterococcus species
· Review any prior biliary cultures … here]
· [Place local recommendations here]
· Narrowing and oral therapy
· Narrow based on available culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
June 02, 2025 - At what frequency are routine MRSA nasal surveillance cultures performed in the unit? … Is there a process for training unit staff about appropriate methods for blood culture collection? … Yes
No
Blood cultures not collected by unit staff
Question 39. … culture)? … Is feedback provided to the unit regarding blood culture contamination rates?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - It is reasonable to obtain a urinalysis and urine cultures in febrile and irritable children in this … Urine cultures should only be obtained from patients with symptoms of a UTI. … Slide 12
Moment 2: Urinalysis and Urine Cultures
SAY:
Most adolescent and adult women with acute … Slide 14
Collecting Urine Samples
SAY:
How urine cultures are collected matters because improper … to determine whether it is able to provide you a local antibiogram from urine cultures.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - His
sputum culture grew Pseudomonas aeruginosa. … cultures). … cultures
based on urinalysis results may lead to inappropriate urine culture and unnecessary
antimicrobial … Urine Culture Use Appropriate Urine Culture Use
Urine quality: color, smell, sediments,
turbidity … Indications for Urine Cultures
What Triggers Urine Cultures?
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - His
sputum culture grew Pseudomonas aeruginosa. … cultures). … cultures
based on urinalysis results may lead to inappropriate urine culture and unnecessary
antimicrobial … Urine Culture Use Appropriate Urine Culture Use
Urine quality: color, smell, sediments,
turbidity … Indications for Urine Cultures
What Triggers Urine Cultures?
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - His
sputum culture grew Pseudomonas aeruginosa. … cultures). … cultures
based on urinalysis results may lead to inappropriate urine culture and unnecessary
antimicrobial … Urine Culture Use Appropriate Urine Culture Use
Urine quality: color, smell, sediments,
turbidity … Indications for Urine Cultures
What Triggers Urine Cultures?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Not To Culture?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.html
March 01, 2017 - Number of Urine Cultures
This includes urine cultures collected for every resident (i.e., with or without