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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - Have I ordered appropriate cultures before starting
antibiotics? … diagnosis in diverticulitis is
challenging unless the patient has an abscess that is
drained and sent for culture … Commentary Slide Number and Slide
Moment 3: Narrowing and Converting to
Oral Therapy
SAY:
If culture … Cultures of
bile during ERCP should also be obtained. … Remember to narrow therapy based on culture data, if
available.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … enteric bacteria, Pseudomonas aeruginosa
Atypical organisms are uncommon
Obtain sputum Gram stain and culture … Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics?
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - During operative process, culture collected. … Culture considered positive if > 30cfu of bacteria identified. … During the operative procedure, a semiquantitative culture was collected from subcutaneous fat in the … positive cultures had colony counts that were too numerous to count. … , compared with 82 of 1,576 patients (5.2%) with negative cultures.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/iodophor-administration.pdf
March 01, 2022 - methicillin-resistant Staphylococcus aureus
(MRSA) carriers by history, screening tests, or clinical cultures … methicillin-resistant Staphylococcus aureus
(MRSA) carriers by history, screening tests, or clinical cultures
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Slide 7
Sepsis: Cultures
SAY:
Patients with suspected sepsis should have blood
cultures drawn … Or, the patient can have
evidence of an infection and culture data are not
available. … have
grown, narrow based on those cultures. … Of course,
if the culture results show a resistant organism that
is not adequately covered, adjust … If the patient remains ill and you have no culture
data to work with, consider further evaluation to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
June 02, 2025 - All other positive culture results separated by location/site, including hemodialysis or peritoneal dialysis … recorded for each occurrence, including patient identification, date of
infection diagnosis (positive culture … Water and dialysate cultures and endotoxin levels
b. … Reuse water source and reuse equipment cultures and endotoxins
c.
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Moment 2: Have I ordered appropriate cultures before starting antibiotics? … After the decision to initiate antibiotics is made, ensure appropriate cultures are collected. … Cultures obtained before antibiotics are initiated are the most useful for making clinical decisions
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - The following are appropriate conditions for urine culture use:
Evaluation of sepsis without a clear … , evaluate current processes for obtaining urine cultures (e.g., avoid urinalysis or urine cultures as … Have periodic audits on urine culture use in intensive care units to look for trends, especially if CAUTI … avoid inappropriate antimicrobial use in catheterized patients is to refrain from obtaining a urine culture … When a urine culture is positive in a catheterized patient who has no symptoms of infection, do not treat
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-explained.pdf
June 01, 2021 - The resident should have appropriate
cultures ordered and obtained before starting antibiotics. … Have we collected appropriate cultures
before starting antibiotics?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - The nurse also found after they drew blood cultures that they had accessed the central line, leaving … The nurse saw the resident drawing a blood culture from the central line, leaving the stop cock without … Institutional Factors (related to institution’s culture and resources)
The nurse was hesitant to speak … up as she did not feel supported when the cultures were drawn incorrectly. … Enter recurrence ranking
The Infection Preventionist will hold an education session about the blood culture
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-facilitator-guide.pdf
November 01, 2019 - A sputum Gram
stain and culture is recommended whenever a patient
is able to produce sputum. … If the sputum culture grows an amoxicillin or ampicillin-
susceptible organism, if the streptococcal … Sputum Gram stain and culture is not needed in many
cases of COPD exacerbations, but can be considered … Slide 28
Moment 2: To Culture or not To Culture? … Fluoroquinolone use should be
generally avoided, unless prior or current culture data
for a specific
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psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error
March 06, 2024 - Nursing leadership plays an important role in establishing a culture of safety . … importance of formal support programs, including peer support, education, error analysis, and just culture … Citation
Related Resources From the Same Author(s)
Nurse leader attitudes and beliefs … April 24, 2018
Association of diagnostic stewardship for blood cultures in critically … in Healthcare
March 27, 2024
Nurse leader attitudes and beliefs regarding
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-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? … cellulitis and skin and soft tissue infections can be challenging
Some reasons may include frequent lack of culture
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psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
June 01, 2022 - Organizational cultures encouraging psychological safety can increase safe healthcare practices such … promote psychological safety and error reporting (e.g., leadership support, nonpunitive and fair blame cultures … improvement processes) as well as organizational factors that serve as barriers to reporting (e.g., blame culture
-
psnet.ahrq.gov/issue/leadership-behaviors-attitudes-and-characteristics-support-culture-safety
August 03, 2022 - Study
Leadership behaviors, attitudes and characteristics to support a culture of … Leadership behaviors, attitudes and characteristics to support a culture of safety. … Results reveal several behaviors (e.g., exhibiting patient safety behavior), beliefs (e.g., fair and … Leadership behaviors, attitudes and characteristics to support a culture of safety. … June 12, 2019
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal
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www.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Have we collected appropriate cultures before starting antibiotics? … The resident should have appropriate cultures ordered and obtained before starting antibiotics. … Several actions can be taken to integrate the Four Moments into the culture of your institution.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.pdf
March 01, 2017 - CAUTI events in
one month
Catheter Days
(30x3)+10+12+7+4 = 123 catheter days
Number of Urine
Cultures … This includes urine cultures collected for every resident (i.e.,
with or without catheters) each month
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - Choose a 1-year
period and count the number of unique patients who have a positive blood culture
from … Use your current processes for identifying MRSA carriers using reported
history, prior culture result … As is the case with many infection prevention programs, it will take time to
achieve culture change. … 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 history
-
psnet.ahrq.gov/issue/cross-cultural-survey-residents-perceived-barriers-questioningchallenging-authority
June 15, 2012 - They suggest that efforts to improve team communication focus on organizational and professional cultures … September 23, 2020
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … Physicians
Organizational Behaviorists
Educators
Communication between Providers
Culture
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - If cultures cannot be obtained with
noninvasive sampling, invasive methods should be
considered. … Respiratory specimens should be sent for Gram stain
and bacterial culture. … Blood cultures may be positive in up to 15 percent of
patients, so are reasonable to obtain when VAP … If VAP is the likely diagnosis, use respiratory culture
results to direct therapy. … S. aureus and Gram-negative bacilli grow easily in
culture.