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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - Studies have shown that trained phlebotomists or blood culture teams have
fewer contaminated blood cultures … only one of several blood culture sets will be positive. … contamination rates in the range of 3%
per blood culture drawn. … or
blood culture teams to obtain blood for culture rather than using random nursing personnel, nondegree … cultures at some
institutions.
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psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
January 12, 2022 - Commentary
Two cultures in modern science and technology: for safety and validity … This commentary explores two scientific cultures in modern medicine. … A ‘traditional culture’ leaves error control up to individuals and groups of healthcare practitioners … ; the author describes how this culture leads to an overconfidence among practitioners about personal … In contrast, a ‘modern scientific culture’ considers errors as inevitable and pervasive throughout medicine
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psnet.ahrq.gov/node/60179/psn-pdf
April 01, 2020 - Two cultures in modern science and technology: for
safety and validity does medicine have to update? … This commentary explores two scientific cultures in modern medicine. … A ‘traditional culture’ leaves error
control up to individuals and groups of healthcare practitioners … ; the author describes how this culture leads
to an overconfidence among practitioners about personal … In contrast, a ‘modern
scientific culture’ considers errors as inevitable and pervasive throughout medicine
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - Section 5, Table 3
Table 3: Evidence for Obtaining a Blood Culture for Treatment of Children with Sepsis … Q-METRIC Sepsis Measure 3, Timely Blood Culture for Sepsis Syndrome
U18HS020516
Page 20
Submitted … should be considered in
addition to routine aerobic cultures. … If antibiotics
have already been given, blood culture should
be obtained immediately prior to the next … Q-METRIC Sepsis Measure 3, Timely Blood Culture for Sepsis Syndrome
U18HS020516
Page 21
Submitted
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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates … Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates … https://psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture … https://psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates … https://psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - Delayed Recognition of a Positive Blood Culture
July 1, 2017
Doernberg S. … Delayed Recognition of a Positive Blood Culture. PSNet [internet]. 2017. … Contaminant blood cultures and resource utilization. … Don't perform urinalysis, urine culture, blood culture or C. difficile testing unless
patients have … www.ncbi.nlm.nih.gov/pubmed/1984535
http://www.choosingwisely.org/clinician-lists/shea-urinalysis-urine-culture-blood-culture-or-c-difficile-testing
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - Program for Improving Antibiotic Use – Acute Care
4
Adaptive Problems
Require a change in attitudes, beliefs … and beliefs
Identifies system opportunities to prevent harm from occurring again
6
Identifying Targets … Have I ordered appropriate cultures before starting antibiotics? … Sputum cultures grow a pan-susceptible E. coli.
Not necessary to continue broad-spectrum therapy. … A sputum culture is pending.
In this case, the diagnosis is highly likely to be heart failure.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
October 01, 2024 - Practices
and Stewardship
6
Importance of Blood Culture Stewardship
Blood cultures are one of the … Only 2 to 10 percent of blood cultures grow.3 Up to half of these positive results represent blood culture … Inappropriate blood culture ordering: Records show blood cultures are often ordered for cases that do … Obtaining blood cultures by venipuncture versus from central lines: impact on blood culture contamination … Does this patient need blood cultures?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians
15
Implementing … Safety Cultures in Medicine:
What We Learn by Watching Physicians
Timothy J. … mistake, not excusing one’s part in the incident but not
letting the event create untrue or exaggerated beliefs … Observing Safety Culture
17
Table 1. … The interpretation of cultures. New York:
Basic Books; 1973.
36. Strauss AL.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.doc
May 01, 2014 - You will need the results of diagnostic cultures—that is, cultures taken from residents suspected of … performed for each culture. … Request this data for diagnostic cultures (cultures from residents suspected of having an infection). … name
· Culture date
· Culture source
· Culture results (organism(s))
· Antibiotic susceptibilities … You should record the culture information for every diagnostic culture result in the timeframe of interest
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psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - The role of organizational and professional cultures in
medication safety: a scoping review of the literature … The role of organizational and professional cultures in medication safety:
a scoping review of the literature … https://psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping- … review-literature
This scoping review discussed how organizational and professional culture influences … /issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - this presentation, participants will be
able to:
Review recommendations for appropriate
blood culture … SAY:
Before we focus on specific organisms, it is
important to review indications for blood culture … 24-hour
period, 73 percent of bacteremic episodes were
detected with one blood culture, 94 percent … In these cases, bacteria
are usually growing in more than one blood culture
set. … It
is important that appropriate blood culture
collection criteria are used.
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/blood-culture.html
October 01, 2024 - Implementation of MRSA Prevention
Fundamental Best Practices Up to half of all positive blood cultures … Discuss strategies to promote blood culture stewardship and reduce blood culture contamination. … Documents: Blood Culture Practices and Stewardship – Slides (PPTX, 11.2 MB) Blood Culture Practices … a decision-making algorithm for optimal use of blood cultures, with appropriate clinical indications … for initial and follow-up blood cultures in non-neutropenic populations.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures … Educational module and tools that summarize why more urine cultures lead to more catheter-associated … tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine culture … Four Things You Should Know About Urine Cultures infographic ( PDF , 228 KB)
A tool to highlight
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psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
October 19, 2022 - Study
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 … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates … Researchers found that rates of blood cultures, broad-spectrum antibiotic use, and central line-associated … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
April 01, 2022 - 1-5
Ordering urine cultures thoughtfully, so they inform (not misinform) the care of individual patients … the electronic medical record to include appropriate indications for urine cultures in catheterized … overuse/CDI
More resistant organisms
Correct diagnosis missed
Implementing Culturing Stewardship28
Beliefs … However, a urinalysis was sent, and this hospital performs reflex cultures. … The influence of contaminated urine cultures in inpatient and emergency department settings.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-urine-collection.pdf
June 01, 2021 - Urine Culture Collection
AHRQ Pub. … should perform hand hygiene
before collecting urine cultures … peri-urethral region before
collecting urine cultures … • For residents with catheters, urine culture
specimens should be obtained from newly placed … AHRQ Safety Program for Improving Antibiotic Use
Urine Culture Collection
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcbride-mr-et-al-2004
January 01, 2004 - The site contains information on 15 cultures, 12 religions, and 6 ethnic minority cohort groups. … Web site had a simple text-based browser format with hyperlinks and contained "three categories of culture-based … information for specific ethnic groups" ("15 cultures, 12 religions and 9 American minority, cultural … , or immigrant cohort groups"): greetings and introductions, religious beliefs and beliefs about healing
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
May 01, 2014 - You will need the results of diagnostic cultures—that is, cultures taken
from residents suspected of … performed for each culture. … Request this data for diagnostic cultures
(cultures from residents suspected of having an infection) … name
Culture date
Culture source
Culture results (organism(s))
Antibiotic susceptibilities … You should record the culture
information for every diagnostic culture result in the timeframe of interest
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - Lower cutoffs may be considered if the patient has
received antibiotics before the culture was sent, … if there
is strong clinical suspicion of a UTI, or if the culture is
from a suprapubic catheter. … culture can be as low as
1,000 cfu per mL of a urinary pathogen. … Third, a positive urine culture is considered ≥ 1,000 CFU
per mL of a urinary pathogen. … Therapy should be
narrowed based on culture results.