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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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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - liberally.4 The overuse of blood
cultures has been shown to result in additional laboratory tests … Appropriate use of blood cultures may be achieved through an analytic decision-making process, during … We have been continuously collecting data on the use of blood cultures (e.g., blood cultures rate … DOes this adult patient with suspected
bacteremia require blood cultures? … Contaminant blood cultures and resource utilization.
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - At that time, a single blood culture grew vancomycin-resistant Enterococcus faecium (VRE), as did a … A repeat blood culture grew VRE, which necessitated removal and re-placement of yet another central venous … are clinically stable without any clear focus of infection usually are not harmed by waiting until culture … This is also true if a patient was pre-treated with antibiotics, which may render the culture results … If a bacterial infection is identified, the culture and susceptibility data should be used to narrow
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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?
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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?
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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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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Review
The role of organizational and professional cultures in medication safety: … The role of organizational and professional cultures in medication safety: a scoping review of the literature … This scoping review discussed how organizational and professional culture influences medication safety … The role of organizational and professional cultures in medication safety: a scoping review of the literature … May 17, 2023
The barriers and enhancers to trust in a just culture in hospital settings
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psnet.ahrq.gov/node/60234/psn-pdf
April 15, 2020 - Mistakes, Errors and Failures across Cultures.
April 15, 2020
Vanderheiden E, Mayer C, eds. … ISBN 9783030355739
https://psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials … https://psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
https
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psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
July 08, 2015 - Commentary
Telling cultures: 'cultural' issues for staff reporting concerns about … Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National … social science perspective on organizational factors that influence peer reporting behavior and safety culture … Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National … July 23, 2019
Enhancing safety culture through improved incident reporting: a case study
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
June 02, 2025 - Yes, cultures or tests positive for MRSA. … Yes, cultures or tests positive for MRSA. … Does your laboratory have the capacity to process surveillance cultures either on-site or by sending … Is active surveillance for MRSA performed (e.g., obtaining nasal swabs for culture at regular
intervals … : Off
Yes, cultures or tests positive for MRSA: Off
Yes, cultures or tests positive for other epidemiologically
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures … Down of a ConceptA few years ago, I set out to study residency and
academic medical center safety cultures … Normalizing Safety Cultures in Health Care SettingsThe field of organizational learning tells us the … kinds of attitudes and behaviors that need to be in place for safety cultures to emerge. … Implementing safety cultures in medicine: what we learn by watching
physicians.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-slides.pptx
November 01, 2019 - 7
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Sepsis
Sepsis: Cultures
Blood cultures … critical component of sepsis management8
Daily assessment of patient status, source of infection, and culture … Three scenarios:
No evidence of infection and antibiotics can be stopped
Evidence of infection and culture … data are available to guide narrowing of therapy
Evidence of infection and no culture data are available … have grown, narrow based on culture results
22
AHRQ Safety Program for Improving Antibiotic Use
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - vancomycin and piperacillin/tazobactam
On day 2, he undergoes ERCP and the stone is removed
Blood cultures … Have I ordered appropriate cultures before starting antibiotics? … daily briefing about antibiotic regimen with team
Institutional factors are related to institution culture … revealed E. coli
Develop guidelines for intra-abdominal infections that discuss culture-directed therapy … and feedback for patients on vancomycin
Develop vancomycin auto-stops
Educate nurses about reviewing culture