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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/UTI-one-page.docx
November 01, 2019 - recommendations here]
Duration
Uncomplicated acute cystitis
Nitrofurantoin or cephalosporin: 5 days … Trimethoprim/sulfamethoxazole (TMP/SMX): 3 days
Uncomplicated pyelonephritis
Fluoroquinolone: 5–7 … days
TMP/SMX or oral cephalosporin:10–14 days (shorter course if early response)
Complicated UTI … (including CAUTI)
3 days if lower tract CAUTI in women ≤ 65 years if catheter is removed/not replaced … 7 days if prompt resolution of symptoms
10–14 days if delayed response, obstruction, or other urologic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
June 01, 2021 - Days of antibiotic therapy
2. … tracking if the facility does not already have an established method
Form tracks the following:
Antibiotic days … residents received a particular antibiotic
In this example, the resident received 5 days of therapy … Thursday Friday
Morning dose X X X X
Afternoon dose X X X X
Evening dose X X X X
6
Antibiotic Days … of Therapy
Tracking and Measuring
6
Antibiotic Days of Therapy
7
Tracking and Measuring
7
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-one-pager.pdf
September 01, 2022 - Adults Adults With
Comorbidities or Recent
Hospitalization with
Parenteral Antibiotics
(within 90 days … Severe penicillin allergy:
Levofloxacin
OR
Moxifloxacin
Received amoxicillin <30 days … Azithromycin
OR
Clarithromycin
Duration1,5-9
• A duration of no more than 5 days … • Consider prolonging therapy to at least 7 days if the patient has immunocompromise, underlying structural … antibiotics or if they experience mental status changes or become increasingly ill, regardless of how
many days
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - adults and children)1
• First-line therapy for GAS pharyngitis: penicillin or amoxicillin for 10 days … • Options for non-severe penicillin allergy: cephalexin or cefadroxil for 10 days. … • Options for severe penicillin allergy: clindamycin for 10 days or azithromycin for 5 days. … that side
effects outweigh the benefits.1
Followup
• Fever and sore throat should resolve 1–3 days
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - Safety Program for Improving Antibiotic Use – Ambulatory Care
Sinusitis Case
40-year-old female with 3 days … without improvement
3-4 days of fever ≥ 102°F and either purulent nasal discharge or facial pain … Initial improvement of a viral URI followed by worsening after 5–6 days, with new onset of fever ≥ 102 … Sudden onset of worsening symptoms after 5–6 days
16
Sinusitis
AHRQ Safety Program for Improving … Sinusitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
Case Presentation: 3 Days
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
September 01, 2017 - Within:
Hospital Discharge Diagnosis
Age
DNR,DNH, MOLST, or POLST Order in Place
0-7 Days … 8-30 Days
31-90 Days
For Most Recent ED Visit
0-7 Days
8-30 Days
31-90 Days
For Most Recent … Directive Status
Polypharmacy
High-Risk Change in Condition (Based on Assessment Data Within 7 Days
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - (12 vs. 14, p=0.04) and decreased ICU length of stay (13 days vs. 16 days, p=0.003). … VAP rates were 9.6 per 1,000 ventilator days for group 1 and 19.8 per 1,000 ventilator days for group … The total number of antibiotic days was 1.696 in group 1, representing 61.6% of the 2,754 ICU days and … (95% CI: 2.40 to 0.71 days, p=(0.0003), and prolonged time to VAP by 3.90 days (95% CI: 2.56 to 5.24 … days).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
April 01, 2025 - swabs of 5% per nostril3,4
Skin antisepsis or bathing
Chlorhexidine (CHG) antisepsis or bathing for 5 days … products
Requirements of mupirocin use as decolonizing agent
Needs a prescription, cost, used for 5 days … 11
Cardiac Clinic in an Academic Hospital
Decolonization Strategy
CHG skin bathing daily for 5 days … prior to procedure
Mupirocin twice a day for 5 days prior to procedure
Implementation Steps
CHG: Pack … prior to procedure
Mupirocin twice a day for 5 days prior to procedure
Implementation Steps
Patient
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/highrisk.html
October 01, 2017 - __________________________________________________
Date: ___/___/___
Resident
Within 90 Days … Mental: Unsafe Behaviors
Mental: Cognitive Impairment
Gait and Balance Instability
Fall: 8-30 Days … Fall: 31-180 Days
Psychoactive Medications
Other High-Risk Medications
Resident A
122 …
Total
3
1
2
2
1
1
1
Table 1 (continued)
Resident
Within 7 Days …
1
1
1
1
2
3
Table 1 (continued)
Resident
Within 7 Days
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - of antibiotics or up to 10 days of
antibiotics after source control was achieved. … and a delay in the diagnosis of a recurrent intra-
abdominal infection by four days. … ) were compared to those who
received shorter courses (median of 8 days). … Similar results were seen in a multicenter randomized
trial comparing 7 days to 14 days of therapy in … or 7 days if there is
concomitant bacteremia.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-elliott.pdf
September 30, 2021 - representativeness
• HCAHPS and CAHPS Hospice also examined extending 42-day
field periods to 49 days … a 49-day data collection period and compare respondents in the last
week to those in the first 42 days … Improves Representation of
Underrepresented Groups
• HCAHPS currently allows patients 42 days after … 43-49) to the first 42 days
► All modes showed meaningful gains in RR in the last week (average +3 … later
− Mail survey to non-respondents four days later
− Second mail survey to non-respondents 21 days
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/5.html
December 01, 2017 - 14
Week 3
5/17/14
Week 2
5/24/14
Week 1
5/31/14
Wt Loss ≥ 5% in Prior 30 Days … )
1 (3%)(c)
1 (3%)(c)
1 (3%)(c)
1 (3%)(c)
Wt Loss ≥10% in Prior 180 Days (Point-to-Point … (9%) (a)
Daily Urine Incontinence
2 (6%)(c)
3 (9%) (a)
3 (9%)(c)
5 (14%) (a)
>3 Days … Report Rows
Data Source
Valid Input & Display
Wt Loss ≥5% in Prior 30 Days (Any)
Vital … >3 Days Bowel Incontinence
CNA documentation of resident bowel habits
For each static
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts.html
December 01, 2017 - Contents
Sample Trigger Summary Report—Resident Level
Name
Room
Wt Loss ≥5% in Prior 30 Days … (Any)
Wt Loss ≥7.5% in Prior 90 Days (Point-to-Point)
Wt Loss ≥10% in Prior 180 Days (Point-to-Point … )
2 Meals ≤50% in 1 Day
Weekly Meal Intake Average <50%
Daily Urinary Incont
>3 Days Bowel Incont … )
1 (3%)(c)
1 (3%)(c)
1 (3%)(c)
1 (3%)(c)
Wt Loss ≥10% in Prior 180 Days (Point-to-Point … (9%) (a)
Daily Urine Incontinence
2 (6%)(c)
3 (9%) (a)
3 (9%)(c)
5 (14%) (a)
>3 Days
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - days from a quarterly assessment. … , 60 days, and 90 days preceding the event date. … However, sensitivity
analyses were conducted whereby anticholinergic exposures 60 days and 90 days before … : OR, 1.15; 95% CI, 1.13-1.18; model for
60 days: OR, 1.21; 95% CI, 1.18-1.23; model for 90 days: OR … and 90 days before the event date.
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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/pocket-card.pptx
June 02, 2025 - catheter insertion site
AND
Any of the following:
If catheter removed within past 2 calendar days … catheter insertion site
AND
Any of the following:
If catheter removed within past 2 calendar days … catheter insertion site
AND
Any of the following:
If catheter removed within past 2 calendar days … catheter insertion site
AND
Any of the following:
If catheter removed within past 2 calendar days … cells (Left Shift) with >6% bands or >1,500 bands/mm3
Acute Change in Mental Status (within last 7 days
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-erepguide_slides.pptx
November 01, 2016 - 15
Complete information displays for each ulcer if the pressure ulcer assessment date is within 10 days … If an ulcer has not healed and the last assessment date is >10 days prior, the following values will … From Admit to Ulcer Onset
Ulcer Onset Date
Ulcer Location
Ulcer Days
Initial Ulcer Stage
Most Recent … before the report date
7 days before the report date
11 days before the report date
None of the above … before the report date
5 days before the report date
7 days before the report date
All of the above
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www.ahrq.gov/policymakers/chipra/overview/background/tables.html
December 01, 2009 - Nov 6 of the yr prior to measurement yr & Nov 5 of the measurement yr
Continuous enrollment 43 days … of enrollment
All deliveries during the measurement year
Continuous enrollment 43 days prior to … delivery through 56 days after delivery
Data can be reported separately for adolescent women
9 … Continuous enrollment 31 days-15 months of age, with no more than one gap in enrollment of up to 45 days … Continuous enrollment—120 days prior to the Index Prescription Start Date (IPSD) and 300 days after
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - Suggested next steps:
Start oseltamivir, 75 mg twice daily for 5 days. … he recovers from a recent stroke
Has done relatively well and recently went home for a weekend
Two days … Start levofloxacin for 10 days for treatment of pneumonia. … Later
Five days later Jonas says he feels better…
but he still has a cough that just won’t go away. … Efficacy of oseltamivir treatment started within 5 days of symptom onset to reduce influenza illness
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - The fall rate per 1000 patient-days
2. The injurious fall rate per 1000 patient-days
3. … The operational definition of the fall rate was (number of total falls ×
1000)/(total patient-days). … The daily count of total patient-days was the midnight census. … (Counts of normal
calls/number of the
covered days) × (total
number of days for the
month)/(total … 1000 patient-days was 0.91 (SD = 1.11).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use – Acute Care
14
Moment 4: Duration of Therapy
5 days … is as safe and effective as longer treatment courses2-8
One RCT even showed therapy as short as 3 days … COPD Exacerbations
3 days of azithromycin are generally sufficient if antibiotics indicated. … Gemifloxacin once daily for 5 days versus 7 days for the treatment of community-acquired pneumonia: a … Effectiveness of discontinuing antibiotic treatment after three days versus eight days in mild to moderate-severe