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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - Oral options: [Place local recommendations here]
Duration
Acute cholangitis and source control
3 days … after source control
Acute cholangitis and source control with concomitant bacteremia
7 days
Uncomplicated … acute cholecystitis, medical management
5-10 days based on clinical response*
Uncomplicated acute … Complicated acute cholecystitis (e.g., perforation, fistula), surgical management for source control
4 days
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fac-guide.html
January 01, 2017 - implementing SSD-ETTs caused a 45 percent VAP reduction, shortened patient length of stay in ICUs by 1.5 days … , and shortened the length of mechanical ventilation necessary for patients by 1.1 days. … Suctioning also cut VAP by ventilator days in half, from 19.8 days for patients who did not receive suctioning … to 9.6 days for those who did. … The daily use of antibiotics also significantly decreased for patients in the first group by 269 days
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - After 3 days in the hospital, he is transferred back to your long-term care facility. … of amoxicillin/clavulanate even though he already received 3 days of treatment in the hospital. … Ten days later, he complains of itching. … Fourteen days of therapy is too long. … , even though he had already received 3 days in the hospital.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
November 01, 2019 - Enterobacteriaceae Bacteremia: Duration of Therapy
Traditional treatment duration has been 10–14 days … controlled trial including 604 patients with Gram-negative bacteremia randomized to receive either 7 days … or 14 days of treatment4,5
Most of the organisms were Enterobacteriaceae
For patients who were afebrile … Complicated S. aureus bacteremia: 28–42 days
Osteomyelitis: 42 days at a minimum
Right-sided endocarditis … oxacillin/nafcillin
Everyone else: 28–42 days
Left-sided endocarditis: 42 days (or more)
21
Bacteremia
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/050-sample-script-patient-ed-chg-cloths.docx
April 01, 2025 - You can do this at home by washing with a special antiseptic skin cleanser in the days before your surgery … How To Use CHG Cloths
Key points to convey:
· Conduct your CHG bath every day for 5 days before surgery … Start washing with CHG 5 days before your day of surgery. … We recommend not using any soaps other than the CHG for the whole 5 days.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/051-sample-script-patient-ed-chg-shower.docx
April 01, 2025 - You can do this at home by washing with a special antiseptic skin cleanser in the days before your surgery … How To Use CHG in the Shower
Key points to convey:
· Shower with CHG every day for 5 days before surgery … Start washing with CHG 5 days before your day of surgery. … We recommend not using any soaps other than the CHG for the whole 5 days.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
March 01, 2002 - , respectively, for RMEES-reported events compared with
rates of 0.08 and 41.5 per 1,000 patient days … Data on patient days was
obtained from the hospital’s admissions office. … Information on patient days was not available for these areas. … Their median length of stay was 7 days, with a range of 1 to
95 days. … Most patients (64.7 percent) had a length of stay of 10 days or less.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex516.html
March 01, 2013 - unhealthy behavior): Patients eligible for improvement were those who had smoked one puff or more in past 7 days … ; had drunk two alcoholic drinks per one occasion most days in the past month; did not eat a low-fat … total fruits and/or vegetables per day; and/or did not participate in moderate exercise at least 5 days … per week, or vigorously at least 3 days per week.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex515.html
March 01, 2013 - behaviors): Patients eligible for improvement were those who had smoked one puff or more in past 7 days … ; had drunk two alcoholic drinks per one occasion most days in the past month; did not eat a low-fat … total fruits and/or vegetables per day; and/or did not participate in moderate exercise at least 5 days … per week, or vigorously at least 3 days per week.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex514.html
March 01, 2013 - behaviors): Patients eligible for improvement were those who had smoked one puff or more in the past 7 days … ; had drunk two alcoholic drinks per one occasion most days in the past month; did not eat a low-fat … total fruits and/or vegetables per day; and/or did not participate in moderate exercise at least 5 days … per week, or vigorously at least 3 days per week.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - Reporting rates
remained nearly constant over the nine quarters (52 ± 4 events/1,000 patient-days). … During the interval, the number of reporting hospitals and bed-days
nearly doubled, but the AE rate … remained between 45 and 60 per 1,000 bed-days, with little
evidence of trend. … b All rates are per 1,000 patient-days. … compared with 1 per 1,000 bed-days
in non-CAHs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - Allocate resources to overcome as many barriers as possible
23
Evaluation
CAUTI rates, catheter days … Foley days of units combined
Learning & Sustaining
Lessons Learned
Basics do need to be assessed and … CAUTI Rate Foley days Total Patient Days Device Utilization
Q4 2011 3282 14 4.27 Q4 2011 3282 14337 … CAUTI Rate Foley days Total Patient Days Device Utilization
Q4 2011 3282 14 4.27 Q4 2011 3282 14337 … Foley days of units combined
Sheet1
Month Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 Apr-12 May-
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
January 01, 2017 - Safety Program for Mechanically Ventilated Patients
Outcome Pre-QI (n=27) Post-QI (n=30) P-value
Days … with any benzodiazepine use* 150 (50%) 118 (26%) .002
Days alert (RASS -1 to +1) 88 (30%) 311 (67%) … without delirium 61 (21%) 243 (53%) .003
Days of delirium in ICU 107 (36%) 125 (28%)
Days of coma … Evidence Behind PAD ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
Days
p=0.04
Efficacy … Delirious Days Delirious 62 50 3 Post ABCDE Bundle
Percent Delirious Percent ICU Days Delirious Days
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ii.pdf
June 02, 2025 - ELIGIBLE POPULATION
Age Age 4 through 18 at diagnosis of ADHD
Continuous Enrollment All days during … the measurement year and 1 or more days in the prior year
(identification year). … Step 1 (Denominator): Identify children with complete coverage in the measurement year and 1
or more days
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - MRSA Prevention | Surgical Services
Preoperative CHG Antisepsis
CHG Antisepsis, or Bathing, for 5 Days … S. aureus nasal carriers, screened on admission
Randomized: nasal mupirocin and CHG soap/bathing x5 days … Bundled intervention among S. aureus colonized patients—intranasal mupirocin and CHG bathing (over 5 days … At the clinic
Given CHG soap and prescription for mupirocin
Instructed to use both every day for 5 days … Key Takeaways
CHG bathing prior to surgery
Preferred: preoperative CHG antisepsis, or bathing, for 5 days
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - For
example, that reducing antibiotic duration from 14
days to 7 days for hospital-acquired pneumonia … The stewardship team
wanted to reduce the duration from the current
median of 9 days of therapy to … 5 days. … found was that its
intervention successfully reduced the median
duration of therapy for CAP from 9 days … to 6 days.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
December 01, 2017 - Physician orders with discontinuation dates or expiration dates within 7 days prior to the report date … Resident diagnosis codes that are inactive or discontinued within 7 days prior to the report date and … report definitions or calculations are illustrative and do not represent a requirement for the range of days … total number of meals possible for the current week (i.e., if a resident was not on unit for specific days … total number of shifts possible for the current week (i.e., if a resident was not on unit for specific days
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p007-1-ef.pdf
November 01, 2015 - for sickle cell disease
(SCD) through
newborn screening,
received confirmatory
testing within 90 days … Children who died within 120 days of
birth; or children with a diagnosis in the
State newborn screening … Children who died within 90 days of
birth; children who were placed in the
neonatal intensive care … unit within 90
days of birth. … ● Measuring confirmatory testing and receipt of antibiotic prescriptions within the first 90 days
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www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
January 01, 2025 - 196 days 537 days
estimation (95% confidence limit) (202, 343) (189, 371) (469, 725)
p-value vs retapamulin … rate of 1.20 per 10,000
patient days. … infections per 10,000 patient-
days) and 14 infections in the intervention units (129,113 patient days … , for an infection rate or 0.42 per 10,000 patient-days. … per 10,000 patient-days 1.40 0.35 1.35 0.72
LTCF #3
Total # of Patient Days 163,686 85,474 48,639
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-facguide.docx
January 01, 2017 - implementing SSD-ETTs caused a 45 percent VAP reduction, shortened patient length of stay in ICUs by 1.5 days … , and shortened the length of mechanical ventilation necessary for patients by 1.1 days. … Suctioning also cut VAP by ventilator days in half, from 19.8 days for patients who did not receive suctioning … to 9.6 days for those who did. … The daily use of antibiotics also significantly decreased for patients in the first group by 269 days