-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-slides.pptx
November 01, 2019 - symptoms after treatment has been discontinued11
~30% of patients experience
recurrent CDI within 30
days … /dose PO four times daily) recommended for nonsevere episodes
Limit duration of CDI therapy to 10 days … Can extend to 14 days if resolution has not occurred by day 10
CDI-targeted therapy does not need … asymptomatic bacteriuria
Ask about symptoms before testing and treating
Consider nitrofurantoin (5 days … ), trimethoprim/sulfamethoxazole (TMP/SMX) (3 days), or cephalexin (7 days) for cystitis30
Cefepime
Consider
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - of continued LMWH (n=400)
or 28 days of aspirin (n=386). … after TKA, or 30 days after THA. … after total knee
arthroplasty (TKA) or
for 30 days after
THA. … There was a
difference in the
incidence of PE at 90
days (p<0.01). … of surgery
and three within 90
days.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-factsheet.docx
January 01, 2017 - the following benefits:2
· Reduction of VAP cases by 45 percent
· Reduction in length of stay by 1.5 days … · Reduction of time on ventilator by 1.1 days
What the Evidence Says
Society for Healthcare Epidemiology
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide130.html
October 01, 2014 - disorder, who are taking another form of bupropion, or who have used an MAO inhibitor in the past 14 days … Patients should begin with a dose of 150 mg every morning for 3 days, then increase to 150 mg twice daily
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - Slide 7
Case #1, Continued
SAY:
The laboratory faxes the urine culture results 2 days later. … Slide 8
Case #1 Completed
SAY:
Five days later, the resident develops back pain and a fever and … It’s been 2–3 days since we started antibiotics. … The prescriber wrote for a duration of antibiotic therapy of 7 days. … This is probably too long for an uncomplicated urinary tract infection, and should be shortened to 3–5 days
-
www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-rationale.html
September 01, 2013 - positive, by isolation and decolonization with chlorhexidine 2% cloth baths and nasal mupirocin for 5 days … Universal Decolonization: Cessation of nasal screening and universal application of mupirocin for 5 days … The REDUCE MRSA Trial involved nearly 75,000 patients and more than 280,000 patient days in 74 adult
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
February 21, 2008 - One in
five hospital discharges is complicated by an adverse event (AE) within 30 days, many of which … poor in quality.1 One in five hospital discharges is complicated by an adverse event
(AE) within 30 days … Waiting days or weeks leads to errors.
6. … These
rehospitalizations were slightly concentrated toward the days immediately following discharge. … Telephone re-enforcement of the discharge plan and problem solving 2 to 3 days after
discharge.
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4b.html
January 01, 2013 - Average CLABSIs/Unit
4.477
0.887
1.143
0.714
0.485
0.677
0.762
Average CL Days … /Unit
1633
426
489
443
465
462
448
Rate:
(Infections/Days) x 1,000
2.742
-
www.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - in 1.3 percent of the cases, symptoms lasting less than 30 days in 47.5 percent of the cases, abnormal … were categorized as follows: death, permanent disability, temporary disability, symptoms present 30 days … The most common potential health consequence assessed was “symptoms lasting less than 30 days,” which … 0 (0)
Abnormal Labs or Vital Signs
49 (8.7)
217 (38.3)
0 (0)
Symptoms Lasting <30 Days … 105 (18.5)
159 (28.1)
5 (0.9)
Symptoms Lasting ≥30 Days
0 (0)
6 (1.1)
1 (0.2)
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-slides.pptx
January 01, 2017 - 39.8 0.007
Breathing without assistance by day 28 (%) 65.7 55.0 <0.001
Number of ventilator-free days … , days 1 to 28 12±11 10±11 0.007
Barotrauma, days 1 to 28 10 11 0.430
Number of days without failure … of nonpulmonary organs or systems, days 1 to 28 15±11 12±11 0.006
Plus–minus values are means ±SD. … The number of ventilator-free days is the mean number of days from day 1 to day 28 on which the patient … vs. 8.87 days)
FAVORS LOW VT
FAVORS HIGH VT
6.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
April 01, 2018 - Assuming 20 minutes per chart for manual review, 57 full (8-hr.) days of chart review would have been … Not only were history of MRSA infection and a postoperative admission within 30 days significant in all … In this case, only postoperative admission within 30 days and BMI was significant in all three tests. … Only postoperative admission within 30 days was significant in all three tests. … Postop hematocrit along with postoperative admission within 30 days was significant in all three tests
-
www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - patient = $2,300 per day. 6
After fourth day, cost rises to over $3,900 per day. 7
If ventilator days … Ventilator Days and Length of Stay (LOS) Reductions:
-2.4 vent days.
-3.0 ICU days. … -6.3 LOS days.
VAE Reductions:
-37% in VACs.
-65% in IVACs. … Arrow pointing down covering reductions in ventilator days, length of stay, and VAE.
14.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Slide 20
Efficacy and Safety: Ventilator-Free Days
SAY:
For the cohort of mechanically ventilated … this study examined the association between implementation of the ABCDE bundle and ventilator-free days … This bar graph demonstrates an increase of 4 ventilator-free days after using the ABCDE bundle compared … This bar graph demonstrates a decrease in days delirious, the percent of days delirious in the ICU, and
-
www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - Slide 21: Efficacy and Safety: Ventilator-Free Days
Say:
For the cohort of mechanically ventilated … this study examined the association between implementation of the ABCDE bundle and ventilator-free days … This bar graph demonstrates an increase of 4 ventilator-free days after using the ABCDE bundle compared … This bar graph demonstrates a decrease in days delirious, the percent of days delirious in the ICU, and
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-2-specs.pdf
June 30, 2009 - Covered: A child is considered to have been covered for a given month if they have greater than
14 days … A
month is considered “covered” if the child has greater than 14 days of enrollment in that month. … A month is considered “covered” if the child has greater than 14 days of enrollment
in that month. … A
month is considered “covered” if the child has greater than 14 days of enrollment in that month. … A month is considered “covered” if the child has greater than 14 days of enrollment
in that month.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a4_pdi_casestudy.pdf
December 01, 2015 - and Safety
Measure Baseline
Status After 6
Months Impact
Permanent line rate
(number of line
days … /number of
patient days)
0.49 as of project
kickoff in June 2015
0.65 as of December
2015
33% … increase in
permanent line rate
over period of 6
months
Temporary line rate
(number of line
days … /number of
patient days)
0.37 as of project
kickoff in June 2015
0.16 as of December
2015
57%
-
www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool4.html
May 01, 2014 - How many of the past 7 days did you follow a healthful eating plan? ______ Days
3. … No, but I intend to in the next 30 days.
No, but I intend to in the next 6 months.
-
www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-rationale.html
September 01, 2013 - positive, by isolation and decolonization with chlorhexidine 2% cloth baths and nasal mupirocin for 5 days … Universal Decolonization: Cessation of nasal screening and universal application of mupirocin for 5 days … The REDUCE MRSA Trial involved nearly 75,000 patients and more than 280,000 patient days in 74 adult
-
www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apd.html
April 01, 2018 - Hospitals, general hospitals, children’s hospitals
Implementation
Length of Program: Hours: ___ Days … Hospitals, general hospitals, children’s hospitals
Implementation
Length of Program: Hours: ___ Days
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
May 01, 2017 - AND
Any of the following:
If catheter removed within past 2 calendar days :
Clean catch (voided … cells (Left Shift) with >6% bands or >1,500 bands/mm 3
Acute Change in Mental Status (within last 7 days