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www.ahrq.gov/research/findings/final-reports/ssi/ssiapl.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix … Determining Surgical Site Infection Rates
Chapter 3. … Designing and Testing Methods to Stratify Risk of Surgical Site Infections
Chapter 4. … Infection Prevention Support Tool
Appendix S. … Surgical Infection Society Abstract
Appendix U.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - and Quality
MEDICAL CARE REFERRAL FORM
USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION … and change in recent/current health status:
Put an “X” in the box to indicate the suspected infection … HAIs
Healthcare-
Associated
Infections
PREVENT
o Suspected Respiratory Infection
Y N ? … saturation, baseline: ________%
O2 saturation, current: ________%
o Suspected Gastrointestinal Infection … o Suspected Urinary Tract Infection
Y N ? New or increased urgency of urination
Y N ?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
April 01, 2022 - When an infection occurs, performing a full root cause analysis of the infection can
provide learnings … When an infection occurs, performing a full root cause analysis of the infection can provide
learnings … Guideline for prevention of catheter-
associated urinary tract infections 2009. … Urinary Tract Infection (Catheter-Associated
Urinary Tract Infection [CAUTI] and Non-Catheter-Associated … Urinary Tract Infection
[UTI]) and Other Urinary System Infection [USI]) Events.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - Preventionist
Has an Infection Preventionist been identified? … ☐ Yes
☐ No
Does the Infection Preventionist have appropriate education, training, experience, … ☐ Yes
☐ No
Does the Infection Preventionist work at least part-time at the facility? … infection
☐ Skin and soft tissue infections
☐ Other:
☐ Other:
☐ Other:
☐ N/A
Do your antibiotic … ☐ Urinary tract infection
☐ Bacterial pneumonia
☐ Skin and soft tissue infection
☐ Clostridioides difficile
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - Antibiotic Use – Ambulatory Care
The Four Moments of Antibiotic Decision Making
Does my patient have an infection … Patients with sinusitis who have or develop evidence of spread of infection to the orbits or the central … Symptoms suggestive of orbital cellulitis or central nervous system infection include–
Limited ocular … Antibiotic Use – Ambulatory Care
References
Active bacterial core surveillance (ABCs) report emerging infections … Saline nasal irrigation for acute upper respiratory tract infections.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
March 01, 2021 - Observational Audits
Observational Audits
A Pathway to Improving Infection Prevention and … Preventing the
Spread of COVID-19
Infection prevention is the vital first line of defense against … Observational audits are the best way to
understand if your staff fully comply with infection prevention … infection prevention audit team … Infection
preventionist or
other audit team
leader reviews
data with the
QAPI Team.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - Carbapenem-resistant Enterobacteriaceae (CRE) encompass a family of gram-negative bacteria that
cause infections … Mortality among patients with CRE infections can be as high as 40 to 50 percent due to both the severity … of the infections and the lack of effective antibiotics with which to treat them.2 Because of their … Making Healthcare Safer: Stop Infections from
Lethal CRE Germs Now.CDC Vitals Signs.Centers for Disease … An admission during the no-ASC period had
no impact on the risk of ESBL infections (odds ratio, 1.16
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - billion direct healthcare cost per year
Developing new antibiotics is more important than preventing infections … and preventing the spread of resistance
4 Core Actions to Fight Deadly Infections
(CDC; Antibiotic … Resistance Threats, 2013)
8
Preventing infections and preventing the spread of resistance
Tracking … was 1.2% of Enterobacteriaceae
10
CRE and the Urinary Catheter
(MMWR 2013; 62(9):165-70)
Emerging Infections … Urinary Catheter
(MMWR 2013; 62(9):165-70)
Implications of the findings:
Higher mortality than other infections
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/aom.html
September 01, 2022 -
Patient Handouts
These handouts can be given to your patients to help them understand their infection … Ear Infection – Patient and Family Member Handout (English) (DOCX, 295 KB)
Ear Infection – Patient
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - Bacteria commonly found
on the skin can produce infection during high-risk periods such as a hospital … Clinical trials have shown that CHG protects patients with medical devices from
bloodstream infection … vancomycin-resistant
enterococcus (VRE) clinical cultures and a 32 percent reduction in all-cause bloodstream
infections … This protocol was used in the ABATE
Infection Trial. … Do not
wipe the CHG off as this will reduce its infection prevention abilities.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pptx
March 01, 2022 - decolonization
This training module will take approximately 5 minutes to complete
*NOTE: The ABATE Infection … Trial showed the same 32% reduction in bloodstream infection for midlines as it did for central lines … Body bacteria can cause infection in hospitals and nursing homes due to wounds, devices, and poor health … of the patient
Decolonization has been shown to prevent infections
For patients with multidrug-resistant … decolonization for adult non-ICU patients with specific medical devices reduced all-cause bloodstream infections
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pptx
March 01, 2022 - decolonization
This training module will take approximately 5 minutes
to complete
*NOTE: The ABATE Infection … Trial showed the same 32% reduction in bloodstream infection for midlines as it did for central lines … Body bacteria can cause infection in hospitals and nursing homes due to wounds, devices, and poor health … of the patient
Decolonization has been shown to prevent infections
For patients with multidrug-resistant … decolonization for adult non-ICU patients with specific medical devices reduced all-cause bloodstream infections
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-iodophor.pdf
March 01, 2022 - such as pneumonia, blood infections, and skin
infections. … An iodophor swab is applied to each nostril twice a day for 5 days to help protect
you from infection … Nasal decolonization has been shown to reduce infections in patients who have MRSA and have
devices … Our hospital is committed to protecting you from infection and this is
one proven strategy that we use … Our hospital is committed to protecting you from infection and this is one
proven strategy that we use
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - SSI Investigation Tool
Surgical Site Infection Investigation Tool
Introduction
Problem Statement
Your … team cannot always predict which patients will develop a surgical site infection, but you can learn … To improve, perioperative teams need a structured approach to investigate infections at a systems level … processes that may have contributed to the surgical site infection case. … How To Use This Tool
Your team should investigate as many site infections as possible, but there is no
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
March 01, 2017 - Findings can then be shared with frontline staff and administration to potentially prevent future infections … Results can also be discussed at the Infection Prevention and Control, Resident Safety, and Performance … Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update … : _______ Signs and symptoms of infection: ___________________________
Date of positive urine culture … Action Plan
Catheter-Associated Urinary Tract Infection
(CAUTI) Case Review
CAUTI Case Review
AHRQ
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-questions.pdf
June 01, 2021 - Making
in Long-Term Care
Moment 1
Make the Diagnosis
Does the resident have symptoms
that suggest an infection … Dysuria
• Purulence from skin
• Warm, red skin
Moment 2
Cultures & Empiric Therapy
What type of infection … Most bacterial infections need 7 days or less
of antibiotics:
• Urinary tract infection (3 to 7 days … )
• Pneumonia (5 to 7 days)
• Cellulitis (5 days)
• Some bloodstream infections (7 days)
Moment 4
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapvtables.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix … Determining Surgical Site Infection Rates
Chapter 3. … Designing and Testing Methods to Stratify Risk of Surgical Site Infections
Chapter 4. … Infection Prevention Support Tool
Appendix S. … Surgical Infection Society Abstract
Appendix U.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
April 01, 2022 - leaders implement effective strategies and achieve goals to reduce central line-associated bloodstream
infections … (CLABSI) and catheter-associated urinary tract infections (CAUTI) and improve safety culture
at the … quality improvement
committee meetings, and other venues to help care providers understand the impact infections … you
currently have a central line in place, and I want to talk to you about preventing central line infections … Speak Up™ To Prevent Infection.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - Guide to the elimination of catheter-associated urinary tract infections (CAUTIs). … Urinary Tract Infection [UTI]) and other Urinary System Infection [USI]) Events. … Methenamine hippurate for preventing urinary tract infections. … Guideline for prevention of catheter-associated urinary tract infections 2009. … Strategies to prevent healthcare-associated infections through hand hygiene.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-event-reporting_revised.docx
April 01, 2022 - Infections at other sites such as surgical site infection or endocarditis? … It is important to remember that many clinicians were taught that infections “were the price of doing … Association for Professionals in Infection Prevention and Epidemiology. … ://apic.org/Resources/Topic-specific-infection-prevention/Central-line-associated-bloodstream-infections … /resources/patient-safety-topics/infection-prevention-and-control/central-line-associated-bloodstream-infections-toolkit-and-monograph