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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - Toolkit 1. Working With Your Lab To Improve Antibiotic Prescribing
Overview of the Toolkit
How can a lab help improve antibiotic prescribing at your nursing home?
Laboratories can use culture results from the nursing home to create a specialized annual report called an antibiogram. The antibiogram report sh…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - aims to reduce unnecessary prescribing for the three infections where antibiotics are most frequently prescribed
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
October 01, 2022 - Learn Strategies for Communicating With Colleagues, Patients, and Families About Antibiotic Prescribing
In ambulatory care, reaching consensus on how a practice will manage antibiotic prescribing can help create a standard approach to prescribing so patients receive the same message from all clinicians in the p…
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit
Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - ≥90,
− #/% of patients on LtOT with a signed patient agreement, and
− #/% of patients on LtOT also prescribed … Tracking and monitoring of patients
prescribed long-term opioids 1 2 3 4 5 6 7 … Use of a system to proactively track
and monitor patients prescribed
long-term opioids to ensure their … sometimes identified,
but there is no discussion or
advance preparation for
visits with patients
prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
December 15, 2016 - Patients are asked to bring in all the medications they
take, both prescribed and over the counter, … This job aid can be used to help clinicians
discuss the core challenges to filling and
adhering to prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
December 15, 2016 - Patients are asked
to bring in all the medications they take, both prescribed
and over the counter, … This job aid can be used to
help clinicians discuss the
core challenges to filling
and adhering to prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
October 01, 2021 - Opioids are one of the most commonly prescribed medications in the United States.1 Another
consideration … ≥90,
− #/% of patients on LtOT with a signed patient agreement, and
− #/% of patients on LtOT also prescribed … Tracking and monitoring of patients
prescribed long-term opioids 1 2 3 4 5 6 7 … Use of a system to proactively track
and monitor patients prescribed
long-term opioids to ensure their … sometimes identified,
but there is no discussion or
advance preparation for
visits with patients
prescribed
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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-Campbell-R_106.pdf
April 14, 2008 - reactions and other adverse outcomes, such as fall-related fractures, that occurred while
patients were prescribed … surveillance systems require detailed information on relatively large
numbers of patients who have been prescribed … Ischemic optic neuropathy in
male veterans prescribed phosphodiesterase-5
inhibitors. … Efficacy of a
clinical medication review on the number of
potentially inappropriate prescriptions prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - relationship with the pharmacy is critical to the
success of an ASP because the pharmacy dispenses all
prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - Children identified with ADHD, including those prescribed medication, had a median of
only one follow-up … Children identified with ADHD, including those
prescribed medication, had a median of only one follow-up … Attention Deficit Hyperactivity
Disorder (ADHD), for whom ADHD-focused evidence-based behavior therapy was prescribed … Components
Numerator
Statement
Patients for whom ADHD-focused evidence-based behavior therapy* was
prescribed … does not involve child-directed play therapy
**First line treatment: Prior to any ADHD medication prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase4_Monitoring.doc
January 01, 2005 - Comprehensive Antibiogram Toolkit
Phase 4 Monitoring
It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribing clinicians (physicians, nurse practitioners, physician assistants) and nursing home staff on ways to improve the usability of the antibiogram and (2) tracking the pres…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/communicate-prescribers.html
June 01, 2021 - Communicating Infectious Concerns With Antibiotic Prescribers
After viewing or presenting this presentation, viewers will be able to—
Describe the components of, and when to use SBAR:
S ituation
B ackground
A ssessment
R ecommendation
Implement SBAR to improve communication between…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase_4_Monitoring.pdf
May 01, 2014 - Phase 4 Monitoring
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit
Phase 4 Monitoring
It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribin…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors
333
Establishing a Culture of Patient
Safety Through a Low-tech Approach
to Reducing Medication Errors
Steven H. Shaha, Linda Brodsky, Michael S. Leonard, Michael A. Cimino,
Sandra A. McDougal, Joann M. Pilliod…
-
www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - • Wrong drug—resident receives a drug prescribed that is not clinically indicated (contraindicated, … • Wrong dose—resident receives a dose or frequency prescribed other than what is clinically indicated … The estimated impact is potential to reduce risks
0.4% or more for wrong drug prescribed and 62.7% for … Future Directions
Many complex processes are linked across the continuum of care (e.g., medications prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - How to enter Data Manually Into an Antibiogram Template
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Not All “Infections” Need Antibiotics!
What is the UTI SBAR form? What does it include?
• The Suspected Urinary Tract Infection
(UTI) Situation, Background,
Ass…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
October 01, 2022 - Antibiotics
Fluoroquinolones9
Other commonly prescribed antibiotics (e.g., ceftriaxone, cefepime, piperacillin
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Toolkits
What Toolkits Does the Guide Include?
The toolkits cover a variety of interventions that nursing homes can use to improve antibiotic use.
Toolkits To Implement, Monitor, and Sustain an Antimicrobial Stewardship Program
Most nursing homes will need a team of people to organize stewardship activi…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase_1_Assessment_and_Planning_final.pdf
May 01, 2014 - Phase 1 Assessment and Planning
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit
Phase 1 Assessment and Planning
To ensure the success of any new program, it is customary to assess the …