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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Slide 4
Antibiotic Overuse
SAY:
At least 30 percent of all antibiotics prescribed in ambulatory practices … He is diagnosed with bronchitis and prescribed 10 days of levofloxacin.
… dysuria and was diagnosed with cystitis, a different antibiotic and a shorter course could have been prescribed … cystitis can generally be treated with between 3 and 5 days of antibiotics, depending on the agent prescribed … Clinicians may also worry about reactions from patients or family members if antibiotics are not prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Antibiotics are among the most commonly prescribed pharmaceuticals in long-term-care settings, yet reports … reduce inappropriate prescribing and lead to fewer clinical failures of antibiotics that are first prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-procedure-final508.pdf
June 02, 2025 - � Patients – bring in all the medicines they take, both prescribed and over-the-counter. … Compare the medicine name, prescribed dose, and prescribed frequency to what is
documented in the electronic … If the patient is not taking the medicine as prescribed, try to find out why.
d. … job aid provided with this strategy to help you discuss and resolve common barriers to
adhering to prescribed
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - For example, Ciprofloxacin was prescribed 15% of the time versus 22% of the time during the initial chart … Also, Cefuroxime was prescribed 14% of the time, up from 3% during the initial chart review period. 1
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
October 01, 2014 - Denominator Exclusions Data Source(s)
Patients for whom ADHD-
focused evidence-based
behavior therapy was
prescribed … agreeing that there was
evidence in the chart that an ADHD-focused evidence-based behavior therapy was prescribed … , 73 percent
agreeing that ADHD treatment medication was prescribed, and 75 percent agreeing that there … was evidence
in the chart for patients aged 4-5 years that behavior therapy was prescribed as first-line … evidence-based behavior therapy prior to medication being prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - Antibiotics are among
the most commonly prescribed pharmaceuticals in long-term-care settings, yet … reduce inappropriate
prescribing and lead to fewer clinical failures of antibiotics that are first prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
September 01, 2022 - ☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics prescribed … ☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics prescribed … ☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics prescribed … Interventions
Data Point Frequency of Data
Gathering
Frequency of
Data Feedback
Antibiotics prescribed … ☐ Other:
☐ N/A
☐ Monthly
☐ Quarterly
☐ Biannually
☐ Annually
☐ Other:
☐ N/A
Antibiotics prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-baseline.pdf
February 01, 2017 - �
�
�
64%
Aspirin Use
65%
For people with
known heart disease,
65% are prescribed
daily … 721,762 PATIENTS
Cholesterol Management
57
%
For people at high
risk of heart disease,
57% are prescribed … 60 70 80 90 100%
%
O
F
PR
AC
TI
CE
S
20
15
10
5
0
% OF PATIENTS PRESCRIBED
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/evidencenow.pdf
February 01, 2017 - �
�
�
64%
Aspirin Use
65%
For people with
known heart disease,
65% are prescribed
daily … 721,762 PATIENTS
Cholesterol Management
57
%
For people at high
risk of heart disease,
57% are prescribed … 60 70 80 90 100%
%
O
F
PR
AC
TI
CE
S
20
15
10
5
0
% OF PATIENTS PRESCRIBED
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cholesterol-flowchart.pdf
June 02, 2025 - e
Yes
PATIENT
INCLUDED IN
DENOMINATOR
1
Was the patient
prescribed or on a statin
at any … Yes
PATIENT
INCLUDED IN
DENOMINATO
2
Was the patient
prescribed or on a statin
at any time during … No
Yes PATIENT
INCLUDED IN
DENOMINATOR
3
Was the patient
prescribed or on a
statin at any time
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
May 01, 2014 - Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly prescribed … broad-spectrum antibiotics as initial therapy and leads to fewer clinical failures of antibiotics that are first prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.doc
January 01, 2011 - Significant resistance: The nursing home’s antibiogram shows <80 percent sensitivity for the antibiotic prescribed … significant resistance: The nursing home’s antibiogram shows ≥80 percent sensitivity for the antibiotic prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Methods prescribed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses
(PRISMA … Petersen et al. (2018) found that, among Medicare
beneficiaries prescribed five or more medications, … the mean number of prescribed medications was
significantly reduced, from 11.6 to 9.1 (p=0.032), for … There was also a larger reduction in the number of drugs
prescribed in the intervention group (p<0.046 … Effectiveness of the medication safety review clinics
for older adults prescribed multiple medications
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly prescribed … antibiotics as
initial therapy and leads to fewer clinical failures of antibiotics that are first prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/chart-review-tool.pdf
June 02, 2025 - Was a controller medication prescribed?
Which medication was prescribed?
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
December 31, 2015 - that separately assesses whether youth received a
baseline metabolic screening when they are first prescribed … was associated with a fourfold risk of diabetes in the following year, compared with children not
prescribed … American Psychiatric
Association that recommend metabolic screening and monitoring for individuals prescribed … Care Disparities
There is little research on potential disparities in metabolic monitoring for youth prescribed
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4T2-Quality_Improvement_Review_Tool_for_Antibiotic_Use_in_UTI_Phase_4.pdf
May 01, 2014 - Significant resistance: The nursing home’s antibiogram shows <80 percent sensitivity for the antibiotic
prescribed … significant resistance: The nursing home’s antibiogram shows ≥80 percent sensitivity for the antibiotic
prescribed
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www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
January 01, 2024 - After controlling for other characteristics, the likelihood of visits by Hispanics being
prescribed … inhaled steroids but 80% more likely to be
prescribed short-acting β2 agonists. … Although fluoxetine remained the most
commonly prescribed SSRI, other SSRIs were increasingly prescribed … The proportion of visits in which antidepressants were prescribed rose from 47% in
1995-1996 to 52% … Between 1995 and 2002, fluoroquinolones became the most commonly prescribed class of
antibiotics to
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www.ahrq.gov/sites/default/files/2024-01/mccarthy-report.pdf
January 01, 2024 - Main analysis: Overall, 76.4% of patients demonstrated safe use of their newly prescribed opioid, with … This manuscript
may help inform the quantity of pills that are prescribed by condition in the future … The mean quantity of opioid pills prescribed
was 16 tabs. … Perceptions of signs of
addiction among patients prescribed opioids in the ED. in preparation targeting … pills per dose 3.6 4.0 2.0 -- --
Shorter interval than prescribed 26.6 15.6 22.9 -- --
Demonstrated
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-baseline.pdf
January 01, 2014 - 7
C_guidelines1
Collaboratively determined core
item
Patients diagnosed with ASCVD should be prescribed … Collaboratively determined core
item
Patient with a primary elevation of LDL >190mg/dL should be prescribed … of DM, between 40-75 years old, with LDL between 70-189 mg/dL, and no
diagnosis of ASCVD should be prescribed … a statin: Off
Patient with a primary elevation of LDL >190mg/dL should be prescribed a statin: Off … of DM, between 40-75 years old, with LDL between 70-189 mg/dL, and no diagnosis of ASCVD should be prescribed