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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - Decision Making
SAY:
Today we are introducing you to new tools to help improve communication and help prescribing … October 2016
Slide Title and Commentary
Slide Number and Slide
Quality Improvement for Antibiotic Prescribing … Overuse
ASK:
Did you know that 25 to 75 percent of antibiotics do not meet clinical guidelines for prescribing … Slide 10
Goal: BetterInformed Prescribing
SAY:
Now, I would like to switch over and talk about making … clinicians will be trained in more detail on prescribing criteria and their own practices.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-discussion-guide.docx
September 01, 2022 - How can the practice support clinicians in consistently avoiding prescribing antibiotics for acute bronchitis … How will the practice track data on acute bronchitis and antibiotic prescribing?
4.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - approaches
☐ Perform proactive risk assessments to determine areas in which harm related to antibiotic prescribing … the antibiogram and recommend improvement approaches
☐ Develop, review, and distribute materials to prescribing … clinicians, nursing staff, and residents/family members regarding optimal antibiotic prescribing
☐ Provide … feedback to prescribers about antibiotic prescribing practices
☐ Review approaches employed by the contracted … ☐ Yes
☐ No
☐ N/A
Are antibiotic use protocols disseminated to prescribing clinicians at the point
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - Care
1
Objectives
Recognize how to differentiate technical and adaptive issues related to antibiotic prescribing … Explain how to be proactive in asking staff about how the next patient may be harmed by antibiotic prescribing … intravenous to enteral therapy
Accidentally miscounting days of therapy during transitions of care
Prescribing … Think about antibiotic usage in your unit…
What is a concern you have had related to antibiotic prescribing … formal meetings, decide on the best approach to periodically review and prioritize antibiotic-related prescribing
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/safety/teamwork.html
June 01, 2021 - be able to—
Recognize the importance of seeking input from all team members when making antibiotic prescribing … ssessment or appearance; and R equest for action), to improve communication related to antibiotic prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss … The intention is to both (a) support nurses and prescribing clinicians when residents or family members … request antibiotics when antibiotics are not needed and (b) educate nurses and prescribing clinicians … During the staff training, talk about whether the prescribing clinicians have also received training
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss … The intention is to both (a) support nurses and prescribing clinicians when residents or family
members … request antibiotics when antibiotics are not needed and (b) educate nurses and
prescribing clinicians … During the staff training, talk about whether the prescribing clinicians have also received training
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ce.effectivehealthcare.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - recent AHRQ-funded grants related to opioids and other substance use disorders
Toward Safer Opioid Prescribing … Advancing Patient Safety Implementation through Pharmacy-Based Naloxone Prescribing. … Prescribing of opioids at hospital discharge and associated adverse patient outcomes. … Dental prescribing of antibiotics and opioids: high use in the absence of evidence.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - Slide 8
Social Factors Influence Antibiotic Prescribing
SAY:
A number of social factors influence … antibiotic prescribing decisions. … · Of course, residents themselves and family members also influence antibiotic prescribing. … As a group, when a problem related to antibiotic prescribing occurs, ask—
What happened? … An independent check would be the reassessment at 48 to 72 hours after the first prescribing event to
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
October 01, 2021 - Trends in opioid analgesic-prescribing rates by specialty,
U.S., 2007-2012. … ☐ Safer and more cautious opioid prescribing has been discussed with clinicians and staff across the … Clinicians and staff
consistently follow prescribing
standards and practices. … Opioids
for Chronic Pain or State-based
opioid prescribing guidelines…
…do not exist. … Adjustments to achieve safer
opioid prescribing based on
monitoring data…
…are not being made.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - is being used to evaluate a
pharmacy alert intervention designed to detect and correct medication prescribing … Consider, for example, two programs designed to reduce
medication prescribing errors for hospitalized … The improvement in prescribing
with the clinical pharmacist was noted by 3 months and was sustained … Effects of
computerized physician order entry on prescribing
practices. … The impact of
clinical pharmacists’ consultations on physicians’
geriatric drug prescribing.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.pdf
May 01, 2014 - Antibiograms are important tools for health care professionals involved in prescribing
empiric antibiotics … Prescribing
clinicians—physicians, nurse practitioners, and physician assistants—can consult these
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T1-Concise_Antibiogram_Toolkit_Background.doc
May 01, 2014 - · Antibiograms are important tools for health care professionals involved in prescribing empiric antibiotics … Prescribing clinicians—physicians, nurse practitioners, and physician assistants—can consult these tools
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - The use of antibiograms can help reduce inappropriate prescribing and lead to fewer clinical failures
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
March 31, 2020 - substantial heterogeneity in post-operative opioid prescribing patterns, even among patients receiving … Research and develop procedure-specific opioid prescribing guidelines
b. … , studies continue to
demonstrate wide variation in opioid prescribing trends. … In a large national sample of over 350,000 Medicare
patients, rates of opioid prescribing varied widely … Accessed: April 9, 2018.
11 Barnett ML, Olenski AR, Jena AB: Opioid-prescribing patterns of emergency
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - The use of antibiograms can help reduce inappropriate
prescribing and lead to fewer clinical failures
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - history
Follow-up report about behavioral therapy
11 Documentation of medical reason(s)
for not prescribing … Note Prescription documentation or medication list
12 Documentation of system reason(s)
for not prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - STOPP is a validated, evidence-based list of 80 criteria
for potentially inappropriate prescribing in … START includes a set of 34 evidence-based and validated prescribing indicators for
common diseases for … (2017) sought to improve prescribing in nursing home residents by implementing the Multidisciplinary … Impact of educational intervention on prescribing inappropriate
medication to elderly nursing homes … Implementing a screening tool to improve prescribing
in hospitalized older patients: a pilot study.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/timeline-tasks.pdf
June 01, 2021 - providing feedback to the
stewardship team
Distribute the Antibiotic Side Effects
One-Pager to prescribing … Review findings from analyzing data
from the Monthly Data Collection
Form and provide feedback to
prescribing … Soft Tissue
Infections in Nursing Home
Residents Card
Distribute the Cellulitis One-Pager to
prescribing … Review findings from analyzing data
from the Monthly Data Collection
Form and provide feedback to
prescribing … Monthly
• Review antibiotic use data and provide feedback
to prescribing clinicians, frontline
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - Effect of a drug allergy educational program and
antibiotic prescribing guideline on inpatient
clinical … providers’ antibiotic prescribing knowledge. … A review of evidence supporting
the American Academy of Pediatrics
recommendation for prescribing cephalosporin