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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - of this presentation, participants will be able to:
· Identify opportunities to improve antibiotic prescribing … · Recognize how to leverage frontline staff to guide safety improvement efforts around antibiotic prescribing … We will use this framework to review antibiotic prescribing decisions to identify potential harms and … We encourage you to use the Four Moments whenever you’re thinking about prescribing antibiotics. … The prescriber also considered part of Moment 2; she ordered appropriate cultures before prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-slides.pptx
November 01, 2019 - Invite executives to periodically attend unit meetings where antibiotic prescribing issues are discussed … policies
Generates data on antibiotic use
Identifies prescribing trends
Assists with some AS interventions … Perform proactive risk assessments to determine areas in which harm related to antibiotic prescribing … Review guidelines and practices developed to optimize antibiotic prescribing in the facility. … Review materials for patient and health care worker education regarding optimal antibiotic prescribing
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/846.html
January 01, 2023 - Newsletter
AHRQ News Now
Study Finds Evidence of Intentional Inappropriate Painkiller Prescribing … Events
Study Finds Evidence of Intentional Inappropriate Painkiller Prescribing … Today's Headlines:
Study Finds Evidence of Intentional Inappropriate Painkiller Prescribing . … Study Finds Evidence of Intentional Inappropriate Painkiller Prescribing
An AHRQ-funded review of painkiller … Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.doc
May 01, 2014 - Prescribing Clinician(s) Interest
Are prescribing clinicians interested in and willing to use an antibiogram … sufficient resources (e.g., time, funds) to develop the antibiogram and provide training for the staff/prescribing … Initial training for nurses and prescribing clinician(s) may take approximately 30 minutes.
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ce.effectivehealthcare.ahrq.gov/nhguide/about/choosing-the-right-toolkit.html
October 01, 2016 - For example, if the nursing home is already monitoring antibiotic use, staff may have identified that prescribing … In that case, a nursing home may want to select one of the tools designed to help prescribing clinicians … Other common problems that nursing homes may wish to address are high rates of prescribing for specific … Clinicians Identify
an Infection
Help Prescribing Clinicians Choose the Right Antibiotic … Members
Low
Suspected UTI SBAR
Working with a Lab to Improve Antibiotic Prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - and the
potential harm caused by inappropriate antibiotic prescribing. … Sustaining teamwork and culture change around antibiotic prescribing are both essential to hardwiring … The Antibiotic Stewardship Team acting on its own is not sufficient to change prescribing
practices. … It can also help change misconceptions
and opinions about antibiotic prescribing and demonstrates to … Even with changes in antibiotic prescribing, it may be
difficult to see changes in CDI rates.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T2-Antibiotic_Use_Tracking_Sheet_Final.doc
October 01, 2016 - /CAI/NHAI/Other Nosocomial*
Lab Results
(organism identified)
X ray
Other Contributing Factors
Prescribing … CAI/NHAI/
Other Nosocomial*
Lab Results
(organism identified)
X Ray
Other Contributing Factors
Prescribing … Whether Criteria Were Met
HAI/CAI/
NHAI/
Other Nosocomial*
X-ray or Lab Results
(organism identified)
Prescribing
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/long-term-care/four-moments/index.html
August 01, 2021 - Frontline staff and prescribing clinicians are encouraged to use the Four Moments framework for all residents … Implementation of the Four Moments
Integrating the Four Moments into daily practice for frontline staff and prescribing … These can also be shared with prescribing clinicians as well as residents and their family members.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
December 22, 2021 - A shared vision for safer
more cautious opioid
prescribing…
and …has not been formally
considered … by
…has been discussed, and
preliminary conversations
regarding a clinicwide
opioid prescribing … …has been partially
achieved, but consensus
regarding a clinicwide
opioid prescribing standard … Clinicians and staff
consistently follow prescribing
standards and practices. … opioid prescribing guidelines…
Policy implementation 1 2 3 4
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.pdf
May 01, 2014 - q q
Prescribing Are prescribing clinicians interested in and willing to use an antibiogram? … sufficient resources (e.g., time, funds) to develop
the antibiogram and provide training for the staff/prescribing … Initial training for nurses and prescribing clinician(s) may take approximately 30 minutes.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - able
to—
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 … Being able to
classify problems related to antibiotic prescribing into
those that are technical, those … For example, a second-order solution to addressing
vancomycin prescribing would be implementation of … What is a
concern you have had related to antibiotic prescribing?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
September 01, 2022 - the next 1–2 years
Identify targets for future antibiotic stewardship efforts based on antibiotic prescribing … session focusing on upper respiratory tract infections and sinusitis
Quarterly review of antibiotic prescribing … rates in comparison to other practices
Control Arm
No educational session
No review of antibiotic prescribing … period, ongoing antibiotic stewardship efforts are needed to continue to observe optimal antibiotic prescribing … Effect of an outpatient antimicrobial stewardship intervention on broad-spectrum antibiotic prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T6-Sample_Distribution_Plan_for_an_Antibiogram_final.pdf
October 01, 2016 - Working With a Lab To Improve Antibiotic Prescribing
Tool 6. … • Nursing home prescribing clinicians: If a resident is suspected of having an infection,
the nurse … When distributing the annual updated antibiogram
to prescribing clinicians for reference purposes, emailing … Nursing home prescribing clinicians: If a resident is suspected of having an infection, the nurse
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - 21)-0029
June 2021
Identifying Targets
1
Objectives
Identify opportunities to improve antibiotic prescribing … Recognize how to leverage frontline staff to guide safety improvement efforts around antibiotic prescribing … Improvement
Mistakes
Near Misses
Defects
Errors
Problems
5
Examples of Potential Harm
Prescribing … date or clear indication for antibiotics
Forgetting to order needed cultures or diagnostic studies
Prescribing … attitudes, beliefs, and behaviors.
16
Problem Potential Solution(s)
Clinicians and nurses fear not prescribing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
November 01, 2019 - All stewards should view the presentation “Making Effective Behavior Changes Around Antibiotic
Prescribing … Develop a Culture of Safety Around Antibiotic Prescribing
Next, as you focus on setting up or revitalizing … your ASP, it is important to work on changing the culture
of antibiotic prescribing at your hospital … Under the “Developing a Culture of Safety Around Antibiotic
Prescribing” tab, several presentations … The ASP and
frontline providers are encouraged to characterize all antibiotic prescribing problems as
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - Clinician Letter
[PRINTED ON NURSING HOME OR MEDICAL DIRECTOR’S STATIONERY]
[Date]
[Prescribing … and
Request (SBAR) form to facilitate gathering critical information by nurses to communicate to
prescribing … In addition to providing standardized information to help with decisionmaking, a
prescribing clinician … developed by Loeb et al.,9 and include newer surveillance information by Stone
et al.10 Nonetheless, prescribing … decisions ultimately rest with the prescribing clinician.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
October 01, 2016 - Clinician Letter
[PRINTED ON NURSING HOME OR MEDICAL DIRECTOR’S STATIONERY]
[Date]
[Prescribing Clinician … Assessment, and Request (SBAR) form to facilitate gathering critical information by nurses to communicate to prescribing … In addition to providing standardized information to help with decisionmaking, a prescribing clinician … [footnoteRef:10] Nonetheless, prescribing decisions ultimately rest with the prescribing clinician.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - among elderly
patients, prescribing during pregnancy, and laboratory monitoring of therapy. … Prescribing in the
elderly7
Prescribing of drugs to be
avoided (decrease)
• N = 59,680 health … The High-Risk Drug Lab Monitoring, Renal Dosing, Prescribing during
Pregnancy, and Prescribing in the … Randomized trial to improve prescribing safety during
pregnancy. … Randomized
trial to improve prescribing safety among ambulatory
elderly patients.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T5-Training_Slides_for_Nursing_Home_Nurses_Phase_3.docx
May 01, 2014 - No. 14-0023-6-EF
May 2014
Slide Title and Commentary
Slide Number and Slide
Background: Prescribing … Prescribing clinicians often make decisions before a culture and sensitivity results are available, and … It shows data at the nursing home for the previous year, and it helps prescribing clinicians understand
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ce.effectivehealthcare.ahrq.gov/topics/antimicrobial-stewardship.html
offers materials to help nursing homes improve antibiotic use and decrease harms caused by inappropriate prescribing … Toolkit To Help Prescribing Clinicians Choose the Right Antibiotic for Treating an Infection : This toolkit … Prescribing clinicians can use an antibiogram to help them choose the most appropriate antibiotic for … After Passage of Legislative Mandate
Telemedicine-Based Antimicrobial Stewardship Program Improves Prescribing … Changes in antibiotic prescribing by dentists in the United States, 2012-2019.