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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
October 01, 2016 - Stewardship Program
A description of how and when training for nursing staff and, if applicable, prescribing … Unnecessary prescribing practices by clinicians and overuse of newer, broad-spectrum antibiotics when … The use of this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures … Procedure
Patients suspected of having an infection are assessed and referred to a prescribing clinician … The form should be provided to the prescribing clinician and/or emergency department or hospital as appropriate
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T1-Background_final.pdf
October 01, 2016 - Working With a Lab To Improve Antibiotic Prescribing
Tool 1. … • Antibiograms are important tools for health care professionals involved in prescribing empiric
antibiotics … Prescribing
clinicians—physicians, nurse practitioners, and physician assistants—can consult these … • If it is wanted, interpretive guidance can be given to prescribing clinicians.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23464-Crystal-draft-1.pdf
February 13, 2019 - Results: Our findings suggest that substantial change in prescribing practices is achievable through … The
challenge of reducing mortality risks from antipsychotic prescribing in elderly with symptoms … To examine change in prescribing during the
Partnership campaign, we examined predictors and trends … in MDS-reported antipsychotic
prescribing. … To better understand decision making and changes in prescribing, we
conducted 39 semi-structured
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
May 01, 2014 - The adverse consequences of inappropriate prescribing practices—including drug reactions/interactions … Inappropriate prescribing practices by primary care clinicians and overuse of newer, broad-spectrum antibiotics … A facility-specific antibiogram will be made available to all prescribing clinicians on [DATE], prior
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www.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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www.ahrq.gov/nhguide/toolkits/implement-monitor-sustain-program/toolkit1-start-program.html
November 01, 2024 - Detailed information on measures of antibiotic prescribing, use, and outcomes. … Four Moments of Antibiotic Decision Making and has tools to support their implementation and improve prescribing … developing and improving an antibiotic stewardship program, creating a safety culture around antibiotic prescribing … assistant director of nursing, the director of nursing, and, if possible, the medical director or a prescribing … Depending on the scope of the new procedures, training for staff and prescribing clinicians may also
-
www.ahrq.gov/antibiotic-use/long-term-care/safety/targets.html
June 01, 2021 - presenting this presentation, viewers will be able to—
Identify opportunities to improve antibiotic prescribing … Recognize how to leverage frontline staff to guide safety improvement efforts around antibiotic prescribing
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www.ahrq.gov/antibiotic-use/acute-care/safety/improve.html
November 01, 2019 - be 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
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - The adverse consequences of
inappropriate prescribing practices—including drug reactions/interactions … Inappropriate prescribing practices
by primary care clinicians and overuse of newer, broad-spectrum … A facility-specific antibiogram will be made available to all
prescribing clinicians on [DATE], prior
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
October 01, 2016 - If applicable, a description of how information about the intervention will be
communicated to prescribing … A description of how and when training for nursing staff and, if applicable, prescribing
clinicians, … Unnecessary prescribing practices by clinicians
and overuse of newer, broad-spectrum antibiotics when … The use of this procedure can help
reduce unnecessary prescribing and lead to fewer antibiotic failures … The form should be provided to the prescribing clinician and/or emergency department or
hospital as
-
www.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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www.ahrq.gov/research/findings/studies/index.html?page=482
January 01, 2024 - This study investigated differences before and after rollout of electronic prescribing (e-prescribing … Impact of electronic prescribing on medication use in ambulatory care. … Keywords: Electronic Prescribing (E-Prescribing), Ambulatory Care and Surgery, Patient Adherence/Compliance … on rates and types of prescribing errors. … Keywords: Electronic Prescribing (E-Prescribing), Health Information Technology (HIT), Medication: Safety
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www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools2f.html
September 01, 2012 - May shift prescribing to alternative agents (e.g., "squeezing the balloon") and resulting resistance/ … May be less acceptable to prescribers (viewed as interfering with prescribing). … and algorithms for empiric and streamlined regimens for specific diagnoses or pathogens
Improves prescribing … tools, including automated pharmacy technology (e.g., Pyxis Medstation™) to offer and track antibiotic prescribing … Educational component for clinicians and patients
Necessary for prescriber buy-in and prescribing
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www.ahrq.gov/news/newsroom/case-studies/ktcoe44.html
October 01, 2014 - was influential in the development of the program, which supports evidence-based, guideline-supported prescribing … atypical antipsychotics in children younger than 5 years of age, though there is significant "off-label" prescribing … In the first phase, begun in May 2009, educational letters were sent to providers whose prescribing practices … The calls did not deny coverage, but explored evidence-based and/or guideline-supported prescribing.
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www.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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www.ahrq.gov/news/newsletters/e-newsletter/667.html
June 01, 2019 - Opioid Prescribing Nearly 40 Times Higher Among U.S. vs. … Today's Headlines
Opioid Prescribing Nearly 40 Times Higher Among U.S. vs. English Dentists . … Opioid Prescribing Nearly 40 Times Higher Among U.S. vs. … To reduce opioid prescribing, the authors suggested that U.S. dentists adapt measures like those used
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www.ahrq.gov/sites/default/files/2024-01/magid-report.pdf
January 01, 2024 - Methods: Eligible patients were identified using condition, prescribing, and age
information available … CPOE coupled with a CDSS
can also be an effective tool to improve physician prescribing and was one … Finally, the pharmacist would then
need to determine the appropriate dose and contact the prescribing … Randomized Trial to Improve
Prescribing Safety in Ambulatory Elderly Patients. … Randomized Trial to Improve
Prescribing Safety during Pregnancy.
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www.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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www.ahrq.gov/news/newsletters/e-newsletter/653.html
February 01, 2019 - Significant Decline in Antibiotic Prescribing in Dental Care Seen After Education Program . … Significant Decline in Antibiotic Prescribing in Dental Care Seen After Education Program
Antibiotic … prescribing for acute oral infections fell by 73 percent between 2016 and 2018 at Illinois’ largest … dental provider for Medicaid recipients following a program to standardize prescribing practices, according … this approach could be adapted to other dental practices in the United States to improve antibiotic prescribing