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www.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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
September 01, 2022 - ,
and (3) promote evidence-based practices and informed decision making around antibiotic prescribing … Monthly antibiotic prescribing data among acute care hospitals in the United States were obtained from … hospitals and healthcare systems.18
Key Findings19
Antibiotic Prescribing. … Key Findings20
Antibiotic Prescribing. … Key Findings21
Antibiotic Prescribing.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-2.pdf
June 02, 2025 - diagnosed outside of these ages
Step 3
Exclude any records that indicate a medical reason(s)
for not prescribing … as first-line
treatment
Step 4
Exclude any records that indicate a system reason(s)
for not prescribing
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www.ahrq.gov/sites/default/files/2024-02/ornstein-report.pdf
January 01, 2024 - adopting medication refill protocols, and using performance reports to
identify patients with potential prescribing … First, 90 potential medication prescribing and monitoring measures
were identified, drawn from published … demonstrated that our QI
model improved practice performance on several categories of preventable prescribing … The measure set we developed encompasses both
medications and aspects of the prescribing process commonly … Medication Prescribing and Monitoring
Errors in Primary Care: A Report From the Practice Partner
Research
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www.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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www.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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www.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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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.ppt
May 01, 2014 - Implementation
Training Slides for
Prescribing Clinicians
Nursing Home Antimicrobial Stewardship Guide … of antibiotics
Follow the impact of the antibiogram on nursing home prescribing
We are conducting … make initial decisions for antibiotics and to follow the effect of the antibiogram on nursing home prescribing … *
Background: Antibiotic Prescribing
Antibiotics are frequently prescribed in nursing homes. … Increase recommended antibiotic prescribing for acute infections.
What is an antibiogram?
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www.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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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - Traditional approaches (e.g., education and alerts) are unlikely to improve safe DOAC prescribing. … Therefore, an EHR-based alert targeted at a
prescribing provider is unlikely to be highly effective. … they would not feel an obligation to “fix” the
prescribing error. … The percentage of patients with off-label DOAC prescribing per quarter ranges between 6% and
13%. … Effects of Guideline and
Formulary Changes on Statin Prescribing in the Veterans Affairs.
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www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
January 01, 2024 - STUDY 1a: RELATIONSHIP BETWEEN OBJECTIVE PRESCRIBING FREQUENCY
AND SUBJECTIVE FAMILIARITY WITH DRUG … The correlation between prescribing
frequency and subjective familiarity was not known. … low national prescribing frequency (frequency, b=0.12, OR=1.13,
95%CI=1.09-1.16, p<0.0001). … not in our prescribing databases. … Total prescribing frequency estimated from the five datasets differed
significantly.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - For example:
■ One project successfully implemented a program that improved the quality of prescribing … ■ Physician adherence to clinical practice guidelines (e.g., for prescribing, dosing, monitoring). … Prescribing practices improved over time, as did documentation of pain
assessments. … improved prescribing, approaching the monthly target of 5
percent PIMs or less. … takes longer than handwriting and e-prescribing at the point of care takes
longer than e-prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
January 12, 2021 - ☐ Safer and more cautious opioid prescribing has been discussed with clinicians and staff across the … A shared vision for safer and
more cautious opioid
prescribing…
…has not been formally
considered … 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/gurwitz.pdf
January 01, 2014 - intensive dissemination
strategies to reach nursing home staff with an evidence-based
antipsychotic prescribing … toolkit demonstrated reductions in
antipsychotic prescribing level in all study arms during the
intervention … Challenge of changing nursing home prescribing culture.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gonzales.html
October 01, 2024 - significant role in national and global efforts to combat antimicrobial resistance by improving antibiotic prescribing … These measures for appropriate antibiotic prescribing were adopted by the Healthcare Effectiveness Data … first two grants focused on changing physician and patient behaviors to advance appropriate antibiotic prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - 14-0011-6-EF
Today we are introducing you to new tools to help improve communication and help prescribing … *
Quality Improvement for Antibiotic Prescribing
Problems with taking antibiotics
Drug resistance … Did you know that 25 to 75 percent of antibiotics do not meet clinical guidelines for prescribing? … criteria from consensus conference
Reviewed prescribing in six nursing homes and extent to which they … clinicians will be trained in more detail on prescribing criteria and their own practices.
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www.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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www.ahrq.gov/evidencenow/heart-health/cholesterol/algorithm.html
September 01, 2018 - Lipid Algorithm
Resource description: This decision tree summarizes recommendations for prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/stewardship-facilitator-guide.docx
June 01, 2021 - team meeting, she raised her concern and the stewardship team decided to collect baseline antibiotic prescribing … Notice the differences in his prescribing practices for UTIs when compared with other prescribers in … Choose tools and materials that will help address prescribing errors that you identify as common at your … In the initial case, Lisa reviewed antibiotic prescriptions and noticed a flaw in antibiotic prescribing … This can be helpful to monitor lengthy prescribing practices, but it doesn’t provide data on antibiotics
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - The one-page documents are intended for health care practitioners who are making prescribing decisions … Tools
Below are several Posters and Pocket Cards that can be distributed to frontline providers and prescribing