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  1. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
    June 01, 2021 - clinicians are encouraged to continue to implement an antibiotic time out on a regular basis for all residents … Techniques to improve communication, both among staff members and between staff members and residents … Everyone in the facility who is involved in prescribing antibiotics and caring for residents receiving … It is important to remember that most stewardship interventions will not include enough residents to … each month to understand what changes may need to occur in guiding the treatment of future residents
  2. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
    February 01, 2019 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … overuse; and Demonstrate communication strategies that address antibiotic alternatives with providers, residents … a growing problem and that antibiotics can have harsh side effects CUS Advocate for individual residents … Slide 9: Consider What Residents and Families Are Actually Saying 2-5 Educate residents and families … Ensure that residents' needs for pain relief and other supportive care are met.
  3. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
    June 01, 2021 - after additional clinical data are available. 2 UTI Management 2 Asymptomatic Bacteriuria 3 Residents … UTI Management Asymptomatic Bacteriuria, continued1  Asymptomatic bacteriuria affects around 50% of residents … Nitrofurantoin is safe for use for uncomplicated cystitis and can be used in residents with reduced renal … was harmed or had the potential to be harmed (“near-miss”) by an antibiotic   Review the Talking With Residents … Supporting Materials Urinary Tract Infections and Asymptomatic Bacteriuria one-pagers Talking With Residents
  4. www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/index.html
    September 01, 2020 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … quality improvement into courses, experiential education, and projects for PharmD students and pharmacy residents
  5. www.qualitymeasures.ahrq.gov/coronavirus/practice-improvement.html
    July 01, 2022 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … increase the implementation of evidence-based infection prevention and safety practices to protect residents … Nursing Home Staff   (PDF, 1 MB) Best Practices for Promoting Emotional Well-Being in Nursing Home Residents … including increased use of telehealth, support of diagnostic safety, and measures to protect nursing home residents
  6. www.qualitymeasures.ahrq.gov/teamstepps/instructor/scenarios/neonatalicu.html
    March 01, 2014 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … The residents give contradictory orders, and the ER staff becomes confused about whose orders they should … The residents begin to argue because each feels his plan of action is correct.
  7. www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
    December 01, 2009 - Limit shift durations for medical residents and other hospital staff if possible. … Evidence shows that acute and chronically fatigued medical residents are more likely to make mistakes … Ensure that residents get ample sleep and adhere to 80-hour workweek limits. … Residents who work 30- hour shifts should only treat patients for up to 16 hours and should have a
  8. Facilitator-Notes (doc file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
    March 01, 2017 - facilities do their work and provide care, allowing for better outcomes and higher quality of care for residents … Does your facility do everything it can to protect residents? … empowerment to create a culture of safety, which leads to improved outcomes and quality of life for residents … and family members · Distinguish between different methods of engaging residents and family members … Staff, in turn, are accountable for the quality of the choices they make to ensure their residents receive
  9. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/maintenance-checklist.docx
    March 01, 2017 - Purpose Use of a standardized indwelling urinary catheter (IUC) maintenance checklist can ensure that residents … When Applicable To be completed at least once a month on all residents with a urinary catheter. … Residents who are independent with catheter care are educated and competent with aseptic technique.
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
    June 01, 2021 - cellulitis, antibiotics are of modest benefit once the abscess is drained · Antibiotics are recommended for residents … [Place local treatment recommendations here] · [Place local treatment recommendations here] Note: Residents … Consider transferring these residents to an acute care setting if consistent with goals of care.2,3
  11. www.qualitymeasures.ahrq.gov/es/nursing-home/resources/search.html?page=14
    January 01, 2022 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … Family Members (43) Managers (224) Nursing Assistants (141) Nursing Technicians (136) Residents … the implementation of evidence-based prevention and safety practices within nursing homes to protect residents
  12. www.qualitymeasures.ahrq.gov/es/nursing-home/resources/search.html
    January 01, 2022 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … Family Members (43) Managers (224) Nursing Assistants (141) Nursing Technicians (136) Residents … the implementation of evidence-based prevention and safety practices within nursing homes to protect residents … These videos are intended to assist nursing homes in overcoming vaccine hesitancy with their staff, residents … important preliminary results on the level of population risk and COVID-19 antibody response in older adult residents
  13. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.docx
    March 01, 2017 - Historically, bathing residents in long-term care (LTC) facilities has been via the use of a bath basin … No, there is no compelling evidence to recommend stopping the use of bath basins for bathing residents
  14. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-respiratory-infections.pdf
    June 01, 2021 - (approximately 50% caused by viruses)7-8 • Common respiratory viruses that affect long-term care residents … cessation.1 • If a resident is diagnosed with influenza, start antiviral treatment and screen other residents … Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents … Utility of pulse oximetry in diagnosing pneumonia in nursing home residents.
  15. www.qualitymeasures.ahrq.gov/health-literacy/professional-training/pharmacy/guide-12-15.html
    September 01, 2020 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … Evaluation Criteria : Students/residents should demonstrate that they completed the assessment following … Students/residents' reflection should demonstrate thoughtful engagement with the topic and consideration
  16. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
    March 01, 2017 - Moreover, residents with or without urinary catheters, with asymptomatic bacteriuria, should not be treated … for urinary tract pathogens from the local hospital if you don’t have antibiograms of cultures from residents … How does one have an appropriate conversation with the medical staff about placing residents on antibiotics … for asymptomatic bacteriuria, especially in those residents who always have a resistant organism each
  17. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
    June 02, 2021 - COVID-19) and testing for these should be considered.4 − Even if it’s not influenza season, test residents … Gram-negative bacteria are less commonly associated with COPD exacerbations and are usually limited to residents … Sputum culture should be obtained for residents with this risk factor.1,8,9 Treatment • In additional … against the potentially marginal benefits that antibiotics provide prior to prescribing antibiotics to residents … decrease in the frequency of future exacerbations.1,23 − Prophylaxis should only be considered for residents
  18. www.qualitymeasures.ahrq.gov/tools/index.html?page=2
    September 01, 2023 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … Hospital and Emergency Department Visits to help nursing homes with electronic medical records identify residents … Clinical reports provide information about the number and types of pressure ulcers that residents have
  19. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-slides.pptx
    June 01, 2021 - To use antibiotics only when necessary, thereby protecting residents from unnecessary antibiotic exposure … facility over the last month, 12 antibiotic prescriptions were started 8 by a covering clinician 3 residents … staff Prescribers/clinicians Nursing home management/directors Centers for Medicare & Medicaid Services Residents … resident does not meet criteria for antibiotic therapy or needs monitoring Dose recommendations for residents
  20. www.qualitymeasures.ahrq.gov/nursing-home/materials/prevention/index.html
    January 01, 2023 - Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents … It also provides a sample decision tree for monitoring residents during daily encounters for signs and … Letter to Families [Word, 30 KB] to help nursing homes update the emergency contact information for residents

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