-
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
-
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.
-
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
-
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
-
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
-
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.
-
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
-
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
-
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.
-
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
-
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
-
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
-
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
-
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.
-
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
-
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
-
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
-
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
-
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
-
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