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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-one-pager.pdf
September 01, 2022 - clindamycin to an oral third-generation cephalosporin if there is high risk
of Streptococcus pneumoniae resistance … extensive prior antibiotic exposure,
multiple comorbidities, or high community rates of S. pneumoniae resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
March 01, 2017 - describe how to establish a sustainability measurement plan and managing barriers such as skepticism and resistance … One of the most common barriers may be skepticism and resistance to change. … dedicate time and resources to help carry out the interventions, which can go a long way to overcoming resistance … Organizational Skepticism and Resistance
Resistance may be present within the organization itself. … Individual Resistance to Change
Everyone responds to change differently, and some staff may not be convinced
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Ultimately, the organization should develop a formal sustainability plan that can identify barriers or resistance … Manage barriers such as skepticism and resistance.
Engage staff with stories. … process can help the organization develop strategies to maneuver around obstacles, such as skepticism and resistance … barriers during and after the initial implementation process so that solutions can be found and before resistance … Leaders can also reinforce positive staff experiences from new processes to help overcome resistance
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ce.effectivehealthcare.ahrq.gov/topics/antimicrobial-stewardship.html
promote the appropriate use of antimicrobials, thereby improving patient outcomes, reducing antibiotic resistance … Mandate
Telemedicine-Based Antimicrobial Stewardship Program Improves Prescribing, Reduces Bacterial Resistance
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ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - to calculated attributable CLABSI cost estimates
Cosgrove SE,
2005
The impact of methicillin resistance … before 2002
Engemann JJ, 2003
Adverse clinical and economic outcomes attributable to methicillin resistance … Published before 2002
Lodise TP,
2005
Clinical and economic impact of methicillin resistance … systematic review articles
Stosor V,
1998
Enterococcus faecium bacteremia: does vancomycin resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Antibiotic resistance
Antibiotics kill bacteria. Sometimes not all of the bacteria are killed.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-080917.pptx
January 01, 2017 - Medicine
TEAMSTEPPS 05.2
Slide ‹#›
August TeamSTEPPS Monthly Webinar
Objectives
Identify and address resistance … of Understanding
19
TEAMSTEPPS 05.2
Slide ‹#›
August TeamSTEPPS Monthly Webinar
Overcoming Resistance … 20
Sources of Resistance
Technical:
“We’ve already spent so much time/money on X.” … TEAMSTEPPS 05.2
Slide ‹#›
August TeamSTEPPS Monthly Webinar
Resistance Audit
Observable Behavior
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ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit1-working-with-a-lab.html
October 01, 2016 - prescribing clinicians make better, empirically-based decisions by avoiding antibiotics with high rates of resistance … they may help to improve the selection of antibiotics to treat infections from organisms with high resistance … the laboratory if they can help with this, as your lab may be able to distribute the antibiogram or resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - Epidemiology of antimicrobial resistance among gram-negative
organisms recovered from patients in a
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Improve your chances of success by anticipating and troubleshooting sources of resistance. … Chosen Intervention
Anticipated Sources of Resistance
Opportunities To Reduce Resistance
Who's … Anticipate and plan for resistance. … Then, improve your chances of success by anticipating and troubleshooting sources of resistance. … Opportunities To Reduce Resistance
Who's in Charge of These Efforts?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/practice-facilitators-effectiveness-infographic.pdf
September 01, 2022 - and stimulate
thinking
Empower and guide practice staff to
implement changes themselves
Address Resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - of organizational infrastructure and resources
Staff turnover
Organizational skepticism
Individual resistance … Barriers
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
15
Barrier: Individual Resistance … Factors That Influence Individual Resistance or Adoption
Sustainability | ‹#›
AHRQ Safety Program … Establish a sustainability measurement plan
Manage barriers to sustainability such as skepticism and resistance … Manage Skepticism and Resistance
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
February 01, 2019 - Reason 2 1
It Leads to Bacterial Resistance! … Antibiotic resistance is a growing problem
Often forced to use older antibiotics to deal with resistant … Slide 8: Engaging Physicians and Other Providers 2
Remind others that antibiotic resistance is a
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - Extended-Spectrum Beta-Lactamases
(ESBLs)
SAY:
It’s important to be aware of some common
resistance … Slide Title and Commentary Slide Number and Slide
AmpC Beta-Lactamases
SAY:
Another type of resistance … not
recommended for the treatment of Enterobacter
species even if reported as susceptible because
resistance … Routine empiric use
should be discouraged to avoid the emergence of
resistance to these agents, which … They can be difficult to treat due to
intrinsic and acquired resistance to several
antibiotic classes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.docx
October 01, 2016 - Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev. 1996 Jan;9(1):1-17.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
February 05, 2019 - greatest impact
• Extend patient safety improvement to all settings
• Prevent HAIs, reduce antibiotic resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK2_T4-Quarterly_or_Monthly_Prescribing_Profile_Final.pdf
October 01, 2016 - Infections and antibiotic resistance in nursing homes. Clin Microbiol
Rev. 1996 Jan;9(1):1-17.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
October 01, 2014 - Help reduce resistance to change by ensuring that staff understand the reasons for change and agree that … Champions also can address perceived barriers and potential resistance and troubleshoot problems if any … If reluctance, or active resistance, is localized to specific parts of the hospital or to specific individuals … If resistance during early implementation is widespread, you will need to understand why and then either … Practice Insights
Examples of strategies for reducing staff resistance:
To reduce staff resistance
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - The
Centers for Disease Control and Prevention characterizes antibiotic resistance as “one of the
world
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - The Centers for Disease Control and Prevention characterizes antibiotic resistance as “one of the world