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www.cahps.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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teamstepps.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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patientregistry.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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ahrqpubs.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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talkingquality.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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cahps.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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healthcare411.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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monahrq.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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ce.effectivehealthcare.ahrq.gov/hai/mrsa-prevention/index.html
November 01, 2023 - In the 2019 Antimicrobial Resistance Threat Report, the Centers for Disease Control and Prevention estimated … Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. … Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S.
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psnet.ahrq.gov/node/33755/psn-pdf
September 01, 2013 - accident or failure instead of error, and examination or study
instead of investigation.(10)
Relish resistance … Often considered "the
problem," resistance may be more productively and accurately viewed as the key … believes that health care professionals want to do what's best for patients, then one can approach
resistance … Where does resistance come from? … humbly and as a partner, developing psychological safety through coaching and constructively
leveraging resistance
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - :
Adverse side effects
C. difficile infections
Public health outcomes such as widespread antibiotic resistance … There are rising rates of fluoroquinolone resistance, particularly in long-term care. … There is no cross-reactivity with penicillin, and resistance rates are dependent on the local epidemiology … coli are resistant to fosfomycin; expensive
Ciprofloxacin Oral Broad-spectrum; fairly high level of resistance … trends in antimicrobial susceptibilities across long-term-care facilities: emergence of fluoroquinolone resistance
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
June 01, 2021 - :
Adverse side effects
C. difficile infections
Public health outcomes such as widespread antibiotic resistance … There are rising rates of fluoroquinolone resistance, particularly in long-term care. … There is no cross-reactivity with penicillin, and resistance rates are dependent on the local epidemiology … coli are resistant to fosfomycin; expensive
Ciprofloxacin Oral Broad-spectrum; fairly high level of resistance … trends in antimicrobial susceptibilities across long-term-care facilities: emergence of fluoroquinolone resistance
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/ems-911-workforce-mental-health-executive-summary.pdf
February 01, 2025 - Resistance refers to “the ability of an individual, a group,
an organization, or even an entire population … • Mindfulness-building interventions targeting resistance and resilience among
EMS clinicians were … Interventions to promote resistance and
resilience regarding mental health and occupational
stress … • Mindfulness-building interventions targeting resistance and resilience among EMS
clinicians were … Interventions to promote resistance and resilience regarding mental health and occupational stress issues
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Clinical Infectious Diseases 2008; 15:735-43
Antibiotic exposure increases the risks of resistance … Cipro Standard
Antibiotic duration 3 days 10 days
LOS ICU 9 days 15 days
Antibiotic resistance … antimicrobial stewardship programs
Optimize Patient Safety
Decrease or Control Costs
Reduce Resistance … for outcomes
Single pharmacy leader
Antibiotic use tracking
Regular reporting on antibiotic use and resistance … Educating providers on use and resistance
Specific improvement interventions
Interventions to Improve
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - Slide 9
Antibiotic Exposure Increases the Risks of Resistance
Pathogen and Antibiotic Exposure … Slide 16
Stewardship Optimizes Patient Safety: Decreased Patient-level Resistance
Image on left … Antibiotic duration
3 days
10 days
LOS ICU
9 days
15 days
Antibiotic resistance … duration
Slide 19
Goals of Antimicrobial Stewardship
Optimize Patient Safety
Reduce Resistance … outcomes
Single pharmacy leader
Antibiotic use tracking
Regular reporting on antibiotic use and resistance
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - Most importantly, susceptibility testing showed no evidence of chlorhexidine resistance, and the CHG … Importantly, analysis showed no emergence of chlorhexidine or mupirocin resistance in the thousands of … Short-term use of intranasal mupirocin, as used in these studies, was not associated with resistance. … Generally, antiseptics are less prone to resistance than antibiotics such as mupirocin. … To date, there is no evidence of emergent resistance to iodophor with Staphylococcus aureus.
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effectivehealthcare.ahrq.gov/sites/default/files/c-diff-infections-nomination-140925.pdf
February 19, 2014 - (c) How do prevention and treatment of CDI affect
resistance of other pathogens? … All other comparisons of standard treatment
§ Strain of organism
§ Patient characteristics
§ Resistance … § How do prevention and treatment of CDI affect resistance
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/c-diff-infections-nomination-140925.pdf
February 19, 2014 - (c) How do prevention and treatment of CDI affect
resistance of other pathogens? … All other comparisons of standard treatment
§ Strain of organism
§ Patient characteristics
§ Resistance … § How do prevention and treatment of CDI affect resistance
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psnet.ahrq.gov/issue/making-health-care-safer-think-sepsis-time-matters
August 31, 2016 - Resources From the Same Author(s)
Making health care safer: protect patients from antibiotic resistance … November 16, 2016
Making health care safer: protect patients from antibiotic resistance
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/urine-culture-practices-icu.pptx
March 01, 2015 - Disclosures
Nothing to disclose
28
Antibiotic Stewardship in the ICU
Some Points to Consider
Resistance … to optimize clinical outcomes while minimizing consequence of antibiotic use:
Toxicity
Selection of Resistance … Selection of virulent organisms
C. diff resistance
Combine with infection control practices to limit … emergence and transmission of resistance
Reduces healthcare costs without impacting care
Patient safety … 34
Antibiotic Stewardship in the ICU
Goals of Antibiotic Stewardship
Combat the Emergence of resistance