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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/trends.html
June 01, 2018 - Disease
Diabetes
HIV and AIDS
Mental Health and Substance Abuse
Musculoskeletal Diseases
Respiratory … Abuse
Alzheimer's disease
6
5
Chronic lower respiratory … diseases
3
7
5
7
8
8
4
3
Respiratory Diseases
Chronic liver disease … 6
5
6
Diabetes
Influenza and pneumonia
8
6
7
8
7
9
10
10
7
Respiratory … Respiratory diseases .
Return to Contents
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
November 01, 2019 - Legionella urine antigen in immunocompromised patients or if severely ill
· Consider obtaining viral respiratory … testing during respiratory virus season
· Consider noninfectious causes such as pulmonary embolism, … identified, stop therapy for hospital-acquired pneumonia
· In most cases, stop antibiotics if viral respiratory … the non-beta-lactam agent if combination therapy was started and the beta-lactam is active against respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-one-page.docx
November 01, 2019 - Legionella urine antigen in patients with immunocompromise, risk factors
· Consider obtaining viral respiratory … testing during respiratory virus season
· If pneumonia develops within 48 hours of intubation, common … from a ventilator within 1–2 days of diagnosis, VAP is less likely; consider stopping therapy
· Use respiratory … the non-beta-lactam agent if combination therapy was started and the beta-lactam is active against respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - Detail procedures for collecting urine and respiratory samples from nursing home residents. … pneumoniae antigen (if available)
Rapid influenza – during influenza
season (and other respiratory … Avoided the mistakes that were made in the respiratory collection process? … Collection of Specimens
15
Collecting a Good Respiratory Sample
Wash hands and use new gloves … Specimens
16
Sputum cultures should only be sent on residents whom you are concerned have a lower respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/covid-impact-medical-visits.pdf
June 02, 2025 - Among them:
--- Acute bronchitis
30
and other upper
respiratory infections
27.8
27.0 - Hypertension … 25
COPD, Asthma and
other respiratory
C 21.4 conditions
� 20 20.3
� ...
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
September 01, 2017 - continued)
Reason for Transfer
Resident
Cardiac/
Circulatory
Symptoms
Respiratory … Resident
Labwork Obtained
X Rays Obtained
IV Fluids/
Subcutaneous Fluids
Oxygen
Respiratory … Treatment
Respiratory Suctioning
Medications: IV, Intramuscular, or SQ
Medications: Oral … Physician
Covering Provider
Consulting Physician
Nurse Practitioner or Physician's Assistant
Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4a_ed-setting.pptx
January 10, 2017 - Confusion Based on specific test or disorientation to person, place, or time
Uremia BUN >20 mg/dL
Respiratory … 4 40% ICU
5 57% ICU
CURB-65 CDS Tool
Automatically extracts data from EHR (age, blood pressure, respiratory … difficulties
Respiratory distress
Breathing problem
Shortness of breath
Demonstration of the … come from:
Criteria Data Source
Confusion Recorded by nurse in flow sheet
BUN Last in 24 hours
Respiratory … rate Last respiratory rate in vitals section
Blood pressure Last blood pressure in vitals section
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - The diagnosis should not be made on
chest x-ray findings in the absence of relevant
respiratory symptoms … It is
important to consider alternative causes of respiratory
symptoms that could be contributing to … Viral respiratory testing should be considered during
respiratory virus season. … If a patient has a severe penicillin allergy, consider a
respiratory fluoroquinolone such as levofloxacin … Of note, a patient who cannot generate any sputum
and has minimal or no respiratory symptoms may not
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - Status: The respiratory therapist notes that a ventilated patient is showing a marked increase in respiratory … Environment: It is a shift change, and everyone is busy, so the respiratory therapist checks the medication … Progress: The respiratory therapist notifies the oncoming nurse of their concern.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - ”
• Increased respiratory rate is defined as a respiratory rate > 20 breaths per minute. … If a
respiratory rate is not documented, but “increase in respiratory rate” or “tachypnea” is
documented … , mark “increased respiratory rate
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.pdf
October 01, 2016 - antibiotics are most frequently prescribed in nursing homes: (1) urinary
tract infections (UTIs), (2) lower respiratory … Determine Whether To Treat Toolkit 3/Tool 1 5
Minimum Criteria for Initiating Antibiotics for a Lower Respiratory … has a fever of >102°F (38.9°C), initiate antibiotics if one of the following
criteria are met:
• Respiratory … confusion, disorientation, dramatic change in mental
status), or
– Rigors (shaking chills), or
– Respiratory … met:
• New or increased cough with purulent sputum production AND at least 1 of
the following:
– Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-tech-specs.pdf
June 02, 2025 - Department
Severe sepsis Sepsis plus one of the following: cardiovascular organ dysfunction OR
acute respiratory … Definition
Severe sepsis Sepsis plus one of the following: cardiovascular organ dysfunction OR acute
respiratory … • Mean respiratory rate > 2 SD above normal for age or mechanical ventilation
for an acute process … mL/kg/hr
– Prolonged capillary refill: > 5 seconds
– Core to peripheral temperature gap > 3°C
Respiratory … Group Tachycardia
(Heart rate:
Beats/min)
Bradycardia
(Heart rate:
Beats/min)
Tachypnea
(Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - You will also be able to detail procedures for collecting urine and respiratory samples from nursing … Slide 13
Case 3: Carol
SAY:
Let’s move on to discuss sample collection of respiratory cultures. … Note that Coronavirus disease 2019, or COVID-19, a viral infection caused by severe acute respiratory … The results read: “Insufficient sample; normal respiratory flora.” … a good respiratory sample:
1.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-icd-9codes.pdf
June 02, 2025 - 345.91, 780.3
345 Epilepsy and recurrent seizures
780.3 Convulsions
ASTHMA 493-493.91
OTHER RESPIRATORY … 770.7
770.7 Chronic respiratory disease arising in the perinatal period
CONGENITAL & OTHER HEART … 741 Spina bifida
742 Other congenital anomalies of the nervous system
748 Congenital anomalies of respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7b-table-4.pdf
June 02, 2025 - , 780.3
345 Epilepsy and recurrent seizures
780.3 Convulsions
ASTHMA 493-493.91
OTHER RESPIRATORY … 770.7
770.7 Chronic respiratory disease arising in the perinatal period
CONGENITAL & OTHER HEART … 741 Spina bifida
742 Other congenital anomalies of the nervous
system
748 Congenital anomalies of respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-7-icd-codes.pdf
June 02, 2025 - 345.91, 780.3
345 Epilepsy and recurrent seizures
780.3 Convulsions
ASTHMA 493-493.91
OTHER RESPIRATORY … 770.7
770.7 Chronic respiratory disease arising in the perinatal period
CONGENITAL & OTHER HEART … 741 Spina bifida
742 Other congenital anomalies of the nervous system
748 Congenital anomalies of respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-icd-9-codes.pdf
June 02, 2025 - , 780.3
345 Epilepsy and recurrent seizures
780.3 Convulsions
ASTHMA 493-493.91
OTHER RESPIRATORY … 770.7
770.7 Chronic respiratory disease arising in the perinatal period
CONGENITAL & OTHER HEART … 741 Spina bifida
742 Other congenital anomalies of the
nervous system 748 Congenital anomalies of
respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-b-icd-9-codes.pdf
June 02, 2025 - 345.91, 780.3
345 Epilepsy and recurrent seizures
780.3 Convulsions
ASTHMA 493-493.91
OTHER RESPIRATORY … 770.7
770.7 Chronic respiratory disease arising in the perinatal period
CONGENITAL & … 741 Spina bifida
742 Other congenital anomalies of the nervous system
748 Congenital anomalies of respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - Any child with mental status changes, in respiratory distress, or with hemodynamic instability should … Note that respiratory fluoroquinolones—which include levofloxacin and moxifloxacin—are not recommended … For patients with severe beta-lactam allergies, a respiratory fluoroquinolone such as moxifloxacin or … If the child has had a severe penicillin allergy, consider a respiratory fluoroquinolone or macrolide … R is for an elevated respiratory rate, which he does not have.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4b_pc-setting.pptx
January 10, 2017 - Element Specifications
Confusion Based on specific test or disorientation to person, place, or time
Respiratory … 3 or 4 31.2% ICU
CRB-65 CDS Tool
Automatically extracts data from EHR (age, blood pressure, and respiratory … difficulties
Respiratory distress
Breathing problem
Shortness of breath
Malaise
Bronchitis
Confusion … Data for the criteria come from:
Criteria Data Source
Confusion Recorded by MA in flow sheet
Respiratory … rate Last respiratory rate in vitals section
Blood pressure Last blood pressure in vitals section