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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - Patient satisfaction not impacted by antibiotic prescribing for viral upper respiratory infections. … Inappropriate antibiotic prescribing for respiratory conditions does not improve Press Ganey patient … Delayed antibiotic prescription for children with respiratory infections: A randomized trial. … Antibiotic prescribing for respiratory tract infections and encounter length: an observational study … Communication practices and antibiotic use for acute respiratory tract infections in children.
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www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-protocol.html
January 01, 2017 - Respiratory rate of 35 breaths/minute for at least 5 minutes. … Two or more signs of respiratory distress:
Tachycardia.
Bradycardia. … No spontaneous inspiratory effort in a 5-minute period (Consideration of the set respiratory rate is … trial if he or she avoids developing any of the following failure criteria within 120 minutes:
Respiratory … Two or more signs of respiratory distress:
Tachycardia.
Bradycardia.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-protocol.docx
January 01, 2017 - without sedation for 4 hours or more without the following:
· Sustained anxiety, agitation, or pain
· Respiratory … (SpO2) of less than 88% for at least 5 minutes
· Acute cardiac dysrhythmia
· Two or more signs of respiratory … PEEP] ≥ 8 cm H2O)
· No spontaneous inspiratory effort in a 5-minute period (Consideration of the set respiratory … trial if he or she avoids developing any of the following failure criteria within 120 minutes:
· Respiratory … for ≥ 5 minutes)
· Abrupt change in mental status
· Acute cardiac arrhythmia
· Two or more signs of respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-table1.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 and 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/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-slides.pptx
January 01, 2017 - ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
Complications of Sedation
Suppresses respiratory … mobility
Prolonged ventilator dependence can increase the risk of pneumonia, atelectasis, and acute respiratory … rate >35/min
SpO2 <88%
Respiratory distress
Acute cardiac dysrhythmia
Diaphoresis
Heart rates >130
Fail … rate <35/min
SpO2 >88%
Heart rate >130
Does not experience respiratory distress
Does not experience … rate >35/min
Respiratory rate <8/min
SpO2 <88%
Mental status change
Acute cardiac dysrhythmia
Fail SBT
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www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
January 01, 2025 - This can lead to unnecessary
respiratory pharmacotherapy and/or missed diagnosis of other disease states … program compared to usual care on
healthcare utilization and patient-centered outcomes (including respiratory … There is also
DE in the diagnosis of asthma versus COPD, as these are both clinically distinct respiratory … At baseline, the patient participants reported
having the following respiratory diagnoses: 42 (10.4% … It causes harm not only from inappropriate use of respiratory
pharmacotherapy but also from delay or
-
www.ahrq.gov/news/newsletters/e-newsletter/916.html
June 01, 2024 - Study Finds No Improvement From Antibiotics for Patients With Lower Respiratory Tract Infections . … Study Finds No Improvement From Antibiotics for Patients With Lower Respiratory Tract Infections Prescribed … antibiotics did not reduce the duration and severity of coughing in patients with acute lower respiratory … Researchers found that 29 percent of patients with cough and lower respiratory tract infection symptoms … Researchers concluded that patients had unrealistic expectations regarding the duration of lower respiratory
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Return to Appendix Contents
Apnea of Prematurity
Characteristics
Respiratory pause for at least … Course characterized by acute exacerbations of respiratory distress. … Risk factors: premature birth, respiratory failure, O 2 supplementation, mechanical ventilation, air … Monitoring
Monitor O 2 saturations, resting respiratory rate and effort, presence of retractions … Frequent respiratory problems due to aspiration.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Return to Appendix Contents
Apnea of Prematurity
Characteristics
Respiratory pause for at least … Course characterized by acute exacerbations of respiratory distress. … Risk factors: premature birth, respiratory failure, O 2 supplementation, mechanical ventilation, air … Monitoring
Monitor O 2 saturations, resting respiratory rate and effort, presence of retractions … Frequent respiratory problems due to aspiration.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Respiratory Hygiene and Etiquette
Key Messages
Everyone needs to watch for and report respiratory … Staff should go home if they develop respiratory symptoms while working. … Visitors, families, and staff can be a source of respiratory illness outbreaks. … Respiratory illnesses often result in hospital stays—and sometimes even death. … Airborne
Small respiratory particles that stay suspended in the air.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - antibiotics are most frequently prescribed in nursing homes: (1) urinary tract infections (UTIs), (2) lower respiratory … Minimum Criteria for Initiating Antibiotics for a Lower Respiratory Tract Infection
If a resident has … a fever of >102°F (38.9°C), initiate antibiotics if one of the following criteria are met:
Respiratory … onset of confusion, disorientation, dramatic change in mental status), or
Rigors (shaking chills), or
Respiratory … criteria are met:
New or increased cough with purulent sputum production AND at least 1 of the following:
Respiratory
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www.ahrq.gov/nursing-home/resources/vaccine-storage-handling.html
August 01, 2022 - reflects best practices for vaccine storage and handling from the National Center for Immunization and Respiratory
-
www.ahrq.gov/topics/antimicrobial-stewardship.html
improves antibiotic use for four infections common in nursing homes: urinary tract infections, lower respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - Increase respiratory rate to a maximum of 35 breaths per minute.
• pH > 7.45. … Decrease respiratory rate if patient is not overbreathing set rate. … The acute respiratory
distress syndrome. N Engl J Med. 2000
May;342(18):1334-49. … Lung volume assessment in
acute respiratory distress syndrome. … Ventilatory strategies and supportive
care in acute respiratory distress syndrome.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.pdf
October 01, 2016 - treated in nursing homes—urinary tract infections (UTIs), skin and
soft-tissue infections, and lower respiratory … Determine Whether To Treat Toolkit 3/Tool 4 2
Although UTIs, skin and soft-tissue infections, and lower respiratory … has a fever of >102°F (38.9°C), initiate antibiotics if one of the following
criteria is met:
• Respiratory … confusion, disorientation, dramatic change in mental
status), or
– Rigors (shaking chills), or
– Respiratory … • New or increased cough with purulent sputum production AND at least one of
the following:
– Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - Diagnosing VAP can be challenging because there are
several reasons why a patient can have respiratory … Respiratory specimens should be sent for Gram stain
and bacterial culture. … If VAP is the likely diagnosis, use respiratory culture
results to direct therapy. … If a patient has a severe penicillin allergy, consider a
respiratory fluoroquinolone such as levofloxacin … First, ensuring respiratory cultures are sent for all
patients with suspected VAP whenever possible
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
February 01, 2017 - Say:
Sedation suppresses respiratory drive, which prolongs ventilator dependence; impairs mobility; … safety screen, the patient must not demonstrate persistent anxiety, agitation, or pain, must have a respiratory … The patient must also not demonstrate any more than one of the signs of respiratory distress such as … The patient must also have a respiratory rate of less than 35 breaths per minute, and of at least 8 breaths … Registered nurses and respiratory therapists would initiate the SATs and SBTs instead of doctors.
-
www.ahrq.gov/nursing-home/resources/wearing-masks.html
May 01, 2022 - to properly wear a mask and contains images showing how masks are a simple barrier to help prevent respiratory
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
January 01, 2017 - SAY:
Sedation suppresses respiratory drive, which prolongs ventilator dependence; impairs mobility; … The patient must also not demonstrate any more than one of the signs of respiratory distress such as … Registered nurses and respiratory therapists would initiate the SATs and SBTs instead of doctors. … rate >35/min
SpO2 <88%
Respiratory distress
Acute cardiac dysrhythmia
Diaphoresis
Heart rates > … rate >35/min
SpO2 <88%
Respiratory distress
Acute cardiac dysrhythmia
Diaphoresis
Heart rates >
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - Culture-positive Residents:
• Do not use contact precautions in the absence of a
draining wound, profuse respiratory … Culture-positive Residents:
• Do not use contact precautions in the absence of
a draining wound, profuse respiratory … Upper respiratory infection (common cold).
5. … Respiratory symptoms in a resident with advanced
dementia, on palliative care, or at the end of life