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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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/respiratory-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory … Tract Conditions
Best Practices in the Diagnosis and Treatment of Community-Associated Lower Respiratory … obtain chest x ray
No infiltrates – indicates pneumonia not present
Presence of infiltrate without respiratory … parapneumonic effusion
Sputum Gram stain and culture Recommended for making the diagnosis of CAP
Respiratory … Ceftriaxone is associated with development of CDI
Can be used in nonsevere penicillin (PCN) allergy
Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - sputum production that lasts less than 3 weeks, generally starting in the setting of a viral upper respiratory … However, children commonly have lingering viral upper respiratory infections with a cough that can also … samples for culture or respiratory virus testing, or biomarkers. … Benzonatate suppresses the cough reflex by numbing stretch receptors in the lower respiratory tract. … It should not be prescribed to patients under 18 years of age due to reports of respiratory depression
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/covid-impact-medical-visits.pdf
July 05, 2023 - 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/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
-
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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
January 11, 2010 - Rapid Response
SystemsSCENARIO 1
The nurse called the RRT to a patient who exhibited a reduced
respiratory … Within
several minutes, team members arrived at the patient’s room;
however, the respiratory therapist … After a second
overhead page and other calls, the respiratory therapist arrived,
stating that he could … a delay in the assessment
of the patient’s airway and intervention pending arrival of the
response respiratory … Discussion points might include:
• Why might have the respiratory therapist been late?
-
psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
May 24, 2015 - The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory … The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory … patient harm through alternative use of ventilators to support multiple patients with compromised respiratory … The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory
-
qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2019/TechSpecs/PQI_15_Asthma_in_Younger_Adults_Admission_Rate.pdf
July 01, 2019 - Excludes
admissions with an indication of cystic fibrosis or anomalies of the respiratory system, obstetric … Origin - 4, 5, 6)
• with any-listed ICD-10-CM diagnosis codes for cystic fibrosis and anomalies of the respiratory … Younger Adults Admission Rate
www.qualityindicators.ahrq.gov
Cystic fibrosis and anomalies of the respiratory … Congenital cyst of mediastinum
Q2547 Right aortic arch Q348 Other specified congenital malformations
of respiratory … system
Q2548 Anomalous origin of subclavian artery Q349 Congenital malformation of respiratory
system
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0004_03-11-2008.pdf
January 01, 2008 - Topic Selection Process & Next Steps
Noninvasive positive pressure ventilation (NPPV) for acute respiratory … Adults, particularly older adults with COPD and heart failure (ACPE), and
any group at higher risk of respiratory … What is the comparative effectiveness of invasive ventilation versus NPPV in
patients with respiratory … Considerations
Noninvasive Positive Pressure Ventilation (NPPV)
for Acute Respiratory Failure … failure due to opportunistic
infection in immunocompromised patients and post-extubation respiratory
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/TND_0004_03-11-2008.pdf
January 01, 2008 - Topic Selection Process & Next Steps
Noninvasive positive pressure ventilation (NPPV) for acute respiratory … Adults, particularly older adults with COPD and heart failure (ACPE), and
any group at higher risk of respiratory … What is the comparative effectiveness of invasive ventilation versus NPPV in
patients with respiratory … Considerations
Noninvasive Positive Pressure Ventilation (NPPV)
for Acute Respiratory Failure … failure due to opportunistic
infection in immunocompromised patients and post-extubation respiratory
-
qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2015%20Asthma%20in%20Younger%20Adults%20Admission%20Rate.xlsx
January 01, 2015 - Asthma in Younger Adults Admission Rate
NUMERATOR EXCLUSIONS
Cystic fibrosis and anomalies of the respiratory … system Q31.3 Laryngocele
748.9 Unspecified anomaly of respiratory system Q31.5 Congenital laryngomalacia … of larynx
759.3 Situs inversus Q31.9 Congenital malformation of larynx, unspecified
770.7 Chronic respiratory … pleura
Q34.1 Congenital cyst of mediastinum
Q34.8 Other specified congenital malformations of respiratory … system
Q34.9 Congenital malformation of respiratory system, unspecified
Q39.0 Atresia of esophagus
-
qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2019/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2019 - Exclude cases:
• with any-listed ICD-10-CM diagnosis codes for cystic fibrosis and anomalies of the respiratory … J411 Mucopurulent chronic bronchitis J440 Chronic obstructive pulmonary disease with
acute lower respiratory … J430 Unilateral pulmonary emphysema
[MacLeod's syndrome]
J470 Bronchiectasis with acute lower respiratory … system
Q2548 Anomalous origin of subclavian artery Q349 Congenital malformation of respiratory
system … Other congenital malformations of
larynx
Q394 Esophageal web
Cystic fibrosis and anomalies of the respiratory
-
qualityindicators.ahrq.gov/Downloads/Modules/PQI/v2021/TechSpecs/PQI_05_Chronic_Obstructive_Pulmonary_Disease_(COPD)_or_Asthma_in_Older_Adults_Admission_Rate.pdf
July 01, 2021 - Exclude cases:
• with any listed ICD-10-CM diagnosis codes for cystic fibrosis and anomalies of the respiratory … J411 Mucopurulent chronic bronchitis J440 Chronic obstructive pulmonary disease
with (acute) lower respiratory … J430 Unilateral pulmonary emphysema
[macleod's syndrome]
J470 Bronchiectasis with acute lower
respiratory … system
Q2548 Anomalous origin of subclavian artery Q349 Congenital malformation of respiratory
system … Other congenital malformations of
larynx
Q394 Esophageal web
Cystic fibrosis and anomalies of the respiratory
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - PowerPoint Presentation
Management of a Resident With a Suspected Respiratory Tract Infection
Long-Term … Temp 99.2° Fahrenheit
Heart rate 98 beats per minute
Blood pressure 110/87
Oxygen saturation 95%
Respiratory … 8
Management RTI
8
Diagnostic Tests1,2
9
Gram stain and sputum culture
Respiratory viral … cough, and fever
Treatment Active monitoring
Prevention—speech and swallow evaluation Antibiotics
Respiratory … areas, such as break rooms and work stations
Distribute the Bacterial Pneumonia in Long-Term Care, Respiratory
-
pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - or Likely Preventable, by
Clinical Category
Adverse Events Related to Infections
LTCH-acquired respiratory … infections
• Pneumonia contributing to patient death
• Pneumonia contributing to patient death
• Respiratory … aspiration resulting in transfer
to an acute-care hospital and contributing to death
• Pneumonia and respiratory … treatment
• Aspiration pneumonitis/pneumonia with inadequate preventive care
• Cascade with opioids (respiratory … acidosis and cardiac arrest during hemodialysis
• Respiratory failure with delayed response resulting
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/hmv-disposition-of-comments.pdf
March 14, 2019 - “Respiratory failure” implies oxygenation failure. … European
Respiratory Journal. … European Respiratory Journal. … European
Respiratory Journal. … European Respiratory Journal.
-
digital.ahrq.gov/location/usa-ny-bronx
January 01, 2023 - Researchers will use patient-reported outcomes and calculate a Respiratory Symptoms Risk Score using … TREAT ECARDS: Translating Evidence into Action: Electronic Clinical Decision Support in Acute Respiratory … , a clinical decision support system that identifies and supports management of patients with acute respiratory