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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
June 01, 2021 - consciousness
• (Jittery, drowsy, difficult to
arouse)
COMMON CAUSES OF DELIRIUM
COMMON SYMPTOMS … 0029
June 2021
IDENTIFYING DELIRIUM
ABCs OF IDENTIFICATION
COMMON CAUSES OF DELIRIUM
COMMON SYMPTOMS
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
March 01, 2017 - Does the resident have one or more CAUTI signs or symptoms? … Is there another explanation for the resident’s symptoms? … If there are no signs or symptoms, then don’t send a urine culture. … [PAUSE FOR DISCUSSION]
Be on the lookout for signs and symptoms of CAUTI. … Characteristics and experiences of parents and adults who want antibiotics for cold symptoms.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - Both are alike in that they involve a positive urine culture, but one has urinary symptoms (CAUTI) and … Bacteriuria signs and symptoms include: urine color, smell and sediment, cloudy urine, WBCs in the urine … But smell, or cloudiness, etc., are not symptoms of UTI or CAUTI. … So, now let’s review the signs and symptoms that indicate a CAUTI. … While her urine is cloudy, she is still doing well without any symptoms of UTI.
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www.qualitymeasures.ahrq.gov/data/infographics/neonatal-abstinence-syndrome-2016.html
July 01, 2019 - Through 2016 (PDF, 258.55 KB)
Text Description: The number of babies born each year with withdrawal symptoms … In 2016, more than 25,000 babies were born with withdrawal symptoms from drug dependence compared with
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0244-technical-specifications.pdf
March 01, 2016 - • A depression case management encounter that documents assessment for
symptoms of depression or … – Documentation of additional depression screening indicating either no
depression or no symptoms … The PHQ-9 tool assesses the nine DSM, Fourth Edition, Text Revision (DSM-IV-TR) criteria symptoms
and … Table DMS-A-1/2/3: Metadata Elements for Utilization of the PHQ-9 to Monitor
Depression Symptoms for … Numerator 2 Members who achieve remission of depression symptoms, as demonstrated by
the most recent
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-technical-specifications.pdf
March 01, 2016 - • A depression case management encounter that documents assessment for
symptoms of depression or … – Documentation of additional depression screening indicating either no
depression or no symptoms … The PHQ-9 tool assesses the nine DSM, Fourth Edition, Text Revision (DSM-IV-TR) criteria symptoms
and … Table DMS-A-1/2/3: Metadata Elements for Utilization of the PHQ-9 to Monitor
Depression Symptoms for … Numerator 2 Members who achieve remission of depression symptoms, as demonstrated by
the most recent
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - Bacteriuria diagnosed by a UA or a culture without signs or symptoms is defined as asymptomatic bacteriuria … Allen, one must evaluate her for signs and symptoms of CAUTI. … Does she have symptoms suggestive of a CAUTI, including flank pain or CVA (costovertebral angle) tenderness … Symptoms of UTI are rarely reported in ICU patients, which can be a barrier to patient evaluation for … Remember that many providers feel pressured to treat positive urine cultures, even when symptoms are
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - Residents without urinary catheters who develop new pain with urination, or dysuria
Commonly Mistaken Symptoms … Placing a new catheter can help hasten the resolution
of symptoms. … on local
epidemiology)
Urine culture – not indicated
here, with other localizing
symptoms … (respiratory) and no
complaints of urinary symptoms
Collection of Specimens
14
15
Case 3: Continued … Summary
Bacterial cultures should only be collected from residents with abnormal and concerning clinical symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/Workplace-Safety-Supplemental-Item-Set-NursingHomes.docx
January 01, 2023 - is calculated by combining the percentages of response to the first two responses:
· 1: “I have no symptoms … Using your own definition of “burnout,” please select one of the answers below:
☐ 1 I have no symptoms … energy as I did, but I don’t feel burned out.
☐ 3 I am beginning to burn out and have one or more symptoms … of burnout, e.g., emotional exhaustion.
☐ 4 The symptoms of burnout that I am experiencing won’t go … I am at the point where I may need to seek help.*
* If you indicated you have symptoms of burnout or
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - Aims:
• To examine the frequency of inpatient
admissions for related symptoms after discharge … from an ED for chest symptoms … Admissions After Discharge from an
Emergency Department for Chest Symptoms
97.0%
0.2%
1.7%
0.5% … Disorder
Study Conclusions & Implications
• Admission for AMI after discharge from an ED for chest
symptoms … Admissions After Discharge from an Emergency Department for Chest Symptoms
Study Conclusions & Implications
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8a.html
October 01, 2014 - Number of symptoms. … In general, two studies showed that symptoms are reduced significantly when an in-person care management … intervention is employed. 3 , 8 In particular, one study found that symptoms were reduced significantly … Four studies explored the impact of telephonic care management on number of symptoms present. 3 , 10- … , but at 12 months, no significant change in asthma symptoms had occurred.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
December 01, 2022 - please note the following:
· Positive response on Work Stress/Burnout, in other words “Experiencing no symptoms … is calculated by combining the percentages of response to the first two responses:
· 1: “I have no symptoms … Using your own definition of “burnout,” please select one of the answers below:
☐ 1 I have no symptoms … of burnout, e.g., emotional exhaustion.
☐ 4 The symptoms of burnout that I am experiencing won’t go … I am at the point where I may need to seek help.*
* If you indicated you have symptoms of burnout or
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - 13
Patient Safety
13
The Four Moments of Antibiotic Decision Making
Does the resident have symptoms … The resident did not have signs and symptoms consistent with a UTI. … The resident did not have signs and symptoms consistent with a UTI. … culture grew E. coli, prescribing clinician should have evaluated resident to determine if she had UTI symptoms … The resident did not have signs and symptoms consistent with a UTI.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-slides.pptx
June 01, 2021 - ray
Management RTI
5
The Four Moments of Antibiotic Decision Making
Does the resident have symptoms … Self-limited inflammation of bronchi, the large airways of the lung
Cause:
Viral (with rare exceptions)
Symptoms … ray unlikely
Pneumonia
Definition:
Infection of the lung tissue
Cause:
~75% bacteria, ~25% viral
Symptoms … infiltrates
7
Management RTI
7
The Four Moments of Antibiotic Decision Making
Does the resident have symptoms … Management RTI
14
The Four Moments of Antibiotic Decision Making
Does the resident have symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - If they don’t have symptoms, they should not be receiving antibiotics, yet they often are. … components of criteria
Developed the MCRF to assure attention to and communication of key signs and symptoms … in resident who does not have COPD
“Infiltrate” on chest x-ray in absence of clinically significant symptoms … hydration and perineal hygiene can prevent recurrence
Culture should be ordered only if new urinary symptoms … 2 or more symptoms/signs
of other infection?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf
January 01, 2009 - the risk of sudden
death.ix,x,xi It is important to expand the history to include specific cardiac symptoms … nonstimulant atomoxetine, the adverse effects include initial somnolence and
gastrointestinal tract symptoms … Criteria for this level of severity, on the basis of the multisite
study,xii are: (1) symptoms that … Hallucinations and other psychotic symptoms
associated with the use of attention-deficit/hyperactivity … Comparison of attention-deficit/hyperactivity disorder symptoms subtypes
in Ukrainian schoolchildren
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-aspiration-pneumonia.docx
June 01, 2021 - injury from acidic material
Progression to bacterial infection
Clinical features
Range from no symptoms … adding vancomycin or linezolid to the above regimens.3,9
· Reassess at 48 hours.2,8
· If clincial symptoms … Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home
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www.qualitymeasures.ahrq.gov/nursing-home/materials/prevention/index.html
January 01, 2023 - also provides a sample decision tree for monitoring residents during daily encounters for signs and symptoms … Prevention Learning Modules
This series of three learning modules focuses on identifying the signs and symptoms … of COVID-19, knowing when and how to report signs and symptoms of COVID-19, and remembering to maintain
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-slides.pptx
September 01, 2022 - is caused by viruses in children and adults1,2
Patients with viral pharyngitis have other signs and symptoms … have a sore throat with tonsillar exudates, fever, and cervical lymphadenopathy without typical viral symptoms … pharyngitis6,7
Uncommon cause of pharyngitis in adolescents and young adults
Antibiotics may not reduce symptoms … antibiotic therapy is necessary
Consider treating with antibiotics if the patient is experiencing severe symptoms … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of pharyngitis and
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - Consider a different beta-lactam antibiotic or medication to help with symptoms if the same antibiotic … are not allergies
and should not be labeled
as an allergic reaction
� Isolated gastrointestinal symptoms … � No need for hospitalization due to rash
Medium-risk antibiotic
allergy
� Hives with no other symptoms