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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-slides.pptx
September 01, 2022 - CAP
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
4
Moment 1: Diagnosis of CAP
Symptoms … malaise, headache, sore throat, and cough that linger for over a week
Legionella pneumophila: acute symptoms … pneumonia, consider a 3- to 5-day course of antibiotic therapy7
Children and adults with recent flulike symptoms … The clinical signs and symptoms of worsening shortness of breath, a productive cough, and fevers make … Patient Handout: The Patient Handout explains the symptoms and symptomatic treatment of community-acquired
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
August 23, 2018 - I have no symptoms of burnout. … I am definitely burning out and have one or more symptoms of burnout, such as physical and
emotional … The symptoms of burnout I experience won’t go away. I think about frustrations at work a lot.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
November 01, 2016 - Population Recommendation Grade
Adults ages 40-75 years with no symptoms or history of CVD and a calculated … Recommendation November 2016 (2)
Population Recommendation Grade
Adults ages 40-75 years with no symptoms … Increased risk of diabetes
Muscle aches – rhabdomyolysis
Hepatotoxicity
Strategies for addressing symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-247-fullreport.pdf
December 01, 2019 - The purpose of this measure is to improve monitoring of symptoms and treatment progress for
adolescents … Even minor levels of depression symptoms are associated with decreases in work function (Beck,
Crain … Measuring and tracking depressive symptoms are important to improve patient outcomes
(Knaup, et al., … Regular tracking and monitoring of symptoms can help clinicians better
understand the effectiveness … Residual symptoms after partial remission: An important
outcome in depression.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
December 01, 2019 - The purpose of this measure is to improve monitoring of symptoms and treatment progress for
adolescents … Even minor levels of depression symptoms are associated with decreases in work function (Beck,
Crain … Measuring and tracking depressive symptoms is important to improve patient outcomes (Knaup,
et al., … Regular tracking and monitoring of symptoms can
help clinicians better understand the effectiveness … Residual symptoms after partial remission: An important
outcome in depression.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - Ask if there has been an acute change in symptoms that would suggest a new process, such as new fever … These symptoms and signs suggest cellulitis. … However, the erythema should become less intense, and systemic symptoms such as fever should improve … Patients should be improving by day 3, but at that time may have some residual signs and symptoms. … If patients have no improvement or worsening symptoms by day 3, they should be re-evaluated.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-asymptomatic-bacteriuria.pdf
June 01, 2021 - Diagnosis
• Asymptomatic bacteriuria (ASB) is a positive urine culture from a person with NO symptoms … − Do not order urine cultures unless a resident has signs and symptoms of a UTI. … Lack of
association between bacteriuria and symptoms in the
elderly.
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www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
March 01, 2017 - People can have bacteria in the urine that do not cause symptoms or harm; asymptomatic bacteriuria is … Urine culturing can actually harm residents who have no CAUTI symptoms.
4. … Urine cultures should only be ordered if one or more CAUTI symptoms are present. … CAUTI signs and symptoms are the following:
Fever (even if the resident has another possible cause
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www.qualitymeasures.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - gastroesophageal reflux disease, or GERD, the condition can irritate the esophagus, causing heartburn and other symptoms … Condition: A health problem with certain characteristics or symptoms. … Diagnosis: The process of identifying a disease from its signs and symptoms using patient history, examination … Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
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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 - Asymptomatic Bacteriuria
3
Residents With a Positive Urine Culture OR
a Positive Urinalysis
NO SYMPTOMS … Diagnosing a UTI
5
OR
Dysuria
(pain with urination)
Systemic Signs
(fever or chills)
One or more symptoms … Based on Melba’s symptoms, a urinalysis and culture should be obtained
UTI Management
6
Case … Had not complained of any urinary symptoms the day before her fall
Still reports no urinary symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-4.xlsx
January 17, 2017 - ADHD Diagnosis ADHD diagnosis validation, symptom Medical record indicates ADHD diagnosis validation, symptoms … of inattention Medical record indicates assessment for presence or absence of symptoms of … ADHD Diagnosis ADHD diagnosis validation, symptom Medical record indicates ADHD diagnosis validation, symptoms … of hyperactivity Medical record indicates assessment for presence or absence of symptoms of … of impulsivity Medical record indicates assessment for presence or absence of symptoms of
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-8-attachment-1.pdf
January 17, 2017 - physician in the
chart (Yes - 1/No - 2)
53 59.62%
Evidence in the chart of
assessment of Core symptoms … through a validated diagnostic tool
(Yes - 1/No - 2)
OR
Evidence in the chart of
assessment of Core symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - : no
Tremor: no
Palpitations: no
Insomnia: no
Neuroglycopenic Symptoms
Confusion: no
Lethargy: … : no
Tremor: no
Palpitations: no
Insomnia: no
Neuroglycopenic Symptoms
Confusion: no
Lethargy: … Symptoms
Confusion: no
Lethargy: no
Somnolence: no
Amnesia: no
Stupor: no
Seizures: no
Review … BP and symptoms of prostatism are better. … BP and symptoms are better.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - No Physician did not ask questions
No idea about urinary symptoms that would merit workup for UTI
No … Her vitals are normal and she has no symptoms other than pain in her hip.” … Ask for more information regarding symptoms. … Assessment: He has no signs or symptoms of a urinary tract infection; his vital signs are stable and … Ask for more information regarding symptoms.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-6-b.pdf
December 29, 2017 - can resume regular
activity
0.40 .23 .58** .23 .26 .32 .15 -.05 .18
Q41
Provider explained
symptoms … Q42
Parents given written info
about symptoms … discharge .61
Q40 Provider explained when child can resume regular activity .76
Q41 Provider explained symptoms … or problems to look for after discharge .83
Q42 Parents given written info about symptoms or problems
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
June 01, 2012 - chart of assessment of impairment in 2 settings (Yes - 1/No - 2) Evidence in the chart of assessment of symptoms
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - You call the clinician on call to report his symptoms, and she asks you to place a new urinary catheter … This biofilm contains bacteria that may not necessarily be related to the resident’s new symptoms. … Placing a new catheter can help hasten the resolution of symptoms.
· This is also true. … of cough and fever, with no complaints of urinary symptoms. … Without urinary symptoms and with another good reason for fever, there is no good reason to obtain a
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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-key.docx
March 01, 2017 - While her urine is cloudy, she is still doing well without any symptoms of UTI. … Mullins even though she did not have the appropriate signs and symptoms of a CAUTI. … Mullins’ urinary-specific symptoms before ordering a urine culture.
3. … While her urine is cloudy, she is still doing well without any symptoms of UTI. … Colbert’s condition more closely, paying close attention for CAUTI-specific signs and symptoms (e.g.,
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - He should have asked about urinary symptoms before sending a urine culture. … Her vitals are normal, and she did not complain of any symptoms other than pain in her hip. … Ask for more information regarding symptoms. … Assessment: He has no signs or symptoms of a urinary tract infection; his vital signs are stable, and … Ask for more information regarding symptoms.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - No. 17(21)-0029
June 2021
Assessment of RTI
1
Objectives
Recognize the signs and symptoms of a suspected … else with close exposure to the resident, and any of the residents in the facility with respiratory symptoms … Self-limited inflammation of bronchi, the large airways of the lung
Cause: Viral (with rare exception)*
Symptoms … Pneumonia
Definition: Inflammation or infection of the lung tissue
Cause: ~75% bacteria, ~25% viral
Symptoms