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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - Did we try symptomatic treatment and active monitoring? … Can we try symptomatic treatment and active monitoring? … What empiric therapy should we initiate? … Institutional Factors
Factors
Moment 3: What duration of antibiotic therapy … Can we narrow therapy?
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing … Emphasis
centers on the quality of the available evidence and on comparisons to therapeutic alternatives … specified the use of actual body weight for dosing and trough serum concentrations at steady
state for therapeutic … The use of anticoagulant therapy for the prevention and treatment of venous
thromboembolism (VTE) and … being used as a mechanism to switch otherwise reluctant patients from expensive
to less expensive therapies
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
November 01, 2019 - to perform a daily “time out” for patients receiving antibiotics
Will ensure appropriate antibiotic treatment … know if existing practices are harming patients, necessitating a change in practice, or that a new treatment … Use – Acute Care
Sustaining Stewardship
9
Example Intervention2
Goals
To decrease the duration of therapy … Intervention showed that a decrease in antibiotic therapy was successful, without negatively impacting … A multicenter stewardship initiative to decrease excessive duration of antibiotic therapy for the treatment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - publication of clinical practice guidelines has proliferated in recent years
as medical decisionmaking and therapeutic … clinical statements that assist in making appropriate and effective
decisions regarding the prevention, treatment … repeatedly shown to benefit patients with cardiovascular
disease and remains a first-line agent in the treatment … as outpatients were not started on beta-blocker
therapy after hospital admission. … Peri-operative b-
blockade: a useful treatment that should be greeted
with cautious enthusiasm.
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www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
January 01, 2021 - Pompe disease can be treated with alglucosidase alfa, an enzyme replacement therapy (ERT) that costs
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - As there are no available clinical trials to define the optimal duration of therapy for sinusitis in … However, because the pathogens causing sinusitis are identical in children and adults, durations of therapy … treatment can help them feel better. … Antibiotic therapy with 5–7 days of amoxicillin-clavulanate is recommended. … Remember that criteria for antibiotic therapy are either worsening symptoms OR persistent symptoms OR
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-info-english-557-6a.docx
June 02, 2025 - MODALITY] with the appropriate term: radiation therapy, drug therapy, or cancer surgery. … Since it was decided that you would have [CANCER TREATMENT MODALITY], did your [CANCER TREATMENT MODALITY … ] team clearly explain how your cancer and [CANCER TREATMENT MODALITY] could affect your normal daily … In the last 6 months, did your [CANCER TREATMENT MODALITY] team tell you what the next steps in your … [CANCER TREATMENT MODALITY] would be?
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - Treatments available have shown
good evidence of efficacy, and lack of
treatment results in a risk for … ● Harms/risks/costs: Both therapies in-
crease the cost of care, and behavior
therapy requires a higher … ● Harms/risks/costs: Both therapies in-
crease the cost of care, and behavior
therapy requires a higher … ● Harms/risks/costs: Both therapies in-
crease the cost of care, and behavior
therapy requires a higher … tential, such as lisdexamfetamine
(Vyvanse [Shire US Inc]), dermal
methylphenidate (Daytrana [Noven
Therapeutics
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/COPD-one-page.pdf
November 01, 2019 - o Patients admitted for COPD exacerbations usually meet criteria for antibiotic treatment. … Long-term
azithromycin therapy in patients with severe COPD
and repeated exacerbations. … Antibiotic
therapy and treatment failure in patients hospitalized
for acute exacerbations of chronic … developments concerning
microbiology and pathophysiology--impact on
approaches to risk stratification and therapy … No. 17(20)-0028-EF
November 2019
Diagnosis
Treatment
References
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Can I narrow therapy or change from IV to oral
therapy?
4. … “Best Practices in the Diagnosis and Treatment of
Diverticulitis and Biliary Tract Infections.” … mechanism for daily
review of antibiotics; poor written or verbal
communication during handoffs; or the treatment … This activity can also be integrated into
existing vancomycin therapeutic monitoring programs
as the … somewhat controversial as on rare
occasions a patient may have vancomycin stopped
when it was needed for treatment
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/respiratory-assess.html
June 01, 2021 - Review testing, empiric treatment options, and reasonable durations of antibiotic therapy for pneumonia … Discuss opportunities for de-escalation of antibiotic therapy for pneumonia using results of diagnostic
-
www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/dashboard.html
February 01, 2025 - cessation counseling for patients who smoke ABCS of Heart Health: Smoking Cessation Smoking Cessation Treatment … 84 Guide on how to identify and treat patients who smoke as an example of adapting guidelines into treatment … the Common Reasons for Non-Adherence, pp. 164-165 Resource helps community pharmacists use medication therapy … to assist them in implementing evidence-based care plans and meeting their health goals Medication Therapy … asked by patients Support patient and family engagement in their own evidence-based care Medication Therapy
-
www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - In intervention homes,
residents’ international normalized ratio (INR) values were in the therapeutic … Serious events were those that required specific treatment or a medical evaluation.
6
Life-threatening … As many as
12% receive long-term anticoagulant therapy with warfarin. … dissemination program operated as a collaborative effort of the
Centers for Education and Research on Therapeutics … and provider-to-provider communication strategies—
especially in situations in which improper use of therapeutics
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - Care gap reports for
older adults on long-
term opioid therapy…
…are not available. … Visit templates within
the EHR for chronic
pain and opioid
therapy specific to
older adults…
…do … that all our
patients have equitable
access to resources
such as complementary
and rehabilitative
therapies … Within the past year,
training on how to
involve older adult
patients on long-term
opioid therapy … Referral resources for
nonpharmacologic pain
treatment
providers/programs
(e.g., physical therapy
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - of medical errors thus far have focused on errors related
to inappropriate use or misuse of various therapies … 5
The principal substantive distinction between the adverse events caused by
overuse or misuse of therapies … of clinical inertia will vary depending on how
treatment goals, therapies, and time windows are selected … strategies that encourage greater use of statins and certain antihypertensive or
glucose-lowering therapies … have also created substantial market demand for
specific newer therapies.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - Outcomes of Anticipatory Guidance Regarding Hydroxyurea Treatment
Although hydroxyurea therapy is currently … language‐sensitive educational materials; (6) implement health
promotion models to foster adherence to therapies … Several concerns about the underuse of hydroxyurea therapy detailed
in the Performance Gap section ( … Successful adherence to hydroxyurea therapy requires a commitment to both daily dosing and
frequent … A randomized controlled trial of massage therapy in
children with sickle cell disease.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-one-page.docx
November 01, 2019 - recommendations here]
· [Place local treatment recommendations here]
· [Place local treatment recommendations … recommendations here]
· [Place local treatment recommendations here]
· [Place local treatment recommendations … here]
· Narrowing and oral therapy
· Narrow based on available culture results
· Transition to oral … therapy when patient has clincial improvement; erythema may initially persist or extend despite appropriate … therapy but overall improvement (e.g., reduction of erythema and local inflammation and resolution of
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/screener.html
April 01, 2022 - ·Use or need of specialized therapies (e.g., occupational therapy, physical therapy, speech). … ·Treatment or counseling for emotional, behavioral, or developmental problems.
-
www.ahrq.gov/evidencenow/heart-health/cholesterol/primary-prevention.html
September 01, 2018 - assessment results and patient preferences to guide decisionmaking and improving adherence to statin therapy
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-discussion-guide.docx
September 01, 2022 - What durations of therapy will our practice typically recommend for the treatment of cystitis or … what is the practice’s process to contact patients to determine whether a change in antibiotic therapy