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www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - What empiric therapy should I initiate? … Next, decide on the appropriate empiric antibiotic treatment regimen based on what you think the source … Use local antibiotic treatment guidelines whenever they are available. … Can I narrow therapy or change from IV to oral therapy? … the type of infection diagnosed, transition from intravenous to oral therapy.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
November 01, 2019 - is generally not a pathogen in intra-abdominal infections
· Blood cultures only for severe illness
Treatment … Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment. … Practice parameters for the treatment of sigmoid diverticulitis. … Trial of short-course antimicrobial therapy for intraabdominal infection. … Prospective randomized trial comparing short-term antibiotic therapy versus standard therapy for acute
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-15.html
November 01, 2014 - Decreased other resource costs (i.e., physical therapy costs).
Reduced discharge time. … Saved time by relocating physical therapy staff and tools.
Return to Document
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - Slide 3: Early ICU mobility therapy in the treatment of acute respiratory failure
Say:
The Morris … This translated to 5,267 total physical therapy treatments. … This translates to 0.6 percent of the physical therapy treatments. … None of the events requiring treatment required additional treatment or increased cost or length of stay … Please note this is not per treatment as that information was not available.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - in the Treatment of Acute Respiratory Failure
SAY:
The Morris et al. study looked at 330 ventilated … This translated to 5,267 total physical therapy treatments. … This translates to 0.6 percent of the physical therapy treatments. … None of the events requiring treatment required additional treatment or increased cost or length of stay … Please note this is not per treatment as that information was not available.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-form.pdf
June 01, 2021 - Confusion
� Sleepiness
� Diarrhea
� Lack of cooperation with staff
� Wound care
� Nebulizer treatment … WHAT EMPIRIC THERAPY SHOULD I INITIATE?
5. Were antibiotics started? … (See general recommendations for treatment durations below.) … WHAT EMPIRIC THERAPY SHOULD I INITIATE? … CAN WE NARROW THERAPY?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - selection, whether treatment incorporated the
Pharmacoeconomic Center (PEC) guidelines on therapeutic … implemented by the pharmacy department, with the support of
the medical staff and local Pharmacy and Therapeutics … Therapeutic selection. … Category 4 incorporates treatment selection according to PEC guidelines on
therapeutic failures. … Suboptimal Dosing Unsafe Combo
Therapy
Therapeutic Selection
Before Pharmacy Interventions
After
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
June 01, 2012 - prescribed (Yes - 1/No - 2) Behavior Therapy Component 1 Present: Treatment is directed to parent or … Component 3 Present: Treatment does not involve child-directed play therapy (Yes - 1/No - 2) ADHD-focused … before submitting ADHD treatment medication prescribed (Yes - 1/No - 2) ADHD treatment medication prescription … was prescribed as first line treatment prior to medication prescription (Yes - 1/No - 2) ADHD Measure … as first line treatment (eg, lack of access to behavior therapy) (Yes - 1/No - 2)
1 White Non-Hispanic
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www.ahrq.gov/news/newsroom/case-studies/202002.html
May 01, 2020 - New York Occupational Therapy Program Promotes Health Literacy with AHRQ’s Toolkit
Search All Impact … improve the knowledge and understanding of health literacy concepts among master’s-level occupational therapy
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html
June 01, 2018 - Nephrologist Visit Before Renal Replacement Therapy
Patients who saw a nephrologist at least 12 months … prior to initiation of renal replacement therapy, by race 2005-2012
Race
2005
2006
2007 … ESRD) patients who began nephrology care at least 12 months prior to initiation of renal replacement therapy … treatment within 1 year of initiation of treatment, by race, 2008-2011
Race
2008
2009 … year of initiation of treatment.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - cholangiopacreatography (ERCP) or percutaneous drainage
· RUQ ultrasound is the initial imaging modality of choice
Treatment … · [Place local recommendations here]
· [Place local recommendations here]
· Narrowing and oral therapy … (usually by 48–72 hours) and source control are achieved
· Oral therapy can be used for bacteremia … Fever-based antibiotic therapy for acute cholangitis following successful endoscopic biliary drainage … Trial of short-course antimicrobial therapy for intraabdominal infection.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-1.xlsx
June 01, 2012 - prescribed (Yes - 1/No - 2) Behavior Therapy Component 1 Present: Treatment is directed to parent or … Component 3 Present: Treatment does not involve child-directed play therapy (Yes - 1/No - 2) ADHD treatment … treatment prior to medication prescription (Yes - 1/No - 2) ADHD Measure 2 Exclusion - Documentation … of medical reason(s) for not prescribing behavior therapy as first line treatment (eg, (eg patient with … as first line treatment (eg, lack of access to behavior therapy) (Yes - 1/No - 2)
1 White Non-Hispanic
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/sepsis.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Sepsis
After viewing or presenting this presentation … will be able to—
Review approaches to the diagnosis of sepsis
Describe approaches to empiric treatment … of sepsis
Recognize when to stop and narrow antibiotic therapy in patients with suspected sepsis … Discuss durations of therapy for patients with sepsis
Slides (PPTX)
Facilitator Guide (PDF
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Antibiotic 1:
Treatment day #:
Antibiotic 2:
Treatment day #:
Antibiotic 3:
Treatment … ☐ Yes
☐ No
What is the planned duration of antibiotic therapy? … Diagnosis and treatment of adults with community-acquired pneumonia. … Short-course nitrofurantoin for the treatment of acute uncomplicated cystitis in women. … Prospective randomized trial comparing short-term antibiotic therapy versus standard therapy for acute
-
www.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Bacteremia
After viewing or presenting this … Gram-negative and Gram-positive bacteremia
Discuss opportunities for de-escalation of antibiotic therapy … for bacteremia
Discuss reasonable durations of antibiotic therapy for common organisms causing bacteremia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure.
-
www.ahrq.gov/sites/default/files/2024-01/kazi-report.pdf
January 01, 2024 - We
also identified electronic health record (EHR) signals of PM failures for anticoagulant therapy ( … Application to Medication Errors in Anticoagulation Therapy
Safe management of warfarin in inpatient … settings involves remembering to order warfarin, order labs to
monitor and maintain therapeutic international … However, nurses also face challenges at this stage, including remember to check
medication therapeutic … Detecting Memory-Based Medication Errors in Anticoagulation Therapy through EHR Data.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - Forgetting to narrow antibiotic therapy based
on clinical data or culture data
Forgetting … to determine that the
primary issue is a technical issue – lack of knowledge
about appropriate CAP treatment … If the problem is
that prescribers know that the treatment duration
should be 5 days but do not believe … Instead, there needs to be a
“meeting of the minds” of all clinical providers on
approaches to change treatment … Narrowing antibiotic therapy
is often referred to as de-escalation.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
January 01, 2024 - or course of therapy Dispensing 75 2.2%
Incorrect duration of administration or course of therapy Preparing … therapy Other: Please specify 53 1.5%
Incorrect duration of administration or course of therapy Unknown … or course of therapy Environment * *
Incorrect duration of administration or course of therapy Supervisor … course of therapy Monitoring 24 3.4%
Incorrect duration of administration or course of therapy Preparing … of therapy Multiple 59 8.5%
Incorrect duration of administration or course of therapy Other 552 79.2%
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/functional-status.html
April 01, 2016 - interventions can help patients regain lost function or minimize the rate of decline in function:
Physical therapy … Occupational therapy.
Speech-language therapy. … independence, remain in the community, and delay or avoid institutionalization. 1
Home-based physical therapy … Continuity in the provider of home-based physical therapy services and its implications for outcomes