LongTerm Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub No 17210029 June 2021 Objectives Learn how to collect and track antibiotic use in the longterm care setting Become familiar with forms for monthly data collection ID: 904595
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Tracking and Measuring Antibiotic Use Data
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Slide2Objectives
Learn how to collect and track antibiotic use in the long-term care setting
Become familiar with forms for monthly data collection
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Slide3Antibiotic Use
Two measures of
monthly antibiotic use
(by antibiotic)
1. Days of antibiotic therapy
2. Antibiotic starts
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Slide4Monthly Data Collection Form
Simple data collection form available on website to help guide antibiotic tracking if the facility does not already have an established method
Form tracks the following:
Antibiotic days of therapy
Antibiotic starts
Number of urine cultures sent
C. difficile
LabID
events
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Slide5Monthly Data Collection Form
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Slide6Measures the total number of days residents received a particular antibiotic
In this example, the resident received 5 days of therapy
Monday
Tuesday
Wednesday
Thursday
Friday
Morning dose
X
X
X
X
Afternoon dose
X
X
X
X
Evening dose
X
XXX
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Antibiotic Days of Therapy
Slide7Antibiotic Days of Therapy
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Slide8Antibiotic Starts
Count number of new antibiotics courses started in the facility in each month
New admissions on antibiotics should be included as a new antibiotic start
This is to capture total antibiotic usage, including what is prescribed from surrounding acute care facilities
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Slide9Antibiotic Starts
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Slide10C. difficile
Lab Events and Urine Cultures
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Number of
C.
difficile
LabID
events
[enter #
C.
Difficile
LabID
events for the reporting month]
Number of urine cultures collected
[enter # urine cultures collected in the reporting month]
Record
C. difficile
LabID events Contact contracted microbiology lab for this information
–usually easily accessibleData is concordant with current NHSN* requirementsRecord monthly number of urine cultures collected
Record all urine cultures collected, not only positive urine cultures
Obtain information from contracted microbiology lab or can be a part of a monthly quality assurance review
*NHSN = National Healthcare Safety Network
Slide11Strategies To Make Data Collection Easier
Contact the facility’s contracted pharmacy for information on antibiotic use
Investigate what data is on line lists or already being collected for other purposes Designate a specific individual who is responsible for data collection, with a backup
Distribute data at QA meetings
to monitor improvement and
share successes
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Slide12Key Points
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Monitoring of antibiotic use is an important way to measure progress and is now required by the Centers for Medicare & Medicaid Services.
Data collection sheets are available and can be adapted based on outcome targets.
Designate at least two individuals to track data to prevent lapses in data collection.
Slide13Activities To Complete
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Activity,
Stewardship Team
Activity,
Frontline Providers
Designate 1
–
2 individuals responsible for collecting and analyzing data using the
Monthly Data Collection Form
Introduce the stewardship team to the facility, including their mission statement
Introduce the Four Moments of Antibiotic Decision Making
Invite interested parties to join the stewardship team
Identify a champion to help support activities for frontline providers
Supporting
Materials
Monthly Data Collection Form
The Four Moments of Antibiotic Decision Making Explained
Slide14Disclaimer
The findings and recommendations in this presentation are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this presentation should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Any practice described in this presentation must be applied by health care practitioners in accordance with professional judgment and standards of care in regard to the unique circumstances that may apply in each situation they encounter. These practices are offered as helpful options for consideration by health care practitioners, not as guidelines.
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