Collection:  Antibiotic Stewardship Guidelines and Algorithms Compendium

Compiled by IPRO HQIC

Urinary Tract Infection

UTI Guideline-6.9.21.pdf (mi-hms.org)

UTI.Complicated.Protocol.pdf (umich.edu)

clinicpath-nm-updated-uti-guidance_final-1.pdf (unmc.edu)

International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases | Clinical Infectious Diseases | Oxford Academic (oup.com)

Urinary Tract Infection (UTI) | Agency for Healthcare Research and Quality (ahrq.gov)

Clinical Practice Guidelines for the Antibiotic Treatment of Community-Acquired Urinary Tract Infections – PMC (nih.gov)

Urinary Tract Infections – Adult (umich.edu)

Toolkit for Reducing CAUTI in Hospitals | Agency for Healthcare Research and Quality (ahrq.gov)

Appendix K. Infographic Poster on CAUTI Prevention (ahrq.gov)

Clinical-Pearl-Single-dose-Aminoglycosides-for-Cystitis-1.17.23.docx.pdf (kymdro.org)

Staphylococcus-aureus-in-urine-culture-4.26.23.pdf (kymdro.org)

Clinical-Pearl-Aminopenicillins-for-Enterococcus-cystitis-7.19.23.docx.pdf (kymdro.org)

Skin and Soft Tissue Infection

Cellulitis: A Review (JAMA)

Cellulitis: A Review (NIH)

Cellulitis: Information for Clinicians (CDC)

IDSA Skin & Soft Tissue guidelines 2014

Skin and Soft Tissue Infections: Treatment Guidance Updated May 2018 Jasmine R Marcelin MD, Trevor Van Schooneveld MD, Scott Bergman PharmD Reviewed by: Mark E Rupp MD, M. Salman Ashraf MBBS University of Nebraska. KALYANAKRISHNAN RAMAKRISHNAN, MD, ROBERT C. SALINAS, MD, AND NELSON IVAN AGUDELO HIGUITA, MD. Am Fam Physician. 2015;92(6):474-483

AAFP patient education materials

UCSF Medical Center Guideline for the Management of Suspected Skin and Soft Tissue Infections in Adults Original Author(s): Jennifer S. Mulliken, MD and Sarah M. Doernberg, MD, MAS

SHC Clinical Guideline: Outpatient Management of Skin and Soft Tissue Infections

Prophylaxis/SSI

Strategies to prevent surgical site infections in acute-care hospitals: 2022 Update with essential practices. 

Additional guidelines (all adapted from consensus guidelines):

ASHP Clinical Practice Guidelines for Prophylaxis in Surgery.

Stanford Health Care- Surgical Prophylaxis Guidelines

University of Michigan- Surgical Prophylaxis Guidelines

University of California San Francisco- Surgical Prophylaxis Guidelines

ICHE Compendium 2022- Updated Surgical Site Infection Prevention Compendium

IV to PO Conversion

Article – Intravenous-to-Oral Switch Therapy: Overview, Antibiotics, Antidepressants (medscape.com)

Article – (2023) – Switching patients from IV to oral antimicrobials – The Pharmaceutical Journal (pharmaceutical-journal.com) (from the UK)

Guidelines

Galway Antimicrobial Prescribing Policy / Guidelines (GAPP) – Galway: GAPP (megsupporttools.com)

 (2018) Intravenous to Oral Conversion for Antimicrobials (northernhealth.ca)

SHC-IV-to-PO-Interchange-Protocol.pdf (stanford.edu)

A Resource To Help With Changing From IV To PO Antibiotics (idstewardship.com)

Public Health Ontario: https://www.publichealthontario.ca/-/media/documents/A/2016/asp-iv-oral-conversion.pdf

C Difficile

Clinical-Pearl-CDI-Risk-2.8.23.pdf (kymdro.org)

CDI Prevention Strategies- https://www.cdc.gov/cdiff/clinicians/cdi-prevention-strategies.html

MN Department of Health C difficile guidelines  https://www.health.state.mn.us/diseases/cdiff/hcp/guidelines.html

UC Davis Guidelines 2021  https://health.ucdavis.edu/antibiotic-stewardship/pdfs/cdi_tx_ucd.pdf

University of Nebraska  2021 https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-cdi_final.pdf

UNC Medical Center 2022  https://www.med.unc.edu/pediatrics/cccp/wp-content/uploads/sites/1156/gravity_forms/1-c06e424ddddee8826f29e1bc5926a251/2022/11/CASP-UNCMC-CDI-Guideline_FINAL.pdf

AHRQ  Best Practices in the Diagnosis and Treatment of C difficile 2019  

Management of C difficile in adults: review and comparison of IDSA/SHEA, ESCMID and ASID guidelines

IDSA C difficile clinical practice guidelines in adults: 2021 Update by SHEA/IDSA

Solar Eclipse Patient Safety Tips

On Monday, April 8, 2024, a total solar eclipse will cross North America. A total solar eclipse happens when the Moon passes between the Sun and Earth, causing the sky to darken as if it were dawn or dusk. Visit the NASA website on the flyer to see if your area is in the path of the eclipse. Follow these safety tips when viewing the eclipse to stay safe. Be sure to share these tips with your family and friends.

Managing Opioids Safely After Discharge: A Communication Tool for Patients and Care Partners

Prepared by IPRO HQIC

The goal of this tool is to help you communicate with your healthcare team about the opioids you will be taking after you are discharged from the hospital. You and your doctor have decided that you should continue taking opioids after you leave the hospital as part of your pain management plan. A pain management plan lists the ways in which you can control your pain. The plan may include prescribed opioids and over-the-counter medicines and when you should take them, as well as other things you can do (e.g., ice, massage). You and your clinician may need to adjust your plan as you recover.

Advancing the Culture of Patient Safety: Strategies to Prevent CLABSI and CAUTI

Prepared by IPRO HQIC

Hospital-acquired infections (HAIs) are among the most common complications in hospitals and continue to be a significant concern in the healthcare system. The Agency for Healthcare Research and Quality estimates that approximately 633,300 patients contract one of these infections annually, costing billions for healthcare organizations. These infections can lead to significant morbidity and mortality, with tens of thousands of lives lost each year.

To improve the overall quality of care, it is important that healthcare professionals direct their focus toward identifying and creating opportunities for improving performance and outcomes. In this Lunch & Learn we will cover:

  • The prevalence of Central line associated blood stream infection (CLABSI) and Catheter associated urinary tract infection (CAUTI).
  • The causative factors and evidence-based strategies for CLABSI and CAUTI prevention.
  • How the Appalachian Regional Healthcare System successfully implemented evidence-based strategies that resulted in a significant decrease in CLABSI and CAUTI rates.

Your Worst Day: Emergency Preparedness and Response Educational Series

Prepared by IPRO HQIC

This Emergency Preparedness and Response Webinar series features real life experiences told through the lens of those who have experienced emergencies and will help you prepare and train for emergencies and anticipate potential hazards when an emergency occurs.

For healthcare workers, it is not of question of if, but when an emergency will strike. Emergencies can take many forms and are among the most disruptive experiences that healthcare workers might encounter. Being prepared can save lives, prevent financial/property loss, and ensure the safety and well-being of entire communities. Having a plan helps staff, patients, families, and residents know what to do, where to go, and how to keep themselves safe during an emergency, and ensures access to essential information and equipment.

Session 1: When Things Get Real! (4/20/2023)

Session 2: You Don’t Know What You Don’t Know (4/27/2023)

Session 3: The Impact of Trauma (5/4/2023)

Session 4: The Media at Your Door (5/11/2023)

SERIES: IPRO HQIC Health-Related Social Needs

Prepared by IPRO HQIC

Addressing health-related social needs (or social drivers of health) can improve health outcomes. Health-related social needs include food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.

Join IPRO QIN-QIO for the Health-Related Social Needs Series to learn, collaborate, share best practices and lessons learned on how best to screen for, capture information about, and address social needs.

  • Engage in interactive sessions where participants learn about health-related social needs and specific issues when screening, collecting, and addressing this information.
  • Participate in a collaborative forum to share best practices, challenges, and lessons learned, including ways to streamline reporting to CMS.
  • Share tools, resources, and other material with your peers.

This series is comprised of six sessions from 12 to 12:45 pm ET on:

  • September 13
  • October 11
  • November 8
  • December 13
  • January 10
  • February 14

Workplace Violence Mitigation & Resource Collection

Curated by IPRO HQIC

Workplace violence (WPV) is defined as an act or threat occurring at the workplace that can include any of the following: verbal, nonverbal, written, or physical aggression; threats, intimidation, harassment, or humiliating words or actions; bullying; sabotage; sexual harassment; physical assaults; or other behaviors of concern involving staff, licensed practitioners, patients, or visitors.

By assessing worksites, preparing employees through training, and providing resources such as clear reporting procedures, healthcare facilities can help to reduce the impact of this hazard on the workforce and continue to ensure a safe place to provide care for patients. Whether your facility already has a workplace violence program or is just starting to develop one, IPRO HQIC has a compendium of tools and resources to ensure that all aspects of this hazard are considered throughout the process.

This collection contains research articles, best practices webinars, planning templates, assessment tools, and online trainings related to workplace violence in healthcare settings.

Opioid Stigma Resources Collection

Compiled by IPRO HQIC

The following are websites where you can resources related to Opioid Stigma:

Articles:

  1. CDC. “Patients’ Frequently Asked Questions | CDC’s Response to the Opioid Overdose Epidemic | CDC.” Www.cdc.gov, 19 Oct. 2021, www.cdc.gov/opioids/patients/faq.html. Spanish Language version available here.
  2. CDC. “Stigma Reduction.” Www.cdc.gov, 25 July 2023, www.cdc.gov/stopoverdose/stigma/index.html. Accessed 10 Oct. 2023.
  3. IPRO HQIC. “Naloxone Saves Lives – HQIC Resource Library.” IPRO HQIC Resource Library, 20 Sept. 2022, hqic-library.ipro.org/2022/09/20/naloxone-saves-lives/. Accessed 10 Oct. 2023. Spanish language version available here.
  4. IPRO HQIC. “People Matter, Words Matter – IPRO QIN-QIO Resource Library.” IPRO HQIC Resource Library, 28 July 2023, qi-library.ipro.org/2023/07/28/people-matter-words-matter/. Accessed 10 Oct. 2023.
  5. Where Opioid Use Disorder Stigma Comes From and How to Prevent It Opioid Use Disorder Stigma: Causes, Impact, Prevention (healthline.com) 
  6. 4 Factors That Add to Stigma Surrounding Opioid Use Disorder 4 factors that add to stigma surrounding opioid-use disorder | American Medical Association (ama-assn.org) 
  7. Stop Overdose: Stigma Reduction Stigma Reduction (cdc.gov) (PDF flyer REDUCING STIGMA (cdc.gov)
  8. The stigma that undermines care The stigma that undermines care (apa.org) 
  9. Stigma: Overcoming a Barrier to Pain Treatment and Addiction Recovery Stigma: Overcoming a Barrier to Pain Treatment and Addiction Recovery | NIH HEAL Initiative 
  10. Substance Use Disorder Stigma: What it is and How You Can Prevent it Substance Use Disorder Stigma: What it is and How You Can Prevent it | USU 
  11. Punishing Drug Use Heightens the Stigma of Addiction Punishing Drug Use Heightens the Stigma of Addiction | National Institute on Drug Abuse (NIDA) (nih.gov) 
  12. Medical Stigma and Patients with Substance Abuse Disorder Medical Stigma and Patients with Substance Abuse Disorders | Psychology Today 
  13. Panel Discussion: Stigma Around Opioid Use Disorder Presents Challenges to Treatment Stigma Around Opioid Use Disorder Presents Challenges to Treatment | The Pew Charitable Trusts (pewtrusts.org) 
  14. Stigma of opioids a hurdle to solving crisis Stigma of opioids keeps users from seeking help, taints views of medical professionals – Harvard Gazette 
  15. Why Opioid Addiction Should Be Viewed-And Treated-Like a Chronic Disease Opioid Use Disorder: Managing Stigma & Treatment | The Well by Northwell 

Blogs Posts:

  1. Part 1: Guiding Principles for Addressing the Stigma on Opioid Addiction Guiding Principles for Addressing the Stigma on Opioid Addiction | Bloomberg American Health Initiative (jhu.edu) 
  2. Part 2: A Roadmap to Reduce Stigma on Opioid Addiction A Roadmap to Reduce Stigma on Opioid Addiction | Bloomberg American Health Initiative (jhu.edu) 

Journal Articles:

  1. Confronting the Stigma of Opioid Use Disorder- and Its Treatment Confronting the Stigma of Opioid Use Disorder—and Its Treatment | Substance Use and Addiction Medicine | JAMA | JAMA Network 
  2. Social Stigma Toward Persons with Prescription Opioid Use Disorder: Associations With Public Support for Punitive and Public Health-Oriented Policies Social Stigma Toward Persons With Prescription Opioid Use Disorder: Associations With Public Support for Punitive and Public Health–Oriented Policies | Psychiatric Services (psychiatryonline.org) 
  3. Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination – ScienceDirect 
  4. The Impact of Stigma on People with Opioid Use Disorder, Opioid Treatment, and Policy The Impact of Stigma on People with Opioid Use Disorder, Opioid Treatment, and Policy – PubMed (nih.gov) 
  5. Stigma, discrimination and the health of illicit drug users Stigma, discrimination and the health of illicit drug users – PubMed (nih.gov) 
  6. The role of stigma in U.S. primary care physicians’ treatment of opioid use disorder The role of stigma in U.S. primary care physicians’ treatment of opioid use disorder – ScienceDirect 
  7. Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review Addressing Bias and Stigma in the Language We Use With Persons With Opioid Use Disorder: A Narrative Review – PubMed (nih.gov) 
  8. Opioid use-related stigma and healthcare decision-making Opioid use-related stigma and health care decision-making – PubMed (nih.gov) 

Advancing the Culture of Safety: Strategies to Prevent Pressure Injuries.

Prepared by IPRO HQIC

Pressure Injuries affect up to 3 million Americans and are a major source of MORBIDITY, MORTALITY, and INCREASED HEALTHCARE COSTS (AHRQ). Hospital Acquired Pressure Injuries (HAPI) can cause undue HARM and increase LENGTH OF STAY.

To improve the overall quality of care, it is important to implement measures to prevent the development of HAPIs. In this Lunch & Learn we will cover:

  • The pathophysiology of pressure injuries and how they develop.
  • How to appropriately identify patients’ pressure injury risk factors.
  • How the Central Maine Healthcare System successfully implemented evidence-based strategies that resulted in a significant decrease in HAPI rates.