On Monday, April 8, 2024, a total solar eclipse will cross North America. The eclipse will travel across portions of Mexico, the central and eastern United States, and southeastern Canada. According to NASA, a solar eclipse occurs when the Moon passes between the Earth and the Sun at just the right time, with the Moon creating a shadow on a portion of the Earth’s surface. If you have plans to view the solar eclipse or if you live in an area that will experience a total solar eclipse, it’s important that you plan ahead and review these safety tips. This document is intended to assist hospitals, nursing homes, home health agencies, dialysis centers, and all other health care providers plan for the upcoming total solar eclipse. In preparation, please take the time to review this document and share this information with your patients/ residents, facilities, and staff.
Tag: Fact Sheet / FAQ
Collection: Antibiotic Stewardship Guidelines and Algorithms Compendium
Compiled by IPRO HQIC
Urinary Tract Infection – Guidelines
Guidelines for Treatment of Urinary Tract Infections Michigan Hospital Medicine Safety (HMS) Consortium
Urinary Tract Infection and Asymptomatic Bacteriuria Guidance Nebraska Medicine
URINARY TRACT INFECTIONS IN ADULTS Michigan Medicine, University of Michigan
UTI References
International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update. Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases
Topic: Urinary Tract Infection (UTI) AHRQ
UTI Toolkit
Toolkit for Reducing CAUTI in Hospitals AHRQ
Appendix K. Infographic Poster on CAUTI Prevention (ahrq.gov)
UTI Clinical Pearls
Single-Dose Aminoglycoside for Cystitis: An Oldie but Goodie – KY Antimicrobial Stewardship Innovation Consortium
Staphylococcus aureus in a urine culture – KY Antimicrobial Stewardship Innovation Consortium
Aminopenicillins for Enterococcal Cystitis: Teaching an Old Dog New Tricks – KY Antimicrobial Stewardship Innovation Consortium
Skin and Soft Tissue Infection
Cellulitis: Information for Clinicians (CDC)
IDSA Skin & Soft Tissue guidelines 2014
Skin and Soft Tissue Infections: Treatment Guidance Jasmine R Marcelin MD, Trevor Van Schooneveld MD, Scott Bergman PharmD Reviewed by: Mark E Rupp MD, M. Salman Ashraf MBBS
AAFP patient education materials
SHC Clinical Guideline: Outpatient Management of Skin and Soft Tissue Infections
Prophylaxis/SSI
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
Community Acquired Pneumonia- Updated Recommendations ATS and IDSA 2020
ATS/IDSA Guidelines for Diagnosis and Treatment of Adults with Community Acquired Pneumonia 2019
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.
Naloxone Saves Lives
Prepared by Anne Myrka, RPh, MAT, IPRO
This patient education document describes what Naloxone is, how it works, why it is offered to individuals with an opioid prescription, and signs of opioid overdose.
Spanish language version available here.
Integrating Patients and Families on Quality Improvement (QI) Teams
Tom Workman, AIR
This resource offers guidance to HQIC hospitals and QI coaches on how to include patient and family advisors on hospital quality improvement (QI) teams. The resource will help hospital leaders and staff: (1) understand how patient and family members can contribute to a QI team as an advisor; (2) how to recruit patient and family advisors for a QI team; and (3) how to prepare patient and family advisors to contribute to a QI team.
Fluoroquinolone Fact Sheet
Prepared by IPRO HQIC
This document is to be used by providers in the hospital ED or hospital clinic to remind providers about the quinolone adverse drug events
Patient Safety & Behavioral Health: Antipsychotic Medication Adverse Drug Events (ADE’s)
This material was prepared by Alliant Quality, and adapted by the IPRO QIN-QIO, a collaboration of Healthcentric Advisors, Qlarant and IPRO, serving as the Medicare Quality Innovation Network-Quality Improvement Organization.
This resource discusses the common effects of antipsychotic ADE’s, and provides links to other resources and interventions that support the prevention of adverse events. Adverse drug events cause approximately 1.3 million emergency department visits each year. About 350,000 patients each year need to be hospitalized for further treatment after emergency visits for adverse drug events. People typically take more medicines as they age, and the risk of adverse events may increase as more people take more medicines.
Person and Family Engagement and Health Equity
Developed by American Institute of Research (AIR) in partnership with IPRO HQIC
Person and family engagement (PFE) is recognized by the Centers
for Medicare & Medicaid Services (CMS) as a promising way to
address health and health care disparities and achieve equity in
quality and safety. Applying PFE equitably means including
patients and families from all backgrounds as equal and active
partners in their health care. Doing so can help ensure that all
patients reap the benefits of engagement in their healthcare.
Opioid Overdose Prevention TOOLKIT & Opioid Use Disorder Facts
Substance Abuse and Mental Health Services Administration (SAMHSA)
This toolkit offers strategies to health care providers, communities, and local governments for developing practices and policies to help prevent opioid-related overdoses and deaths. Access reports for community members, prescribers, patients and families, and those recovering from opioid overdose.
- Scope of the Problem
- Strategies to Prevent Overdose Deaths
- Resources for Communities
C. diff (Clostridioides difficile) CDC Resources
Centers for Disease Control (CDC)
- What is C. diff?
- Information for Clinicians.
- Prevent the Spread.
Sepsis: CDC Resources
Centers for Disease Control (CDC)
CDC Sepsis Resources:
- What is sepsis?
- How can I get ahead of sepsis?
- How is sepsis diagnosed and treated?
- Surviving sepsis.
- Clinical guidelines and reports.
Sepsis and Health Equity Fact Sheet
Sepsis Alliance
Highlights many racial, ethnic, and socioeconomic disparities related to sepsis. The fact sheet includes the following sepsis disparities:
- Black and other nonwhite people have nearly twice the incidence of sepsis as whites
- Non-Hispanic black children admitted to an emergency room are less likely to be treated for sepsis than non-Hispanic white children
- Native Hawaiians have almost twice the burden of sepsis mortality compared to whites
- Black children are 30% more likely than white children to develop sepsis after surgery
- Children with severe sepsis or septic shock who are black or Hispanic are about 25% more likely to die than non-Hispanic white children
- Adults below the poverty line have more than three to four times the risk of dying of sepsis compared to adults whose family income is at least five times the poverty line