The RI HAI Prevention & Antimicrobial Stewardship Coalition

Protecting the health of Rhode Islanders and the sustainability of our healthcare system

Resources, including tools, guidelines and educational content, related to the prevention of healthcare-acquired infections and the promotion of antimicrobial stewardship are widely available from many trusted partners. In order to facilitate access to these resources we have provided direct links to available content, organized by healthcare setting and topic.

This site is currently under development. We welcome your feedback on the currently available resources as well as suggestions for additional content. If you would like to provide feedback, please email Emily Cooper at ecooper@healthcentricadvisors.org.

Vist the CDC Website


About the CoalitionInformation for EveryoneHome HealthHospitalNursing HomeOther Healthcare SettingsHealthcare Consumers

About the Coalition

The HAI Prevention and Antimicrobial Stewardship Coalition is a statewide initiative focused on protecting the health of Rhode Islanders and the sustainability of our healthcare system. This coalition includes partners from across healthcare settings and disciplines to improve communication and promote collaboration.

For more information or to be added to our mailing list, please contact Emily Cooper at ecooper@healthcentricadvisors.org.

Education and Best Practice Workgroup Meeting - October 30, 2018
  • When:Tuesday, October 30, 2018 from 8:00AM to 12:00PM
  • Location: Radisson Hotel, Warwick Rhode Island 2081 Post Rd Warwick, RI 02886
  • Register Now
New Learning Opportunity - Introduction to Statistics and Epidemiology

Introduction to Statistics and Epidemiology in Infection Prevention

Presented by the Rhode Island HAI Prevention and Antimicrobial Stewardship Coalition

This FREE series aims to:

  • Provide introductory lessons in statistics and epidemiology related to infection prevention
  • Assist in the interpretation of facility-level data reports related to infection prevention

Learn More:

Access this series on The Learning Center
Education and Best Practice Workgroup Meeting - January 25, 2018
Leadership and Policy Committee Meeting - May 7, 2018
Antimicrobial Stewardship: How to Engage Residents and Families – November 15, 2017
Leadership and Policy Committee – May 8, 2017
Education and Best Practices Workgroup Meeting – December 7, 2016
Coalition Kickoff Meeting – August 25, 2016

Information for Everyone

This section includes general information that may be helpful to providers, stakeholders and consumers across healthcare settings.

New Learning Opportunity - Introduction to Statistics and Epidemiology

Introduction to Statistics and Epidemiology in Infection Prevention

Presented by the Rhode Island HAI Prevention and Antimicrobial Stewardship Coalition

This FREE series aims to:

  • Provide introductory lessons in statistics and epidemiology related to infection prevention
  • Assist in the interpretation of facility-level data reports related to infection prevention

Learn More:

Access this series on The Learning Center
Cross-Setting Tools & Guidelines
Antimicrobial Stewardship Guidelines

Antibiotics Aren’t Always the Answer Trifold
Centers for Disease Control and Prevention (CDC)
Antibiotics for People with Catheters
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics for Urinary Tract Infections in Older People
Choosing Wisely An initiative of the ABIM Foundation
Antimicrobial Guide: Empiric Therapy & Treatment Recommendations For Adult Patients (2016-2017)
University of Rhode Island
Antimicrobial Treatment Pathways
University of Rhode Island
ASHP Statement on the Pharmacist’s Role in Antimicrobial Stewardship and Infection Prevention and Control
American Society of Health-System Pharmacists (ASHP)
Infection Management & Antibiotic Stewardship
University of North Carolina, Cecil G. Sheps Center for Health Services Research
Know When Antbiotics Work: Nurse Presentation
University of Rhode Island
Know When Antbiotics Work: Resident Presentation
University of Rhode Island
Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS)
Infection Control and Hospital Epidemiology, Vol. 33, No. 4, Special Topic Issue: Antimicrobial Stewardship (April 2012)
Safe Medicine Disposal Card
New England QIN-QIO

Catheter-Associated Urinary Tract Infections
Guidelines for Prevention of Catheter-Associated Urinary Tract Infections (2009)
Centers for Disease Control and Prevention (CDC)
Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention
American Nurses Association

Central Line-Associated Blood Stream Infection
Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)
Centers for Disease Control and Prevention (CDC)

Clostridium difficile
Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA)
Infection Control and Hospital Epidemiology, Vol. 31, No. 5 (May 2010)
Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Clinical Infectious Diseases, Volume 66, Issue 7, 19 March 2018, Pages e1–e48

Methicillin-Resistant Staphylococcus Aureus
Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus Aureus Infections in Adults and Children
Clinical Infectious Diseases, 2011; 1–38
Methocillin-resistent Staphococcol Infection Toolkit
Centers for Disease Control and Prevention (CDC)

Multi-Drug Resistant Organisms
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007)
Centers for Disease Control and Prevention (CDC)
Management of Multi-Drug Resistant Organisms in Healthcare Settings
Centers for Disease Control and Prevention (CDC)

Safe Injection Practices
CDC Injection Safety Educational Materials
Centers for Disease Control and Prevention (CDC)
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare (2007)
Centers for Disease Control and Prevention (CDC)
The One and Only Campaign Educational Resources for Provides and Patients
The One and Only Campaign

Cross-Setting Educational Opportunities
Beyond Stewardship: Antibiotics and Medication Safety

Overuse and misuse of antibiotics has been linked to negative individual and population health outcomes such as an increased incidence of Clostridium difficile infections and an increased prevalence of antibiotic resistant organisms. To address these concerns providers and stakeholders have advocated for the development and expansion of antimicrobial stewardship programs across healthcare settings.

The presentations below review additional concerns related to overuse and misuse of antibiotics that support the development and expansion of antimicrobial stewardship programs.

Home Health

This section includes information for providers and administrators working for home healthcare providers. It may also be helpful stakeholders and partners that work with home healthcare providers to improve patient care and safety.

Tools & Guidelines
Antimicrobial Stewardship
Antibiotics Aren’t Always the Answer Trifold
Centers for Disease Control and Prevention (CDC)
Antibiotics for People with Catheters
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics for Urinary Tract Infections in Older People
Choosing Wisely An initiative of the ABIM Foundation
Antimicrobial Guide: Empiric Therapy & Treatment Recommendations For Adult Patients (2016-2017)
University of Rhode Island
Antimicrobial Treatment Pathways
University of Rhode Island
ASHP Statement on the Pharmacist’s Role in Antimicrobial Stewardship and Infection Prevention and Control
American Society of Health-System Pharmacists (ASHP)
Policy Statement on Antimicrobial Stewardshipby the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS)
Infection Control and Hospital Epidemiology, Vol. 33, No. 4, Special Topic Issue: Antimicrobial Stewardship (April 2012)
Safe Medicine Disposal Card
New England QIN-QIO

Catheter-Associated Urinary Tract Infections
Catheter-Associated Urinary Tract Infection (CAUTI) Toolkit
Centers for Disease Control and Prevention (CDC)
CAUTI Cost Calculator
University of Michigan(UM) and the Department of Veterans Affairs Patient Safety Enhancement Program
Guidelines for Prevention of Catheter-Associated Urinary Tract Infections (2009)
Centers for Disease Control and Prevention (CDC)
Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention
American Nurses Association

Central Line-Associated Blood Stream Infection
Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)
Centers for Disease Control and Prevention (CDC)

Clostridium difficile
Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA)
Infection Control and Hospital Epidemiology, Vol. 31, No. 5 (May 2010)
Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Clinical Infectious Diseases, Volume 66, Issue 7, 19 March 2018, Pages e1–e48

Methicillin-Resistant Staphylococcus Aureus
Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus Aureus Infections in Adults and Children
Clinical Infectious Diseases 2011; 1–38
Methocillin-resistent Staphococcol Infection Toolkit
Centers for Disease Control and Prevention (CDC)

Multi-Drug Resistant Organisms
Management of Multi-Drug Resistant Organisms in Healthcare Settings
Centers for Disease Control and Prevention (CDC)

Safe Injection Practices
CDC Injection Safety Educational Materials
Centers for Disease Control and Prevention (CDC)
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare (2007)
Centers for Disease Control and Prevention (CDC)
The One and Only Campaign Educational Resources for Provides and Patients
The One and Only Campaign

Sepsis
Early Recognition of Sepsis in the Outpatient Setting: The Role of Home Healthcare for Improved Patient Outcomes Parts 1-4
Educational Opportunities
Beyond Stewardship: Antibiotics and Medication Safety

Overuse and misuse of antibiotics has been linked to negative individual and population health outcomes such as an increased incidence of Clostridium difficile infections and an increased prevalence of antibiotic resistant organisms. To address these concerns providers and stakeholders have advocated for the development and expansion of antimicrobial stewardship programs across healthcare settings.

The presentations below review additional concerns related to overuse and misuse of antibiotics that support the development and expansion of antimicrobial stewardship programs.

New Learning Opportunity - Introduction to Statistics and Epidemiology

Introduction to Statistics and Epidemiology in Infection Prevention

Presented by the Rhode Island HAI Prevention and Antimicrobial Stewardship Coalition

This FREE series aims to:

  • Provide introductory lessons in statistics and epidemiology related to infection prevention
  • Assist in the interpretation of facility-level data reports related to infection prevention

Learn More:

Access this series on The Learning Center
Get Involved with State Initiatives
Antimicrobial Stewardship
Antimicrobial Stewardship and Environmental Cleaning Task Force
Led by the Rhode Island Department of Health

Hospital

This section includes information for providers and administrators working in hospitals. It may also be helpful stakeholders and partners that work with hospitals to improve patient care and safety.

Tools & Guidelines
Antimicrobial Stewardship
Antibiotic Prescribing and Use in Hospitals and Long-Term care
Centers for Disease Control and Prevention (CDC)
Antibiotic Stewardship in Acute Care: A Practical Playbook (National Quality Forum)
American Society of Health-System Pharmacists (ASHP)
Antibiotics Aren’t Always the Answer Trifold
Centers for Disease Control and Prevention (CDC)
Antibiotics for People with Catheters
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics for Urinary Tract Infections in Older People
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics Prescription Card for Adults: Outpatient Treatment Recommendations for Commone Infections: Simmary of Guidelines
The CDC and the Rhode Island Department of Health
Antibiotics Prescription Card for Pediatrics: Outpatient Treatment Recommendations for Commone Infections: Simmary of Guigelines
The CDC and the Rhode Island Department of Health
Antimicrobial Guide: Empiric Therapy & Treatment Recommendations For Adult Patients (2016-2017)
University of Rhode Island
Antimicrobial Treatment Pathways
University of Rhode Island
Antimicrobial Stewardship Toolkit
American Hospital Association (AHA)
Approved:+A14:M14 New Antimicrobial Stewardship Standard
Joint Commission Perspectives®, July 2016, Volume 36, Issue 7
ASHP Statement on the Pharmacist’s Role in Antimicrobial Stewardship and Infection Prevention and Control
American Society of Health-System Pharmacists (ASHP)
Checklist for Core Elements of Hospital Antibiotic Stewardship Programs
Centers for Disease Control and Prevention (CDC)
Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
American Journal Health-Systems Pharmacists 2013; 70:195-283
Core Elements of Hospital Antibiotic Stewardship Programs
Centers for Disease Control and Prevention (CDC)
Antibiotic Prescribing and Use in Hospitals and Long-Term Care
Centers for Disease Control and Prevention (CDC)
IDSA and SHEA Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship
Clinical Infectious Diseases 2007; 44:159–77
New Antibiotic Stewardship Guidelines Focus on Practical Advice for Implementation
Clinical Infectious Diseases 2007; 44:159–77
Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS)
Infection Control and Hospital Epidemiology, Vol. 33, No. 4, Special Topic Issue: Antimicrobial Stewardship (April 2012)
Safe Medicine Disposal Card
New England QIN-QIO
Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship
Agency for Healthcare Research and Quality (AHRQ)

Carbapenem-Resistant Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit
Agency for Healthcare Research and Quality
Carbapenem-Resistant Enterobacteriaceae (CRE) Infection: Clinician FAQs
Centers for Disease Control and Prevention (CDC)
Facility Guidance for Control of Carbapenem-Resistant Enterobacteriaceae (CRE)
Centers for Disease Control and Prevention (CDC)

Catheter-Associated Urinary Tract Infections
Appropriate Use of Urinary Catheters in the Emergency Department
Agency for Healthcare Research and Quality
A Special “On the CUSP: Stop CAUTI Supplement”
Association for Professionals in Infection Prevention Control and Epidemiology
Catheter-associated Urinary Tract Infection (CAUTI) Toolkit
Centers for Disease Control and Prevention (CDC)
CAUTI Cost Calculator
University of Michigan(UM) and the Department of Veterans Affairs Patient Safety Enhancement Program
Guidelines for Prevention of Catheter-Associated Urinary Tract Infections (2009)
Centers for Disease Control and Prevention (CDC)
Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals: 2014 Update
Infection Control and Hospital Epidemiology May 2014, VOL. 35, NO. S2
Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention
American Nurses Association
TAP Catheter-Associated Urinary Tract Infection (CAUTI) Toolkit Implementation Guide: Links to Example Resources
Centers for Disease Control and Prevention (CDC)
The Targeted Assessment for Prevention (TAP) Strategy
Centers for Disease Control and Prevention (CDC)
Toolkit for Reducing CAUTI in Hospitals
Agency for Healthcare Research and Quality

Central Line-Associated Blood Stream Infection
Central Line-Associated Bloodstream Infections (CLABSI) in Non-Intensive Care Unit (non-ICU) Settings Toolkit
Centers for Disease Control and Prevention (CDC)
Central Line Insertion Checklist – Template
The Joint Commission
CLABSI Toolkit and Mongraph
The Joint Commission
Eliminating CLABSI, A National Patient Safety Imperative Final Report on the National On the CUSP: Stop BSI Project
Agency for Healthcare Research and Quality (AHRQ)
Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)
Centers for Disease Control and Prevention (CDC)
Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals: 2014 Update
Infection Control and Hospital Epidemiology, Vol. 35, No. 7 (July 2014)

Clostridium difficile
Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA)
Infection Control and Hospital Epidemiology, Vol. 31, No. 5 (May 2010)
Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Clinical Infectious Diseases, Volume 66, Issue 7, 19 March 2018, Pages e1–e48
Clostridium difficile Prevention Primer Presentation Slides (CDC)
Centers for Disease Control and Prevention (CDC)
Rationale for Hand Hygiene Recommendations after Caring for a Patient with Clostridium difficile Infection
Society for Healthcare Epidemiology of America (SHEA)
Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals: 2014 Update
Infection Control and Hospital Epidemiology June 2014, VOL. 35, NO. S2

Environmental Infection Control Guidelines
Environmental Checklist for Monitoring Terminal Cleaning
Centers for Disease Control and Prevention (CDC)
Environmental Cleaning for the Prevention of Healthcare-Associated Infection
Agency for Healthcare Research and Quality (AHRQ)
Environmental Cleaning for the Prevention of Healthcare-Associated Infection (2008)
Centers for Disease Control and Prevention (CDC)
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
Centers for Disease Control and Prevention (CDC)
Guidelines for Environmental Control in Healthcare Facilities
Centers for Disease Control and Prevention (CDC)
Options for Evaluating Environmental Cleaning
Centers for Disease Control and Prevention (CDC)

Methicillin-Resistant Staphylococcus Aureus
Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus Aureus Infections in Adults and Children
Clinical Infectious Diseases 2011; 1–38
Methocillin-resistent Staphococcol Infection Toolkit
Centers for Disease Control and Prevention (CDC)

Multi-Drug Resistant Organisms
Acute Care Facility Multi-Drug Resistant Organisms Control Activity Assessment Tool
Centers for Disease Control and Prevention (CDC)
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007)
Centers for Disease Control and Prevention (CDC)
Management of Multi-Drug Resistant Organisms in Healthcare Settings
Centers for Disease Control and Prevention (CDC)

Safe Injection Practices
CDC Injection Safety Educational Materials
Centers for Disease Control and Prevention (CDC)
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare (2007)
Centers for Disease Control and Prevention (CDC)
The One and Only Campaign Educational Resources for Provides and Patients
The One and Only Campaign

Sepsis
A User’s Guide to the 2016 Surviving Sepsis Guidelines
Intensive Care Medicine, March 2017, Volume 43, Issue 3
Bundle Badge Card
Society of Critical Care Medicine, European Society of Intensive Care Medicine
Severe Sepsis and Septic Shock Change Package: Sepsis Mortality Reduction (2016 Update)
Health Research & Educational Trust (HRET)
Bundle Badge Card
Surviving Sepsis Campaign
Surviving Sepsis Campaign Education Resource Center (Webcasts, Podcasts, and Videos)
Surviving Sepsis Campaign
Guidelines Presentation
Surviving Sepsis Campaign
International Guidelines for Management of Sepsis and Septic Shock (2016)
Surviving Sepsis Campaign
Implications of the New Definitions for Screening and Management: 2016
Surviving Sepsis Campaign
Print SSC Hour-1 Bundle Infograph
Society of Critical Care Medicine, European Society of Intensive Care Medicine
Sample Protocols and Checklists
Surviving Sepsis Campaign

Surgical Site Infections
Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
American Journal Health-Systems Pharmacists 2013; 70:195-283
Global Guidelines for the Prevention of Surgical Site Infection
World Health Organization
Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update
Infection Control and Hospital Epidemiology, Vol. 35, No. 6 (June 2014)
Surgical Site Infection Change Package: Preventing Surgical Site Infections (2016 Update)
Health Research & Educational Trust (HRET)
Surgical Site Infection Toolkit (SSI)
Centers for Disease Control and Prevention (CDC)

Ventilator-Associated Events & Ventilator-Associated Pneumonia
Educational Slide Sets for VAE and Objective Outcome Measures
Agency for Healthcare Research and Quality (AHRQ)
Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals: 2014 Update
Infection Control and Hospital Epidemiology August 2014, Vol. 35, No. 8
Ventilator-Associated Events and Outcome Measures Module
Agency for Healthcare Research and Quality (AHRQ)
Ventilator-Associated Event Change Package
Health Research & Educational Trust (HRET)
Ventilator-Associated Event Data Collection Tool
Agency for Healthcare Research and Quality (AHRQ)

Educational Opportunities
Beyond Stewardship: Antibiotics and Medication Safety

Overuse and misuse of antibiotics has been linked to negative individual and population health outcomes such as an increased incidence of Clostridium difficile infections and an increased prevalence of antibiotic resistant organisms. To address these concerns providers and stakeholders have advocated for the development and expansion of antimicrobial stewardship programs across healthcare settings.

The presentations below review additional concerns related to overuse and misuse of antibiotics that support the development and expansion of antimicrobial stewardship programs.

New Learning Opportunity - Introduction to Statistics and Epidemiology

Introduction to Statistics and Epidemiology in Infection Prevention

Presented by the Rhode Island HAI Prevention and Antimicrobial Stewardship Coalition

This FREE series aims to:

  • Provide introductory lessons in statistics and epidemiology related to infection prevention
  • Assist in the interpretation of facility-level data reports related to infection prevention

Learn More:

Access this series on The Learning Center
Get Involved with State Initiatives
Antimicrobial Stewardship

Antimicrobial Stewardship and Environmental Cleaning Task Force
Led by the Rhode Island Department of Health

Hospital Innovation and Improvement Networks (HIIN)

Related focus areas: CLABSI, CAUTI, C. difficile, VAE, SSI, Sepsis, and Septic Shock

This national initiative, funded by the Centers for Medicare & Medicaid Services (CMS), is part of the Partnership for Patients. For more information about the national initiative, visit the Partnership for Patients website.

The following organizations are facilitating HIIN activities in Rhode Island:

States Targeting Reduction in Infection via Engagement (STRIVE)

Focus areas: CLABSI, CAUTI, C. difficile, and MRSA

National initiative funded by the Centers for Medicare & Medicaid Services (CMS), facilitated by the Health Research & Educational Trust (HRET) and led locally by the Hospital Association of Rhode Island (HARI)

For more information

NHSN
NHSN Enrollment for Acute-Care Hospitals
Centers for Disease Control and Prevention (CDC)

Nursing Home

This section includes information for providers and administrators working in nursing homes and other long-term care settings. It may also be helpful stakeholders and partners that work with nursing homes and other long-term care settings to improve patient care and safety.

Tools & Guidelines
Antimicrobial Stewardship
Antibiotics Aren’t Always the Answer Trifold
Centers for Disease Control and Prevention (CDC)
Antibiotics for People with Catheters
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics for Urinary Tract Infections in Older People
Choosing Wisely An initiative of the ABIM Foundation
Antimicrobial Guide: Empiric Therapy & Treatment Recommendations For Adult Patients (2016-2017)
University of Rhode Island
Antimicrobial Stewardship Program Commitment Resident-facing Letter
RI Department of Health & the New England QIN-QIO
Antimicrobial Treatment Pathways
University of Rhode Island
Approved:+A14:M14 New Antimicrobial Stewardship Standard
Joint Commission Perspectives®, July 2016, Volume 36, Issue 7
ASHP Statement on the Pharmacist’s Role in Antimicrobial Stewardship and Infection Prevention and Control
American Society of Health-System Pharmacists (ASHP)
Checklist for Core Elements of Nursing Home Antibiotic Stewardship Programs
Centers for Disease Control and Prevention (CDC)
Core Elements of Antibiotic Stewardship for Nursing Homes
Centers for Disease Control and Prevention (CDC)
Creating a Culture to Improve Antibiotic Use in Nursing Homes
Centers for Disease Control and Prevention (CDC)
Infection Management & Antibiotic Stewardship
University of North Carolina, Cecil G. Sheps Center for Health Services Research
Know When Antbiotics Work: Nurse Presentation
University of Rhode Island
Know When Antbiotics Work: Resident Presentation
University of Rhode Island
Leading Antibiotic Stewardship in Nursing Homes
Centers for Disease Control and Prevention (CDC)
Nursing Home Antimicrobial Stewardship Guide
Agency for Healthcare Research and Quality
Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS)
Infection Control and Hospital Epidemiology, Vol. 33, No. 4, Special Topic Issue: Antimicrobial Stewardship (April 2012)
Safe Medicine Disposal Card
New England QIN-QIO

Carbapenem-Resistant Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit
Agency for Healthcare Research and Quality
Carbapenem-Resistant Enterobacteriaceae (CRE) Infection: Clinician FAQs
Centers for Disease Control and Prevention (CDC)
Facility Guidance for Control of Carbapenem-resistant Enterobacteriaceae (CRE)
Centers for Disease Control and Prevention (CDC)

Catheter-Associated Urinary Tract Infections
Catheter-associated Urinary Tract Infection (CAUTI) Toolkit
Centers for Disease Control and Prevention (CDC)
Guidelines for Prevention of Catheter-Associated Urinary Tract Infections (2009)
Centers for Disease Control and Prevention (CDC)
Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention
American Nurses Association

Central Line-Associated Blood Stream Infection
CLABSI Toolkit and Mongraph
The Joint Commission
Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)
Centers for Disease Control and Prevention (CDC)

Clostridium difficile
Assessment of Current CDI Prevention Activities – Antibiotic Stewardship
National Nursing Home Quality Improvement Campaign
Assessment of Current CDI Prevention Activities – Cleaning and Disinfecting
National Nursing Home Quality Improvement Campaign
Assessment of Current CDI Prevention Activities – Early Detection and Containment
National Nursing Home Quality Improvement Campaign
Assessment of Current CDI Prevention Activities – Hand Hygiene
National Nursing Home Quality Improvement Campaign
Clinical Practice Guidelines for Clostridium difficile Infection in Adults: 2010 Update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA)
Infection Control and Hospital Epidemiology, Vol. 31, No. 5 (May 2010)
Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)
Clinical Infectious Diseases, Volume 66, Issue 7, 19 March 2018, Pages e1–e48
Clostridium difficile Prevention Primer Presentation Slides (CDC)
Centers for Disease Control and Prevention (CDC)

Environmental Infection Control Guidelines
Environmental Checklist for Monitoring Terminal Cleaning
Centers for Disease Control and Prevention (CDC)
Environmental Cleaning for the Prevention of Healthcare-Associated Infection
Agency for Healthcare Research and Quality (AHRQ)
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
Centers for Disease Control and Prevention (CDC)
Options for Evaluating Environmental Cleaning
Centers for Disease Control and Prevention (CDC)

Methicillin-Resistant Staphylococcus Aureus
Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus Aureus Infections in Adults and Children
Clinical Infectious Diseases 2011; 1–38
Methocillin-resistent Staphococcol Infection Toolkit
Centers for Disease Control and Prevention (CDC)

Multi-Drug Resistant Organisms
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare (2007)
Centers for Disease Control and Prevention (CDC)
Management of Multi-Drug Resistant Organisms in Healthcare Settings
Centers for Disease Control and Prevention (CDC)

Safe Injection Practices
CDC Injection Safety Educational Materials
Centers for Disease Control and Prevention (CDC)
Guidelines for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare (2007)
Centers for Disease Control and Prevention (CDC)
The One and Only Campaign Educational Resources for Provides and Patients
The One and Only Campaign

Educational Opportunities
Beyond Stewardship: Antibiotics and Medication Safety

Overuse and misuse of antibiotics has been linked to negative individual and population health outcomes such as an increased incidence of Clostridium difficile infections and an increased prevalence of antibiotic resistant organisms. To address these concerns providers and stakeholders have advocated for the development and expansion of antimicrobial stewardship programs across healthcare settings.

The presentations below review additional concerns related to overuse and misuse of antibiotics that support the development and expansion of antimicrobial stewardship programs.

Infection Prevention Training for Nursing Homes (6-part series)

The Rhode Island Department of Health, in coordination with Healthcentric Advisors, is offering a free training program for nursing home infection preventionists. This program is comprised of 6 modules.

All modules are available through the New England QIN-QIO online learning system called The Learning Center (TLC). This content is free and available to everyone. You must create a user account for TLC to view these and other available courses. To get started, visit: learning4quality.org.

New Learning Opportunity - Introduction to Statistics and Epidemiology

Introduction to Statistics and Epidemiology in Infection Prevention

Presented by the Rhode Island HAI Prevention and Antimicrobial Stewardship Coalition


This FREE series aims to:

  • Provide introductory lessons in statistics and epidemiology related to infection prevention
  • Assist in the interpretation of facility-level data reports related to infection prevention

Learn More:

Access this series on The Learning Center
Get Involved with State Initiatives
Antimicrobial Stewardship
Antimicrobial Stewardship and Environmental Cleaning Task Force
The Rhode Island Department of Health

CDI and NHSN Adoption
Reducing Healthcare Acquired Infections in Nursing Homes: CDI Reporting and Reduction
National initiative funded by the Centers for Medicare & Medicaid Services (CMS), led locally by the New England QIN-QIO
NHSN
NHSN Enrollment for Long-Term Care
Centers for Disease Control and Prevention (CDC)

Other Healthcare Settings

This section includes information for providers and administrators working in other healthcare settings, such as physician offices and ambulatory surgical centers. It may also be helpful stakeholders and partners that work with these settings to improve patient care and safety.

Tools & Guidelines
Antimicrobial Stewardship
Antibiotics Aren’t Always the Answer Trifold
Centers for Disease Control and Prevention (CDC)
Antibiotics for People with Catheters
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics for Urinary Tract Infections in Older People
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics Prescription Card for Adults: Outpatient Treatment Recommendations for Commone Infections: Simmary of Guidelines
The CDC and the Rhode Island Department of Health
Antibiotics Prescription Card for Pediatrics: Outpatient Treatment Recommendations for Commone Infections: Simmary of Guigelines
The CDC and the Rhode Island Department of Health
Antimicrobial Guide: Empiric Therapy & Treatment Recommendations For Adult Patients (20c16-2017)
University of Rhode Island
Antimicrobial Stewardship Guidance: Federal Bureau of Prisons Clinical Practice Guidelines: November 2017
Federal Bureau of Prisons
Antimicrobial Treatment Pathways
University of Rhode Island
ASHP Statement on the Pharmacist’s Role in Antimicrobial Stewardship and Infection Prevention and Control
American Society of Health-System Pharmacists (ASHP)

Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
American Journal Health-System Pharmacists 2013; 70:195-283
Core Elements of Outpatient Antibiotic Stewardship
Centers for Disease Control and Prevention (CDC)
Clinician Checklist for Core Elements of Outpatient Antibiotic Stewardship
Centers for Disease Control and Prevention (CDC)
Core Elements of Outpatient Antibiotic Stewardship Clinician Checklist
Centers for Disease Control and Prevention (CDC)
Facility Checklist for Core Elements of Outpatient Antibiotic Stewardship
Centers for Disease Control and Prevention (CDC)
Know When Antbiotics Work: Resident Presentation
University of Rhode Island
The Core Element of Outpatient Antibiotic Stewardship Appendix
Centers for Disease Control and Prevention (CDC)
Safe Medicine Disposal Card
New England QIN-QIO

Catheter-Associated Urinary Tract Infections
Appropriate Use of Urinary Catheters in the Emergency Department
Agency for Healthcare Research and Quality

Central Line-Associated Blood Stream Infection
Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)
Centers for Disease Control and Prevention (CDC)

Methicillin-Resistant Staphylococcus Aureus
Clinical Practice Guidelines by the Infectious Diseases Society of America for the Treatment of Methicillin-Resistant Staphylococcus Aureus Infections in Adults and Children
Clinical Infectious Diseases, 2011; 1–38
Information about MRSA Skin Infections (Outpatient Settings)
Centers for Disease Control and Prevention (CDC)

Sepsis
A User’s Guide to the 2016 Surviving Sepsis Guidelines
Intensive Care Medicine, March 2017, Volume 43, Issue 3
Bundle Badge Card
Society of Critical Care Medicine, European Society of Intensive Care Medicine
Severe Sepsis and Septic Shock Change Package: Sepsis Mortality Reduction (2016 Update)
Health Research & Educational Trust (HRET)
Bundle Badge Card
Surviving Sepsis Campaign
Surviving Sepsis Campaign Education Resource Center (Webcasts, Podcasts, and Videos)
Surviving Sepsis Campaign
Guidelines Presentation
Surviving Sepsis Campaign
International Guidelines for Management of Sepsis and Septic Shock (2016)
Surviving Sepsis Campaign
Implications of the New Definitions for Screening and Management: 2016
Surviving Sepsis Campaign
Print SSC Hour-1 Bundle Infograph
Society of Critical Care Medicine, European Society of Intensive Care Medicine
Sample Protocols and Checklists
Surviving Sepsis Campaign

Surgical Site Infections
Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
American Journal Health-Systems Pharmacists 2013; 70:195-283
Global Guidelines for the Prevention of Surgical Site Infection
World Health Organization
Surgical Site Infection Toolkit (SSI)
Centers for Disease Control and Prevention (CDC)

Educational Opportunities
Beyond Stewardship: Antibiotics and Medication Safety

Overuse and misuse of antibiotics has been linked to negative individual and population health outcomes such as an increased incidence of Clostridium difficile infections and an increased prevalence of antibiotic resistant organisms. To address these concerns providers and stakeholders have advocated for the development and expansion of antimicrobial stewardship programs across healthcare settings.

The presentations below review additional concerns related to overuse and misuse of antibiotics that support the development and expansion of antimicrobial stewardship programs.

New Learning Opportunity - Introduction to Statistics and Epidemiology

Introduction to Statistics and Epidemiology in Infection Prevention

Presented by the Rhode Island HAI Prevention and Antimicrobial Stewardship Coalition

This FREE series aims to:

  • Provide introductory lessons in statistics and epidemiology related to infection prevention
  • Assist in the interpretation of facility-level data reports related to infection prevention

Learn More:

Access this series on The Learning Center
Get Involved with State Initiatives
Antimicrobial Stewardship
All Healthcare Settings – Antimicrobial Stewardship and Environmental Cleaning Task Force
Led by the Rhode Island Department of Health
Outpatient Settings – Antimicrobial Stewardship
National initiative funded by the Centers for Medicare & Medicaid Services (CMS), led locally by the New England QIN-QIO
NHSN
NHSN Enrollment for Ambulatory Surgery Centers
Centers for Disease Control and Prevention (CDC)
NHSN Enrollment for Long-Term Acute Care Facilities
Centers for Disease Control and Prevention (CDC)
NHSN Enrollment for Inpatient Rehabilitation
Centers for Disease Control and Prevention (CDC)
NHSN Enrollment for Inpatient Psychiatric Facilities
Centers for Disease Control and Prevention (CDC)
NHSN Enrollment for Outpatient Dialysis Facilities
Centers for Disease Control and Prevention (CDC)
NHSN Enrollment for Home Dialysis Facilities
Centers for Disease Control and Prevention (CDC)

Healthcare Consumers

This section includes information for patients and caregivers. It may also be helpful stakeholders and partners that work with or advocate for patients and caregivers.

Patient Education
Antimicrobial Stewardship
Antibiotics Aren’t Always the Answer Trifold
Centers for Disease Control and Prevention (CDC)
Antibiotics for People with Catheters
Choosing Wisely An initiative of the ABIM Foundation
Antibiotics for Urinary Tract Infections in Older People
Choosing Wisely An initiative of the ABIM Foundation
Know When Antbiotics Work: Resident Presentation
University of Rhode Island
Viruses or Bacteria: What’s got you sick?
Centers for Disease Control and Prevention (CDC)
Safe Medicine Disposal Card
New England QIN-QIO

Carbapenem-Resistant Enterobacteriaceae
General Information and Frequently Asked Questions about Carbapenam-resistent Enterobacteriaceae
Centers for Disease Control and Prevention (CDC)

Catheter-Associated Urinary Tract Infections
Frequently Asked Questions about Catheter-Associated Urinary Tract Infections (English)
Society for Healthcare Epidemiology of America (SHEA)
Frequently Asked Questions about Catheter-Associated Urinary Tract Infections (Spanish)
Society for Healthcare Epidemiology of America (SHEA)

Central Line-Associated Blood Stream Infection
Central Line-Associated Bloodstream Infections: Resources for Patients and Healthcare Providers
Centers for Disease Control and Prevention (CDC)
Frequently Asked Questions about Catheter-Associated Bloodstream Infections (English)
Centers for Disease Control and Prevention (CDC)
Frequently Asked Questions about Catheter-Associated Bloodstream Infections (Spanish)
Centers for Disease Control and Prevention (CDC)

Clostridium difficile
Clostridium difficile Infection Information for Patients
Centers for Disease Control and Prevention (CDC)
Frequently Asked Questions about Clostridium Difficile (English)
Society for Healthcare Epidemiology of America (SHEA)
Frequently Asked Questions about Clostridium Difficile (Spanish)
Society for Healthcare Epidemiology of America (SHEA)

Methicillin-Resistant Staphylococcus Aureus
Frequently Asked Questions about Methicillin-Resistant Staphylococcus aureus (English)
Society for Healthcare Epidemiology of America (SHEA)
Frequently Asked Questions about Methicillin-Resistant Staphylococcus aureus (Spanish)
Society for Healthcare Epidemiology of America (SHEA)

Safe Injection Practices
A Patient Safety Threat – Syringe Reuse
Centers for Disease Control and Prevention (CDC)
Injection Safety: Frequently Asked Questions for Patients
Centers for Disease Control and Prevention (CDC)

Surgical Site Infections
Frequently Asked Questions about Surgical Site Infections (English)
Society for Healthcare Epidemiology of America (SHEA)
Frequently Asked Questions about Surgical Site Infections (Spanish)
Society for Healthcare Epidemiology of America (SHEA)
What You Should Know Before Your Surgery
Centers for Disease Control and Prevention (CDC)

Vancomycin-Resistant Enterococcus
Frequently Asked Questions about Vancomycin-Resistant Enterococcus (English)
Society for Healthcare Epidemiology of America (SHEA)
Frequently Asked Questions about Vancomycin-Resistant Enterococcus (Spanish)
Society for Healthcare Epidemiology of America (SHEA)

Ventilator Associated Pneumonia
Frequently Asked Questions about Ventilator Associated Pneumonia (English)
Society for Healthcare Epidemiology of America (SHEA)

The Society for Healthcare Epidemiology of America (SHEA) offers additional Patient Guides on Healthcare-Associated Infections in Arabic and Polish.