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Welcome to the Toolkit To Improve Antibiotic Use in Long-Term Care. The components of the Toolkit can be accessed by clicking on the four boxes below. They include an explanation of the Four Moments of Antibiotic Decision Making and how to apply them in practice. They also include presentations and tools to support implementation of the Four Moments and improve antibiotic prescribing, focusing on three critical areas:

1. Developing and improving your antibiotic stewardship program. ​
2. Creating a culture of safety around antibiotic prescribing in your facility. ​
3. Learning and disseminating best practices for common infectious disease syndromes.

• Create a culture of safety around antibiotic prescribing
• 
• Develop and improve your stewardship program
• 
• Learn best practices for common infectious syndromes
• 
• Apply the Four Moments framework for all patients receiving antibiotics
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Improve antibiotic prescribing

• Infection Preventionists and other members of the Antibiotic Stewardship Team: it is recommended that you review the content in all four boxes above. 
• Frontline Staff: at a minimum, it is recommended that you review the content in “Create a culture of safety around antibiotic prescribing,” “Learn best practices for common infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics.” 
• Prescribing Clinicians: at a minimum, it is recommended that you review the content in “Create a culture of safety around antibiotic prescribing,” “Learn best practices for common infectious syndromes,” and “Apply the Four Moments framework for all patients receiving antibiotics.” 
• Nursing Home Administrators and Leadership: at minimum, it is recommended that you review content in "Develop and improve your stewardship program” and “Create a culture of safety around antibiotic prescribing."

Learn more about the project and the participating long-term care facilities in the Long-Term Care Cohort Final Report (PDF, 3.8 MB).