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Welcome to the Toolkit To Improve Antibiotic Use in Ambulatory Care. The Ambulatory Care Toolkit explains the Four Moments of Antibiotic Decision Making and has tools to support their implementation and improve prescribing in three areas: developing and improving antibiotic stewardship activities in your practice, learning strategies for communicating about antibiotic prescribing, and disseminating best practices for common infectious diseases.

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 antibiotic stewardship activities in your practice. ​
2. Learning strategies for communicating with patients, their families, and colleagues about antibiotic prescribing. ​
3. Learning best practices for diagnosing and managing common infectious syndromes and antibiotic allergies.

• Learn strategies for communicating with colleagues, patients, and families about antibiotic prescribing
• 
• Develop and improve antibiotic stewardship activities in your practice
• 
• Learn best practices for diagnosing and managing common infectious syndromes and antibiotic allergies
• 
• Apply the Four Moments framework for all patients receiving antibiotics
• 

Improve antibiotic prescribing

• Clinician Lead and Administrative Lead: It is recommended that you review the content in all four boxes above.  
• Clinic Staff: At a minimum, it is recommended that you review the content in “Learn strategies for communicating with colleagues, patients, and families around antibiotic prescribing” and “Apply the Four Moments framework for all patients receiving antibiotics.” Review the content in “Learn best practices for diagnosing and managing common infectious syndromes and antibiotic allergies” that is appropriate to your practice.  
• Prescribing Clinicians: At a minimum, it is recommended that you review the content in “Learn strategies for communicating with colleagues, patients, and families around antibiotic prescribing,” “Learn best practices for diagnosing and managing common infectious syndromes and antibiotic allergies,” and “Apply the Four Moments framework for all patients receiving antibiotics.”  
• Practice Managers and Leadership: At a minimum, it is recommended that you review content in “Develop and improve stewardship activities in your practice” and “Learn strategies for communicating with colleagues, patients, and families around antibiotic prescribing.”

Learn more about the project and the participating ambulatory care facilities in the report (PDF, 6 MB).