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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - When a patient harm event occurs, rapid and timely reporting and comprehensive documentation of the details … Activation of the Care for the Caregiver program. … champions during the initial disclosure process and following implementation of the program. … help your organization engage medical liability carriers include:
Communication-and-resolution programs … The University of Michigan's early disclosure and offer program. Boothman R1, Hoyler MM.
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www.ahrq.gov/news/newsroom/case-studies/201420.html
November 01, 2014 - RED is a toolkit originally developed by AHRQ-funded patient safety researchers in Boston. … RED interventions are focused on comprehensive discharge planning, patient education about hospital discharge … and participating in the Centers for Medicare and Medicaid Services' Community-based Care Transitions Program
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal … CUSP, or Comprehensive Unit-based Safety Program, is a patient safety and quality improvement framework … & Side Effects
Frequently asked questions on safety and side effects
· Decolonization Do’s and Don’ts … Ensure that staff feel confident in their role and understand that this bath is vital for patient safety … No. 25-0007
October 2024
Implementation
of Decolonization
| 1
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool - Example
ICU & Non-ICU
Problem statement … Because this tool helps you look at MRSA infections and other patient safety events at a systems level … At a minimum, include members of the Comprehensive Unit-based Safety Program (CUSP) Team, physicians, … Investigate all of the following defects, MRSA related or not: information gleaned from Staff Safety … No. 25-0007
October 2024
Learning From Defects Tool
| 1
AHRQ Safety Program for MRSA Prevention |
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - 2
Hospital staff provide ongoing support and expertise (r/t CAUTI prevention, catheter use and safety … comparative data specific for Cancer Centers
ICU chosen as pilot unit
Trialed a daily needs assessment program … 17.383139963785123 17.104650389195662
Refocusing Efforts
CAUTI rates plateaued
Foley manufacturer offered program … by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive … Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project
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www.ahrq.gov/news/events/ahrq-research-summit-learning-health-system-summary.html
October 01, 2020 - The program should be able to access evidence for what does or does not work. … AHRQ Exemplars
Six representatives from AHRQ presented brief descriptions of current AHRQ programs … Comparative Health System Performance Initiative: Identifying and Understanding High-Performing Systems, (3) Comprehensive … Unit-Based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated … other relationships with health care organizations to stimulate change, for example, matching grant programs
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www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
July 01, 2023 - A patient describing how positive teamwork in a cardiac rehabilitation program helped restore his health … Researchers have linked team training programs to improved attitudes, increased knowledge, and improved … For example, an early meta-analysis published in 2008 2 included a comprehensive search of team training … Foster a high degree of psychological safety. … Cross-cutting patient safety topics/practices.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes
AHRQ Safety Program for Surgery
Slide … Slide 3: Safety Program for Surgery Approach
Say:
This safety program has a strong technical component … Say:
In addition, the adaptive work is addressed with the Comprehensive Unit-based Safety Program ( … Slide 4: Comprehensive Unit-based Safety Program
Say:
The best places in a surgical setting to … Three hospitals in the network have adopted this safety program process as well.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Develop consensus on reasons this program needs to go forward. … the extent to which organizational members beyond potential supporters understand the reasons that a comprehensive … pressure ulcer prevention program is important. … If there is no senior management responsibility for patient safety, earmarked funds for patient safety … Are funds available for the program?
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - Violence Prevention Programs
Presenter Notes
Presentation Notes
In 2016 OSHA updated their 1996 and … 2004 voluntary guidelines for workplace violence prevention programs for healthcare and social service … identify appropriate resources to support injured nurses
90% felt they could take steps to implement a comprehensive … Impact from investing in Workforce Safety
37.7% reduction since program implementation. … Impact from investing in Workforce Safety� �������37.7% reduction since program implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Safety Education and Training Catalog consists of patient safety programs
currently available in the … The database identifies a number of characteristics of the
programs, including clinical area, program … /Toolkits
The Department of Defense Patient Safety Program is a comprehensive program with the goal … It relates to building capacity for patient safety
education, planning programs, and designing courses … Department of Defense Patient Safety Program Toolkits & Guides
4.
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalsum.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary … : Final Report
Executive Summary
Report Organization
Program Implementation
Program Impact … program. … Tailor national program for local and unit audiences. … Formerly known as the Johns Hopkins University Quality Safety & Research Group.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
April 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1
Overview
Slide
AHRQ’s … Safety Program for Nursing
Homes
On-Time Pressure Ulcer Healing
Facilitator Training
Overview … Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure … o The Existing Pressure Ulcers Report provides the clinician
with a comprehensive list of all residents … Most EMR programs can run
reports to show documentation completeness.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
April 16, 2013 - Environment
Evaluate
Context: Internal
Internal Environment
organization geared towards quality and safety … Med 2010; 71: 1692-1701)
Evaluation
Use data to assess progress:
Hospital Survey on Patient Safety … Change
48
Effectiveness
Institutionalization
Capacity
Context
Engage
Educate
Environment
Evaluate
Program … by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive … Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - was developed under a contract with the Agency for Healthcare Research and Quality through the ACTION program … 3.2 How should a comprehensive skin assessment be conducted?
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - Imperative: Final Report
Executive Summary
Report Organization
Program Implementation
Program … leads expressed appreciation for the State Lead Manual, which was not available at the start of the program … work, whether to eliminate CLABSI or to address any other safety issue. … the introduction of the CUSP tools, which appeared overwhelming to their teams in the early phase of program … Program materials have been distributed to all participating States and regions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - TeamSTEPPS is an evidence-based team training program developed by the Department of Defense and the … The AHRQ Hospital Survey on Patient Safety Culture: a tool to plan and evaluate patient safety programs … by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive … Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project … Chart1
Overall Perceptions of Safety Overall Perceptions of Safety Overall Perceptions of Safety
Frequency
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-121013.pptx
January 01, 2006 - Association
1
Learning Objectives
2
Describe the relationship between hierarchy and patient safety … I said: “Doctors, we know we’re not perfect, and we can forget important safety measures. … 8
Hierarchies: the Berlin Wall of
Patient Safety
9
“To maximize patient safety considerations the … by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive … Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project
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www.ahrq.gov/patient-safety/reports/engage/appd.html
March 01, 2017 - alphabetical order):
A Decisionmaker's Guide to Adopting Innovations
AHRQ Innovations Exchange
Comprehensive … Patient Safety and Medical Liability Communication and Program Resolution Education Toolkit (CANDOR) … Institute
Care Transitions Program
Case Manager Society of America
Center for Advancing Health … Commonwealth Fund
Consumer Med Safety
Consumers Advancing Patient Safety
Consumers Union
Dartmouth-Hitchcock … Improve Diagnosis in Medicine
State hospital associations
The Joint Commission
UC Berkeley (CA program
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Slide 15
Changing Patient Safety Culture
Senior Leaders
Team Leaders
Staff … Evaluate
How do we know we improved safety? … Improvement, Infection Control, Education, & other departments to reduce CAUTI
Continuing to develop program … by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive … Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project