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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - care system:
7 percent of patients suffer a medication error2
On average, every patient admitted to an intensive … unit suffers an adverse event3,4
44,000 to 99,000 people die in hospitals each year as the result of medical … A look into the nature and causes of human errors in the intensive care unit. … An alternative strategy for studying adverse events in medical care. … The Direct Medical Costs of Healthcare-Associated Infections in U.S.
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - :
7 percent of patients suffer a medication error. 2
On average, every patient admitted to an intensive … suffers an adverse event. 3, 4
44,000 to 99,000 people die in hospitals each year as the result of medical … A look into the nature and causes of human errors in the intensive care unit. … An alternative strategy for studying adverse events in medical care. Lancet . 349:309-313,1997. … The Direct Medical Costs of Healthcare-Associated Infections in U.S.
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi1.html
January 01, 2013 - improve culture and prevent central line blood stream infections in U.S. hospitals—mainly in adult intensive … line-associated bloodstream infection (NCLABSI) reduction project specifically focused in Neonatal Intensive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_pdi_casestudy.pdf
December 01, 2015 - Lee Budin
(medical director for the hospital’s Center for
Excellence, the hospital’s group that works … Lead staff for improvement
project
Sangeeta Schroeder, M.D., hospitalist
Lee Budin, M.D., medical … Schroeder, two CLABSI physician
task force leads (the stem cell transplant director and the medical … director of the intensive care
unit), and a patient safety analyst. … working members included
representatives from hematology, oncology, stem cell transplant, pediatric intensive
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - published by the Institute of Medicine in 1999, was one of the first publications to bring the issue of medical … in 2015, continued the patient safety discussion with a focus on the impact of diagnostic errors on medical … settings. 3
In a more recent study of almost 2,500 medicine patients who died or were transferred to the intensive … clinician diagnostic reasoning. 5,6 Diagnostic reasoning is the process by which a clinician uses medical
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www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
October 01, 2012 - , 100-299 beds
Not CAH, 300 beds or more
63.0%10.0%
6.6%
5.2%
5.0%
4.4%
2.9%
2.2% 0.5% 0.2%
Medical … /surgical all others (n=814)
Medical intensive care unit (n=129)
Coronary intensive care unit (n=85 … )
Surgical intensive care unit (n=67)
Surgical cardiothoracic intensive care unit (n=65)
Medical/surgical … major teaching ICU (n=57)
Neurosurgical intensive care unit (n=38)
Trauma intensive care unit (n=28 … )
Burn intensive care unit (n=7)
Unspecified intensive care unit (n=2)
15
Figure 5.
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www.ahrq.gov/news/newsletters/e-newsletter/948.html
March 01, 2025 - (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #558, Lack of Reliable Transportation … evidence-based infection prevention toolkits and decrease healthcare-associated infections (HAIs) in intensive … Continuing education/continuing medical education credits will be available to attendees of this event … Systematic Review: Mental Health and Occupational Stress in the Emergency Medical Services and 911 Workforces
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - Education Trust
American Hospital Association
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader
Surgical Intensive … /Surgical ICU
Tucson Medical Center
Tucson, Arizona
Image: Photo of the Tucson Medical Center sign … They are labeled: Medical Executive, Physician Champion, and Individual Physician. … Slide 34
Medical Executives & Medical Executive Committee
Consider Cultural Assessment
Present … index.html
Slide 53
Learn From a Defect
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader
Surgical Intensive
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
January 01, 2014 - noted that the benefits of partnering outweigh the costs, but working together is both time- and labor-intensive … Oregon cast a wide net in its search for partners that share its interest in medical homes and quality … Oregon, Alaska, and West Virginia are defining and implementing a joint medical home demonstration. … The two States are also collaborating to implement a joint medical home demonstration and to develop … Higher level collaboration may require more resource-intensive strategies, including structured learning
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Education Trust
American Hospital Association
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader
Surgical Intensive … How might they be involved in rounds with the medical team? … How might they be involved in rounds with the medical team? … efficiency, reduces waste, supports evidence-based care
Informed patients often prefer lower-cost and less intensive … index.html
52
52
Learn From A Defect
53
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader
Surgical Intensive
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
February 01, 2017 - Improving patient safety in intensive care units in Michigan. … Next Steps
Present the Science of Safety video and administer SSA during these ideal times:
Medical … While it may be helpful to those interested in the results, it does not help the central figure in the medical … Improving patient safety in intensive care units in Michigan.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - and colonization by CRE.8 Additionally, patients in long-
term care facilities or those who received medical … care unit
(ICU) stay, poor functional status, underlying medical
conditions, and receipt of antibiotics … Carbapenem-resistant enterobacteriaceae: occult threat in the intensive care unit. … The meta-analyses regarding risk factors
for CRE acquisition showed that the use
of medical devices … intensive
care unit
and 18 bed
surgical
intensive
care unit,
Germany
There was no
contamination
-
www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Effect of education and performance feedback on rates of catheter-associated urinary tract infection in intensive … Reduction in central line-associated bloodstream infections among patients in intensive care units—Pennsylvania … Patient safety and medical liability: current status and an agenda for the future. … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive … Temporal trends in rates of patient harm resulting from medical care.
-
www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Effect of education and performance feedback on rates of catheter-associated urinary tract infection in intensive … Reduction in central line-associated bloodstream infections among patients in intensive care units—Pennsylvania … Patient safety and medical liability: current status and an agenda for the future. … Collaborative cohort study of an intervention to reduce ventilator- associated pneumonia in the intensive … Temporal trends in rates of patient harm resulting from medical care.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
March 01, 2017 - Say:
Imagine if your mother, father, sister, brother, or other loved one was in the intensive care … Slide 5: Family Stress in the Intensive Care Unit
Say:
Family members of patients in the intensive … There are often multiple medical interventions required with substantial physical discomfort and risk
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-facguide.docx
January 01, 2017 - SAY:
Imagine if your mother, father, sister, brother, or other loved one was in the intensive care unit … Slide 4
Family Stress in the Intensive Care Unit
SAY:
Family members of patients in the intensive … There are often multiple medical interventions required with substantial physical discomfort and risk
-
www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
July 01, 2018 - :
7 percent of patients suffer a medication error2
On average, every patient admitted to an intensive … unit suffers an adverse event3,4
44,000 to 99,000 people die in hospitals each year as the result of medical … A look into the nature and causes of human errors in the intensive care unit. … An alternative strategy for studying adverse events in medical care. … The Direct Medical Costs of Healthcare-Associated Infections in U.S.
-
www.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2025 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care Principal Investigator: Eric J. … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Developing a comprehensive model of intensive care unit processes: concept of operations . … Redesign transfers within YNHH between the ED or intensive care unit (ICU) and general hospital units
-
www.ahrq.gov/teamstepps-program/evidence-base/index.html
July 01, 2023 - Comprehensive Unit-Based Safety Program
Disruptive Behavior
Emergency Care
Health Equity
Hospital
Intensive … Care
Inter-Professional Education
Labor and Delivery
Neonatal Intensive Care Unit
Nursing
-
www.ahrq.gov/hai/tools/ambulatory-care/cap-ed-setting-slides.html
January 01, 2018 - Hospitalization on a medical unit.
Admission to ICU.
c. … "For patients with CURB-65 scores ≥2, more intensive treatment—i.e., hospitalization or, where appropriate … and available, intensive in-home health care services—is usually warranted." i
Moderate recommendation