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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
Low tidal volume ventilation (LTVV) is one of the interventions specifically designed to prevent ventilator-associated conditions (VAC).
For patients without acute respiratory distress syndrome (ARDS), target the recommended tidal volume of 6–8 mL/kg …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-ltvv-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Measure Descriptions for
Low Tidal Volume Ventilation
SAY:
In this module, you will learn about the data measures and definitions you will use to evaluate low tidal volume ventilation, or LTVV, proce…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-checklist.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
AHRQ Safety Program for
Mechanically Ventilated Patients
Physician Champion Checklist
Improving Care for Mechanically Ventilated Patients
1. Serve as a clinical role model for evidence-based practices
2. Ensure physicians are educated about project goals and …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
SAY:
Today, we will give you an overview of the Science of Safety and identifying defects.
Slide 1
Learning O…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/structuralasst-tool.docx
January 01, 2017 - Tool: Structural Assessment
Date _____________ Hospital ________________________Unit________________________
This assessment is typically performed every 6 months. Please answer the following questions regarding your intensive care unit (ICU).
1. For patients who are intubated/have a tracheostomy, how often do you…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Assess Patient Safety Culture Using the Hospital Survey on Patient Safety
SAY:
In this module, we will introduce the Hospital Survey on Patient Safety, or HSOPS, and review why it is important, as wel…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Learning From Defects in Care of Mechanically Ventilated Patients
SAY:
In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - On-Time Preventable Hospital and Emergency Department Visits
AHRQ’s Safety Program for Nursing Homes
On-Time Preventable Hospital and Emergency Department Visits:
Electronic Reports
Five reports are described here. Each section presents a sample report followed by purpose,
description, and users and potential u…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment Module
Facilitator Notes
SAY:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…
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www.ahrq.gov/research/findings/studies/index.html?page=7
January 01, 2024 - outcomes from surgeons nationwide performing peripheral vascular interventions (PVI) under Procedural Sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-guide.docx
January 01, 2017 - Facilitator Guide: Communication Strategies for Sustainability
Slide Title and Commentary
Slide Number and Slide
Title Slide
Communication Strategies for Sustainability
SAY:
In this slide set, you’ll learn about communication strategies to sustain your safety program work.
Slide 1
Learning Objectives
SAY:
Af…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
April 15, 2025 - Choice of Sedation: Name of medication , route and dosage
4.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - procedures
• Anesthesia provider recognizes the risk of delivering 100% oxygen
• Education
• Teach sedation
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - spontaneous awakening and spontaneous breathing trials used on your unit to control the problem with over-sedation
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www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
March 01, 2025 - AHRQ Summit to Address Emergency Department Boarding
2
AHRQ Summit to Address
Emergency Department
Boarding
Technical Report
e
AHRQ Summit to Address Emergency
Department Boarding
Technical Report
Prepared by
Robin M. Weinick, PhD
Resonant, LLC
Sean Bruna, PhD, MA, MA
Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
January 01, 2017 - Tool: Premortem
Problem Statement
Projects often fail due to many circumstances. Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception. Understanding potential barriers and complications to project implementation and success BEFORE the launch of a new program can miti…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - admission
• Local anesthesia
• Narcotic reversal
• Nausea (new onset)
• Procedure (MD present)
• Sedation
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Premature infants beyond the immediate neonatal period can experience apnea following ketamine sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - (does not moan, flinch, or grasp) to painful stimuli, due to diminished level of consciousness or sedation