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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Implementation Guide
Purpose of This … AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR). … Goal and Approach
Goal
The AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) is a … from AHRQ’s Comprehensive Unit-based Safety Program (CUSP), a patient safety method that improves safety … Integrate training of the Safety Program for Improving Surgical Care and Recovery into the new employee
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 2. … Case Study and Program Examples
Appendix D. … The Fall Response ( Table 3 ) is a comprehensive approach that forms the backbone of the Falls Management … Program (FMP). … Tracking Record for Improving Patient Safety (TRIPS) is the method used in the FMP to report all types
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - focus on improving safety and preventing harm
Likely unaware of safety efforts in the hospital; most … have limited time to volunteer for supporting the safety agenda
Change may not be readily embraced … Integration with existing programs/services (“institutionalization”)
Program champions
Periodic … Sustainability
Integration with existing programs/services (“institutionalization”)
Program champions … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Stay “in the moment.” … data specific for Cancer Centers
ICU chosen as pilot unit:
Trialed a daily needs assessment program … Both charts shown a downward trend from the 4th quarter of 2011 to the 2nd quarter of 2014. … Slide 36
Refocusing Efforts
CAUTI rates plateaued:
Foley manufacturer offered program to … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
April 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Handout 1: Implementation … On-Time
Falls Prevention: Implementation
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training
Handout 2: Implementation … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Materials Training
Handout … AHRQ’s Safety Program for Nursing Homes On-Time Falls Prevention
Implementation Materials Training
Menu
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
October 01, 2024 - Contact Precautions for MRSA Prevention - Webinar slide notes
AHRQ Safety Program for MRSA Prevention … has a strong and active hand hygiene and decolonization programs, and their MRSA rates are low and remain … Comprehensive Unit-based Safety Program (CUSP) 4Es framework for implementation. … Data from the environmental services monitoring program, documentation data from the decolonization program … No. 25-0007
October 2024
Contact Precautions
| 1
AHRQ Safety Program for MRSA Prevention | ICU
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
Slide … Instead, the decision to order blood cultures should be based on a comprehensive evaluation of the patient's … be comprehensive and to ensure all staff learn the same practices. … programs. … No. 25-0007
October 2024
Blood Culture
Practices & Stewardship
| 1
AHRQ Safety Program for MRSA
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www.ahrq.gov/news/newsletters/e-newsletter/902.html
February 01, 2024 - Gustafson developed the Comprehensive Health Enhancement Support System, or CHESS, a computer-based system … The event, part of Patient Safety Awareness Week, is sponsored by the Health Resources and Services Administration … for AHRQ’s Summer Intramural Fellowship Program. … The program provides opportunities to work with leading health services researchers and contribute to … Highlights From AHRQ’s Patient Safety Network
AHRQ’s Patient Safety Network (PSNet) highlights journal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - on improving safety and preventing harm
Likely unaware of safety efforts in the hospital; most have … Sustainability
Integration with existing programs/services (“institutionalization”)
Program champions … program is aligned to the organization’s goals, leadership support will be more feasible
Promoted as … the findings
*
Factors that Influence Sustainability
Integration with existing programs/services … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/cpi/about/impact/index.html
April 01, 2017 - conditions, has been a patient safety focus for AHRQ. … Comprehensive Unit-based Safety Program, or CUSP, at The Johns Hopkins Hospital, he nearly eliminated … Since the initial program, Project ECHO has spread:
Geographically—With 77 specialist hubs in 33 … "...MEPS remains an important resource to those concerned with program cost and efficiency as well … comprehensive source of State-level employer health insurance data—to develop State by State analyses
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/communication-strategies-fac-guide.html
February 01, 2017 - to improve communication to sustain your safety program efforts. … Improve communication is the fifth step of the Comprehensive Unit-based Safety Program, also called CUSP … You have likely been involved in this safety program for some time. … This safety program is based on a grassroots approach from the ground up rather than top down lightning … When appropriate, link your safety program work to organizational goals.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Learning From Defects Tool
ICU & Non-ICU
Problem statement: Healthcare … Because this tool helps you to 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, … Defects can be found though information gleaned from Staff Safety Assessment Forms, liability claims, … No. 25-0007
October 2024
Learning From Defects Tool
| 1
AHRQ Safety Program for MRSA Prevention |
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Every patient has the right to refuse the care designed in the care plan. … for and the value they bring to the overall care of the patient. … comprehensive information. … Prompts may be needed at first to incorporate the prevention program into everyday care practices. … Identify a bundle of best practices
A clinical pathway has been created
Key elements of a comprehensive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
April 02, 2025 - Does the learning environment match the practice environment? … facilitate placement
Empowered all staff to speak up when breach of sterile technique noted – patient safety … 38
Funding
Prepared by the Health Research & Educational Trust of the American Hospital Association … with contract funding provided by the Agency for Healthcare Research and Quality through the contract … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Program Implementation … after the State/region's start of the program. … The adaptive work was to create a culture of safety using CUSP to improve teamwork and communication … State leads and hospital units were instructed at the start of the program to review the CUSP Manual … to improve safety culture and the CLABSI Implementation Guide to eliminate CLABSI, available on the
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2025 - AHRQ has been supporting the PSLLs through the Agency's patient safety program. … This proactive, patient-centered care program uses a suite of health IT tools—patient safety dashboard … The Fall TIPS (Tailoring Interventions for Patient Safety) Program: a collaboration to end the persistent … Training programs for staff. … The lab’s goal was to create a program for diagnostic safety surveillance and intervention using actionable
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-slides.html
December 01, 2017 - hospital
Encouraging patient advisors to serve on ED safety and quality performance improvement teams … Patient safety resources for consumers. … Retrieved from http://www.apic.org/For-Consumers/Patient-safety-resources . … patientfamilyengagement.org/# sthash.ACZ81zY8.dpuf
Guide to Patient and Family Engagement in Hospital Quality and Safety … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
December 01, 2017 - A way to address the barriers to team performance
An evidence-based program based on more than 30 years … CAUTI
CAUTI: Reduce mean CAUTI rates in participating clinical units by 25 percent
CUSP: Improve safety … Does your Emergency Department staff have formal teamwork training program? … If so, how can CAUTI prevention be integrated into the program? … through the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to
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www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
January 01, 2010 - month
Patient Safety Improvement Corps
(PSIC) training programs. … safety
principles acquired from the program
provided evidence that this program
represented a significant … Reducing Central Line-
Associated Blood Stream
Infections
By using a comprehensive safety
program … Patient Safety through
Simulation Research grants program. … The latter is a
comprehensive tool to help
hospitals and clinicians
implement processes to
prevent
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal6.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Conclusion
Previous … Success factors at the national program level included having well-defined, evidence-based interventions … data to improve performance; tailoring the national program for local and unit audiences; and the wisdom … adaptive and technical goals and techniques of the program, monitored their results monthly, and celebrated … programmatic aspects of the program to effectively coach their teams, closely monitored each team's results