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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide
AHRQ Safety Program … Sensemaking and Learn From Defects module of the Safety Program for Perinatal Care will help you identify … recurring defects in your system and apply Comprehensive Unit-based Safety Program, or CUSP. … Program For Perinatal Care activities. … in addressing the safety issues.
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psnet.ahrq.gov/node/867702/psn-pdf
September 01, 2021 - urinary tract infections (CAUTIs) and other healthcare-associated infections continue
to challenge safety … Based on principles and methods from the Comprehensive Unit-
based Safety Program (CUSP), the toolkit … provides resources to enhance leadership and staff
engagement, teamwork, and safety culture to facilitate … long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety
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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 - Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception … of a new program can mitigate and hopefully prevent failure. … champions, the unit manager, and the CUSP team. … [Type text] [Type text] [Type text]
AHRQ Safety Program for
Mechanically Ventilated Patients
Premortem … No. 16(17)-0018-7-EF
January 2017
2
AHRQ Safety Program for Mechanically Ventilated Patients
Premortem
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - on your safety program activities. … The adaptive work of CUSP, the Comprehensive Unit-based Safety Program, involves everyone in your unit … Say:
Which failures would impede sustainability of the safety program? … ventilation safety program could fail. … Ask:
Have you embedded Science of Safety in onboarding or orientation programs for all new staff
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www.ahrq.gov/hai/clabsi-tools/appendix-9.html
March 01, 2018 - When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced … Based on the experiences of the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality … line was placed and whether insertion or maintenance was the mode of the infection) to senior leaders … Each investigation should examine whether the checklist was used appropriately, where the catheter was … placed (e.g., the operating room), and whether the infection resulted from insertion or maintenance
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-slides.html
February 01, 2017 - Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated … Slide 4: Comprehensive Unit-based Safety Program (CUSP)
Steps of CUSP:
Educate staff on the Science … Slide 8: Barriers to Executive Engagement
Safety program work is unique, even uncomfortable: … to the executive, not focused on the safety program cause. … Prioritized list of safety issues compiled from the Staff Safety Assessment (SSA).
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/contact-precautions.html
December 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Why Choose a CUSP Approach? … The Science of Safety
How To Integrate a CUSP Approach
Performing a Premortem Assessment
What Are … CUSP Psychological Safety
Learning From Defects
Evaluating and Sustaining Progress
Index of CUSP … Tools and Resources
Program Implementation of MRSA Prevention
Prevent Person-Based … purpose of contact precautions and emphasizes their importance for the patient’s safety and well-being
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Hand Hygiene Promotion
ICU & Non-ICU
Slide Title and Commentary … This presentation will help ensure that units have a comprehensive program in place to promote excellent … Some of the most comprehensive hand hygiene guidance documents include the following:
1. … The program lead and champions should not be covert observers because they are the “face” of the program … No. 25-0007
October 2024
Hand Hygiene Promotion
| 1
AHRQ Safety Program for MRSA Prevention | ICU
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www.ahrq.gov/hai/tools/mvp/how-to-use.html
January 01, 2017 - However, implementation of technical bundles is facilitated by having Comprehensive Unit-based Safety … Program (CUSP) principles in place, including teamwork, communication and patient safety culture. … through one step of planning, implementing, and sustaining an infection prevention program for mechanically … ventilated patients and creating a culture of safety. … Tools (Word): The tools help you and your team implement the concepts in the guides.
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www.ahrq.gov/news/newsroom/case-studies/index.html
July 01, 2024 - Studies
AHRQ’s evidence-based tools and resources are used by organizations nationwide to improve the … The Agency’s Impact Case Studies highlight these successes, describing the use and impact of AHRQ-funded … Program to Lower Bloodstream Infections Impact Case Study Identifier: 2022-02 AHRQ Product(s): Comprehensive … Unit-based Safety Program (CUSP) Topic(s): Central Line-Associated Bloodstream Infections (CLABSI), … Implementer: Maine Developmental Disabilities Council; Maine Primary Care Association PSO; ECRI and the
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psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
February 10, 2015 - View more articles from the same authors. … Building on the success of the Keystone ICU project model, this study also implemented a comprehensive … unit-based safety program (CUSP) to improve safety culture and perinatal care processes in 15 Michigan … May 21, 2011
A comprehensive perinatal patient safety program to reduce preventable adverse … January 21, 2009
Supporting the emotional well-being of health care workers during the
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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - The authors detail the results of the initiative and provide materials to enable organizations to implement … a similar program. … Same Author(s)
Implementation of the I-PASS handoff program in diverse clinical environments … October 6, 2016
Safety in the NICU: preventing medical errors. … April 17, 2013
Patient safety in the NICU: a comprehensive review.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Two Goals for the CAUTI Collaborative:
Improve the culture of safety on your unit through the Comprehensive … Unit-based Safety Program (CUSP)
Reduce your unit’s CAUTI rate by 25%
Both goals require strong … Ensure staff education about patient safety
Use CUSP tools to improve teamwork/patient safety … Assist the team with prioritization of safety defects
Facilitate removal of barriers
Share the … , “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for … Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support … The key safety elements are presented within the framework of the Comprehensive Unit-based Safety Program … How to use this tool: Review the key perinatal safety elements with L&D leadership and relevant unit … Many of the sample scenarios available through the Safety Program for Perinatal Care can be used to train
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - July 19, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … Safety-I and Safety-II Frameworks
December 14, 2022
Evaluating the prevalence … obstetrics patient safety program improves safety climate and culture. … August 22, 2018
Impact of a comprehensive patient safety strategy on obstetric adverse … May 28, 2014
Effect of a comprehensive obstetric patient safety program on compensation
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psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
November 23, 2016 - November 21, 2021
The top patient safety strategies that can be encouraged for adoption … March 13, 2013
Advancing the science of patient safety. … August 4, 2021
A comprehensive patient safety program can significantly reduce preventable … View More
Related Resources
Implementing a robust process improvement program … August 14, 2019
AHRQ patient safety project reduces bloodstream infections by 40 percent
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - The authors concluded that improved infusion safety can result from incorporating novel technology but … February 18, 2011
The Critical Care Safety Study: the incidence and nature of adverse … June 29, 2009
Recovery from medical errors: the critical care nursing safety net. … June 28, 2010
Medication safety in the ambulatory chemotherapy setting. … January 12, 2011
Implementing and validating a comprehensive unit-based safety program
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/what-are-4e.html
December 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Why Choose a CUSP Approach? … The Science of Safety
How To Integrate a CUSP Approach
Performing a Premortem Assessment
What Are … Tools and Resources
Program Implementation of MRSA Prevention
CUSP and MRSA Prevention … The 4 Es framework identifies four important elements when implementing patient safety interventions … Educating people raises awareness of patient safety issues and ensures that they are equipped with the
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psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - the AHRQ Surveys on Patient Safety Culture and the Safety Attitudes Questionnaire (SAQ). … Beginning in 2009, Nationwide Children's Hospital in Ohio introduced a comprehensive patient safety and … high reliability program that included numerous quality improvement activities and extensive training … Same Author(s)
A comprehensive patient safety program can significantly reduce preventable … November 11, 2020
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
March 21, 2012 - care units (ICUs) stands as one of the patient safety movement's major successes. … enhance safety culture (such as the comprehensive unit-based safety program ) and continuous data … safety and has likely saved thousands of lives. … and safety intervention. … November 17, 2010
Patient safety in intensive care: results from the multinational Sentinel