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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - (Item WPA2) 82% 80% 95%
In this unit, providers and staff use PPE appropriately. … (Item WPA2) 94% 90% 84%
In this unit, providers and staff use PPE appropriately. … (Item WPA2) 90% 95%
In this unit, providers and staff use PPE appropriately. … (Item WPA2) 94% 90% 89% 93%
In this unit, providers and staff use PPE appropriately. … Results
Tenure in Current Unit/Work Area
Unit/Work Area Workplace Safety Rating Less Than 1 Year
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia
AHRQ Safety … Program for Perinatal Care
Labor and Delivery Unit Safety
Shoulder Dystocia
Labor and Delivery Unit … determine how elements will be implemented on your L&D unit. … · Unit uses an established approach to managing and documenting episodes of shoulder dystocia. … Unit-established process for disclosing unintended outcomes.
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www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Oversee Unit-Based Operations
Slide 7. … Nurse managers lead their unit staff in preventing patient harm in their unit, empowering nurses to be … Ask:
How does the nurse manager on your unit maintain unit-based operations? … They work closely within their unit to inspire, motivate, and engage administrators, unit staff, and … the unit team
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. … This tool can be used to target a goal for improvement in unit safety shortly after the initial culture … Remember, attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture … How accurately does the unit score reflect your experience on this unit? Share examples.
3. … Identify at least one actionable idea to improve unit results in this area:
5.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
June 02, 2025 - The CUSP Champion may also be called a Unit Champion in work settings with a unit structure. … · Am I using CUSP tools to help facilitate and sustain learning on the unit? … Unit Manager
The Unit Manager, often a nurse manager, is the accountable supervisor of the employees … What Is Expected of a Unit Manager? … · Am I using CUSP tools to help facilitate and sustain learning on the unit?
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit
TeamSTEPPS Video Debrief … Guide: CUS and Teach-Back on
Inpatient Medical Unit
Video Objective
To demonstrate the use of CUS … TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit
Video Objective
TeamSTEPPS
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - In this unit, we work together as an effective team.
A8. … During busy times, staff in this unit help each other. … In this unit, we have enough staff to handle the workload. … This unit relies too much on temporary, float, or PRN staff. … How would you rate your unit/work area on patient safety?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … The L&D unit team’s performance will be influenced by the—
Environment,
Hospital unit and context,
Team … Emphasizing unit team members’ involvement in improving the L&D unit lends not only to the success of … They work closely within their unit to inspire, motivate, and engage administrators, unit staff, and … As managers, nurse managers deal are responsible for—
Unit operations,
Finances and budgets for the unit
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
October 01, 2024 - Prevention
Decolonization
Pre-Launch Activities
ICU & Non-ICU
Develop a CUSP Team
The Comprehensive Unit-based … Identify Unit Champions (Nursing and Physician)
Your decolonization team should identify nursing and … Encourage high compliance among unit staff. … decolonization strategy and reflect your unit structure and hospital infrastructure. … Review all skin products currently being used in the unit for compatibility with CHG.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (A2) 52% 49% 3% Added
“In this unit”
Staff in this unit work longer hours than is
best for patient … (C2) 83% 75% 8% Added
“In this unit”
When staff in this unit see someone with
more authority doing … (Question 2)
Multiple Units, No specific unit
1 Many different hospital units, No specific unit … Medical/Surgical Units
2 Combined Medical/Surgical Unit
3 Medical Unit (Non-Surgical)
4 Surgical … (C2)
83% 75% 8% +/- 2%
[6% to 10%]
Added
“In this
unit”
When staff in this unit see someone
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Engaging Unit Personnel in MRSA Prevention
ICU … & Non-ICU
Purpose
Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program ( … CUSP team members and leaders must actively raise awareness, motivate, engage, and mobilize all the unit … as lab technicians and environmental services personnel, is essential for cultivating a supportive unit … for unit personnel.
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www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
December 01, 2012 - The Unit-Based CUSP Team .
Slide 4. CUSP Team Members .
Slide 5. Unit Team Characteristics . … initiative at the unit level … Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … Depending on the unit type and staff composition, the engagement of unit team members may need to be … Emphasizing unit team members’ involvement in improving the unit lends not only to the success of the
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
November 01, 2017 - Quarterly Summary of Falls Risk Factors by Unit or Facility . … On-Time Falls High-Risk Report
Sample Falls High-Risk Report
Unit: ______________________________ … Quarterly Summary of Falls Risk Factors by Unit or Facility
Sample Quarterly Summary of Falls Risk … Factors by Unit
On-Time Quarterly Summary of Falls Risk Factors by Unit
Nursing Unit: ___________
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section
SAMPLE … Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff … How to use this tool: Review the key perinatal safety elements with L&D leadership and unit staff to … determine how elements will be implemented on your L&D unit. … Unit-established process for disclosing unintended outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
May 01, 2017 - for Perinatal Care
Team Checkup Tool
Team Checkup Tool
Purpose of the tool: This tool helps assess unit … strengths and opportunities for improving unit processes and upgrading unit safety culture. … Agree
1
Five randomly selected staff members (e.g., nurses, nurse-midwives, physicians) from our unit … least two interventions that are part of the Safety Program for Perinatal Care.
2
Unit … unit do not believe that perinatal safety is an issue for this unit.
5
A junior staff
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - Each unit can decide its approach to reviewing these cases. … Each unit can decide its approach to reviewing these cases. … might customize each element to unit needs or preferences. … Slide 30: Unit Next Steps
Say:
The next steps for a unit are as follows:
Decide whether to … Interest and enthusiasm of unit staff for implementing.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
March 01, 2022 - discuss practice with peer group
Multidisciplinary approach to problem-solving: project/QI champions, unit … leadership, infection prevention, executive leadership, and physicians
Unit leadership reviews customized … unit adherence data at regular intervals
Facility leadership reviews customized unit-specific adherence … address and escalate patient refusals
Refusals are escalated via standard pathway to charge nurse, unit … practice patterns and timely followup
Patient outlier concerns and documentation questions sent to unit
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
March 01, 2022 - practice with peer group
• Multidisciplinary
approach to problem-
solving: project/QI
champions, unit … leadership, infection
prevention, executive
leadership, and
physicians
• Unit leadership reviews … customized unit
adherence data at
regular intervals
• Facility leadership
reviews customized … unit-
specific adherence data
for all participating units
at regular intervals
• Utilize creative … is accurate and timely:
• Process to identify patients
with devices
• Patient arrival to unit
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www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 2012 - and relevant information to promote effective communication before patient rounds in the inpatient unit … Staff within the inpatient unit. … Do you believe patients will be transferred out of the unit today?
… Are there any patients having problems on the unit?
III.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception … CUSP Premortem Unit Input Sheet (copies for everyone plus some extra). … that we are 2 years into the future, and despite all of the team’s efforts, CUSP has failed on this unit … Premortem Input Worksheet
We are using a CUSP Premortem prior to launching CUSP on this unit, in order … CUSP Premortem Results
Date:
Unit:
Coordinator:
Attendees: