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141. 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results: Appendix—Results by Respondent Characteristics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results-appendix.pdf
     January 01, 2025 - Pilot Results Work Unit SOPS Composite Measures Short-Term Care Unit Long-Term Care Unit … Care Unit Memory Care Unit Multiple / No Specific Area # Pilot Nursing Homes 14 27 11 27 … Care Unit Memory Care Unit Multiple / No Specific Area # Pilot Nursing Homes 14 27 11 27 … Pilot Results Work Unit Single Item Measures Short-Term Care Unit Long-Term Care Unit Memory … Care Unit Long-Term Care Unit Memory Care Unit Multiple / No Specific Area # Pilot Nursing

142. 050-Dec-Implementation-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
     October 01, 2024 - Type of Decolonization Would Work Best in My Unit? … Select and adapt the protocols for your unit. … and to provide feedback to unit personnel. … your patient but also the other patients on the unit. … These reports are promptly shared with each unit via the unit champions.

143. Tools & Resources for Decolonization: Protocols | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-protocols.html
     October 01, 2024 - Stewardship Blood Culture Practices and Stewardship Index of Clinical Topics The Comprehensive Unit-based … Unit Protocols for Decolonization Unit protocols will vary depending on whether your unit implements … Protocols for both strategies are offered below: Unit Protocol: Universal MRSA Decolonization (DOCX … , 396 KB) Unit Protocol: Targeted MRSA Decolonization (DOCX, 398 KB) Chlorhexidine Gluconate (CHG)

144. 150-Cusp-Tip-Sheet-Celebrating-Success (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx
     October 01, 2024 - Program for MRSA Prevention CUSP Tip Sheet: Celebrating Success and Spreading MRSA Prevention Beyond the Unit … success and work toward sustainable changes, spreading the best practices to other areas outside of the unit … Effective leaders and managers should always acknowledge unit teams that achieve safety goals or make … When interventions have been successfully piloted in a unit, it is important to rapidly share the lessons … find opportunities to share successes internally. · Create a visual display of team success on the unit

145. Appendix 9: Back to Basics | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/clabsi-tools/appendix-9.html
     March 01, 2018 - Tools for Reducing Central Line-Associated Blood Stream Infections These tools will help your unit … Unit physicians and nurse leaders “own” the goal of reducing CLABSI rates. … Unit leaders and infection preventionists investigate all CLABSIs as defects. … Unit nurses review and audit catheter maintenance policy and practices. … All unit staff should know their CLABSI rates and weeks without an infection.

146. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive Partnership (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/worksheet.docx
     May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Issues Worksheet for Senior Executive … Partnership AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety Issues Worksheet … clinical staff and senior executives with respect to patient safety issues on the labor and delivery unit

147. Facapplycusp (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     June 02, 2025 - · Can you identify examples of human error in your unit or hospital? … · Can you identify example of reckless behaviors in your unit or hospital? … , accountability, and safety on their unit. … First, unit leaders can have procedures in place for employees to follow. … can use the modules in any order to meet the needs of the unit.

148. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
     July 01, 2023 - Identify ways to apply key safety elements to your unit procedures for rapid response to urgent maternity … The key safety elements provide a comprehensive starting point for each unit to consider as it establishes … Likewise, a unit must be ready to disclose any unintended outcomes. … Interest and enthusiasm of unit staff and administration for implementing. … Support implementation of unit systems: Staff training/communication. Simulation.

149. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
     January 01, 2017 - Unit___________ Month ___________ Please record the following occurrences for all patients in your unit … typically is collected on a monthly basis for patients receiving mechanical ventilation within the unit … number of patients on mechanical ventilation How many patients are on mechanical ventilation in the unit … Each episode of mechanical ventilation in this unit during the month will be counted once. … A death is counted whether or not the patient was housed in the unit at the time of death.

150. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Zebrak (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
     July 22, 2022 - Positively worded survey item: In this unit, providers and staff use PPE appropriately. … In this unit, providers and staff are provided with the appropriate personal protective equipment (PPE … Respiratory is not a patient unit…we were not stocked with the correct PPE...” … In this unit, enough staff are available when needed to help move, transfer, or lift patients. 38 … needs of the unit.

151. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2024 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
     January 01, 2024 - Respondents Unit/Work Area Number Percent Multiple Units, No Specific Unit 22,461 8% Medical/Surgical … Units Combined Medical/Surgical Unit 22,076 8% Medical Unit (Non-Surgical) 6,101 2% Surgical Unit … Teamwork In this unit, we work together as an effective team. … (Item A1) 86 During busy times, staff in this unit help each other. … (Item A3*) 50 This unit relies too much on temporary, float, or PRN staff.

152. Final Progress Report: Exploratory Study Using Queuing Theory To Improve Nurse Staffing Effectiveness (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/stone-report.pdf
     January 01, 2024 - Aim 2: Determine unit-specific volume and timing (arrival rates) for nursing care demands. … The "servers" are the nurses assigned to the unit. … In 2006, this unit served a total of 2,942 patients. … and 2) nurse managers or administrators familiar with the unit. … Overall, 224 nursing interventions were deemed relevant to the orthopedic unit.

153. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
     January 01, 2022 - in current unit/work area, and interaction with patients). … Unit/Work Area Number Percent Multiple Units, No Specific Unit 13,731 7% Medical/Surgical Units … Combined Medical/Surgical Unit 14,609 8% Medical Unit (Nonsurgical) 5,963 3% Surgical Unit 7,139 … During busy times, st aff in t his unit help each other. (Item A8) 87%. … There is a problem with disr espectful behavior by those w orking in this unit.

154. Teamworknotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
     June 02, 2025 - SAY: The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program … additions to the unit team … ASK: On your unit, what information would you want called out? … ASK: When do you typically use handoffs in your unit? … Unit teams can complete this tool each morning during patient rounds.

155. Background Quality Improvement Team Information Form | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
     December 01, 2012 - Please indicate people designated as Unit Type> Quality Improvement Team Members. … These individuals from Unit Type> are members of the Quality Improvement Team. … Chief Quality Officer     Nurse Champion     Nurse Educator     Unit … Type> Nurse Manager     Unit Type> Nurses on team (list all)     Unit Team Lead)     Other Roles?

156. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
     July 01, 2023 - teams a structured approach to assessing the patient safety culture on the L&D unit. … Sensemaking is a way for a L&D unit to learn from and prevent mistakes. … As shown on the previous slide, defects can be found everywhere on the L&D unit. … How might the next patient be harmed in our unit? … External causes outside the unit, such as the loss of an electrical supply.

157. Assemble the Team and Engage Leadership for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
     July 01, 2023 - and dependent relationship that exists between each aspect of the unit team. … and dependent relationship that exists between each aspect of the unit team. … and dependent relationship that exists between each aspect of the unit team. … and dependent relationship that exists between each aspect of the unit team. … Encourages unit staff involvement.

158. Using Data To Drive Change and Improve Patient Safety Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
     April 01, 2022 - It also serves as a way to assess if the changes your unit made are effective. … culture surveys, your unit may want to develop an ICU-specific action plan. … Slide 9 It is crucial to reiterate that safety culture is unique to each unit. … in your own unit. … While these data are from a fictitious unit, the story behind the data is real.

159. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - In an example from a CUSP team working on an obstetrics unit, hierarchy issues plagued the unit, disrupting … the abilities of the unit nurses and doctors to work together effectively. … on their unit. … Ask: What issues did the team experience in its unit? … How did the team implement independent checks in its unit?

160. How To Measure Pressure Injury Rates and Prevention Practices
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
     June 02, 2025 - Rates are probably quite different by patient unit. Focus on trends over time. … , biweekly audits Pilot Unit: ICU 28 Coccyx 42005 42036 42064 42095 42125 42156 42186 42217 42248 … 31 Use of Data Find ways to disseminate the information to key stakeholders and unit staff. … Post monthly rates where all staff can see how the unit is doing. … Unit goal.