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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
February 01, 2017 - Say:
There are two parts to the Comprehensive Unit-based Safety Program, or CUSP: the technical work … It is important to capture these unit-specific details in order to best understand the safety culture … in your own unit. … All of those people can participate in HSOPS because they are all part of that unit. … You should allow everybody in your unit to have a voice and participate in this HSOPS survey.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
January 01, 2017 - Events (Up to Three Events)
0 to 25
(see daily codes on next page)
RASS/
SAS/
Not Used in Unit … ICU
Enter the name of your unit. … However, you may collect and enter this information if it would be of use to your unit. … use on your unit? … I if your unit uses the ICDCS
· Circle NU if your unit does not use any of the above methods to assess
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - , interaction with patients, and tenure in work area/unit) … Teamwork Within Units % Agree/Strongly Agree
People support one another in this unit. … Teamwork Within Units % Agree/Strongly Agree
People support one another in this unit. … (Item A10*) 62% 64% -2% 16% -25% 5% -5%
We have patient safety problems in this unit. … ”) and negatively worded items (e.g., “We have patient safety problems in this unit”).
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - , and how many developed a new ulcer while on the unit. … Second, disseminate this information to key stakeholders and to unit staff. … Post monthly rates in places where all staff can see how the unit is doing. … Consider collecting data on pressure ulcers developing after transfer from your unit. … Therefore, they may not be first noticed until after the patient has left your unit.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - , and how many developed a new ulcer while on the unit. … Second, disseminate this information to key stakeholders and to unit staff. … Post monthly rates in places where all staff can see how the unit is doing. … Consider collecting data on pressure ulcers developing after transfer from your unit. … Therefore, they may not be first noticed until after the patient has left your unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Key safety elements
Provide a comprehensive starting point for each unit to consider as it establishes … plan of care and perceived risks—
between shifts
between units
between individuals within the same unit … standard parameters at regular intervals
Unit-established process for timely provider notification and … Admin.
30
Unit Next Steps
Review key safety elements of tool with implementation team, consider any … facility policies or processes, and customize procedures for use within the unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - Patient safety culture improvement at the unit
level is crucial. … • How will the next patient develop a VAE on your unit? … If the senior executive does not have a clinical background, offer a tour of your
unit. … Schedule time with your senior executive to discuss unit-specific information. … unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Who should use this tool: Nurses, physicians, midwives, and other labor and delivery (L&D) unit staff … determine how the elements will be implemented on your L&D unit. … Use of unit-established standing nurse orders Category III FHR tracings. … A unit-established process should:
· Specify patient, nurse, and unit criteria for use of IA. … Unit-established process for disclosing unintended outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - Would this be important to include on your unit? … Keep staff aware of bedside shift report by making Tool 2 available throughout the unit. … The three champions created teaching points for each unit. … In spring and summer of 2009, the team visited each unit in the hospital system. … The unit-based council on 3-South shared implementation responsibilities.
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www.ahrq.gov/hai/clabsi-tools/appendix-7.html
March 01, 2018 - Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit … When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced … (Check all that apply)
[ ] Floor nurse [ ] Nurse from other unit
[ ] Attending MD [ ] Resident … date
8
What are compliance rates for “scrubbing the hub” before accessing line on this unit … 16
How did workload/unit activity affect insertion and care of the CVC?
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/index.html
March 01, 2023 - Toolkit for Preventing CLABSI and CAUTI in ICUs
Today’s intensive care unit (ICU) teams understand … By including the Comprehensive Unit-based Safety Program (CUSP) and other evidence-based practices, this … that explains various resources to support the implementation process of decreasing infections in your unit … can reference the Overcome section multiple times as they work through lowering infections in their unit
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Slide 22: Incidence Calculation
Monthly Unit Numbers
Example
# of patients who … Rates are probably quite different by patient unit.
Focus on trends over time. … Slide 28: Annotated Run Chart Example
Intervention: Unit education, biweekly audits
Pilot Unit … Post monthly rates where all staff can see how the unit is doing. … Unit goal.
Trended data.
Images: Icon of binoculars. Photograph of a visibility board.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - ,
acute care unit, and inpatient behavioral health units). … • Phase 1 focused on two settings: the Medical Intensive Care Unit (MICU) and the Acute
Care Unit … Unit, and an Acute Crisis Service (psych ED). … Unit-based champions were identified by unit leadership and served as
implementation “experts,” reinforcing … The degree of leadership support varied from unit to unit and clearly made a difference in the
integration
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
April 01, 2022 - Unit Action Plan
The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection … The ICU team is encouraged to work together to review various data sources (e.g., intensive care unit … Is this gap something the unit has overcome before?
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www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - Percent of registered unit by unit type
Figure 3. … care unit
(n=38)
Trauma intensive care unit (n=28)
Burn intensive care unit (n=7)
Unspecified intensive … =27)
Telemetry unit (n=26)
Surgery unit (n=25)
Rehabilitation unit (n=12)
Orthopedics unit (n=9) … Obstetrics unit (n=6)
Neurological / neurosurgery unit
(n=3)
Pre-Op unit (n=2)
49.4%
44.7%
5.9% … Neonatal intensive care unit (n=42)
Pediatric intensive care unit (n=38)
Pediatrics unit (n=5)
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
September 01, 2015 - modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit … It highlighted the use of unit protocols related to catheter use. … Fight that urge and help your unit maintain its commitment to excellence. … Avoid overuse.
· -Observe what happens in your unit and how catheters are used. … .
· -Communicate with others from both inside and outside your unit.
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4.html
February 01, 2023 - In addition, you learned about the influence of unit culture on practice change and the importance of … It highlighted the use of unit protocols related to catheter use. … Fight that urge and help your unit maintain its commitment to excellence. … Observe what happens in your unit and how catheters are used. … Communicate with others from both inside and outside your unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/ceosnrleaderchcklst.docx
June 02, 2025 - another leader) as an active member of each team to meet with the team(s) on the unit … Create a policy for unit-level accountability.
4. … Support local interpretation based on unit characteristics.
9.
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www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Engaging a senior executive to partner with a unit will bridge the gap between senior management and … providers and will facilitate a system-level perspective on quality and safety challenges that exist at the unit … Establishes clear goals for unit safety. … Reviews unit data with team and works with direct care providers to establish an improvement plan. … information
In preparation, gather relevant information about the unit for the senior executive.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
June 02, 2025 - Most facilities begin by implementing one report on one unit. … the Change Team
The change team consists of a change team champion, nurse managers from each nursing unit … Step 11: Pilot All Report/Meeting Strategies in One Unit
The team discusses implementation issues with … Likely champions for each nursing unit are the nurse managers with backup support by the QI staff, who … assumes the responsibility of ensuring On-Time process improvements are carried out on each nursing unit