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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Intensive Care Unit (ICU) Daily Goals Checklist
ICU & Non-ICU … Effective communication is particularly important in the unit if complicated care plans are to be effectively … a.m. in this column
SAFETY
What needs to be completed for this patient to be discharged from the unit … Endocrine/Other
· Insulin: Sliding Scale Insulin (SSI) _____ Drip _____
· Electrolyte Protocols unit
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-slides.html
December 01, 2017 - Slide 26
GPS Validation Study
Kathlyn Fletcher, MD, PhD
Goals:
To assess the unit-level … Methods: Overview
Setting: Four academic institutions:
Two units per site (one MICU and one other unit … manager’s answers to others
Other comparisons for today…
Comparison of senior leadership to unit … Ideas:
Ask the infection control professional or quality officer to take the GPS with your unit … see the results
Ideas:
Use questions 8 and 9 with MDs and RNs
If this is true for your unit
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
January 01, 2022 - Other findings
Highest and lowest composite measure average score by staff position and unit/work area … 62%
positive
Telemetry
(highest)
Overall patient safety rating
Average patient safety rating of unit … /work area
67%
of respondents
rated their
unit/work area
“Excellent” or
“Very Good”
29%
Excellent … Comparative Results by
Unit/Work Area
Composite Measure Results
Item Results
Patient Safety Rating … Comparative Results by
Tenure in Unit/Work Area
Composite Measure Results
Item Results
Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-research-datasets.pdf
January 01, 2024 - Ambulatory Surgery
Center (ASC) Nursing Home Community
Pharmacy
Survey items • Staff position
• Unit … /work area
• Items from section
A1-F6
• Background
questions 1-4
• Work area/unit
• Items … Safety Hospital Workplace Safety Medical Office Diagnostic Safety
Survey items • Staff position
• Unit … /work area
• Items from section A1-E1
• Background questions 1-4
• Staff position
• Work area/unit
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www.ahrq.gov/teamstepps-program/evidence-base/simulation.html
July 01, 2023 - teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit … Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among … simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit … Simulation team training for improved teamwork in an intensive care unit.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - A unit-level POC is responsible for promoting and distributing the survey within
his/her unit (for paper … surveys) and for reminding unit staff to complete the survey. … , and tenure at the unit level. … the hospital, tenure within unit, weekly hours, etc. … In this unit, we work together as an effective team.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - Many/
No Specific
Area or Unit
Rehab
Unit
Skilled
Nursing
Unit
# Nursing Homes 41 61 37 … Many/
No Specific
Area or Unit
Rehab
Unit
Skilled
Nursing
Unit
# Nursing Homes 41 61 37 … Many/
No Specific
Area or Unit
Rehab
Unit
Skilled
Nursing
Unit
# of Nursing Homes 41 61 … Many/
No Specific
Area or Unit
Rehab
Unit
Skilled
Nursing
Unit
# Nursing Homes 41 61 37 … Many/
No Specific
Area or Unit
Rehab
Unit
Skilled
Nursing
Unit
# Nursing Homes 41 61 37
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - How will the patient care Unit Team communicate with the Implementation Team? … The patient care Unit Team or frontline staff will communicate with the Implementation Team via ( Unit … Champions/Unit Manager/other ). … Membership of the Unit Managers from the pilot study patient care units. … where changes are to be implemented: the Wound Care Team and the Unit Team.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - Review AHRQ’s Comprehensive Unit-based Safety Program (CUSP) module on teamwork and communication for … Project Lead: List for your institution
Additional key partners for success: (e.g., case managers, unit … managers, pharmacists, residents, clinic staff, operating room and inpatient unit leads, and representatives … ISCR at [Hospital Name] 13
Key Elements Post Anesthesia Care Unit/Postoperative Day 0
Below are examples … of ISCR components that are relevant to the post anesthesia care unit (PACU)/postoperative day 0 work
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www.ahrq.gov/hai/cusp/modules/identify/identify.html
December 01, 2012 - Step 2: How might the next patient be harmed in our unit? … Antecedent Events
A positive unit was hanging on the infuser. … A positive unit not removed prior to case. … Transfusing nurse didn’t check blood type on hanging unit. … Nurse sees that unit is A positive.
Root Causes
Temp nurse unclear about procedure.
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - science, frontline providers will provide a higher quality of patient-centered care on their hospital unit … of patients suffer a medication error. 2
On average, every patient admitted to an intensive care unit … to Contents
Slide 17: Exercise
How do you see technical and adaptive work fitting in your unit … Video screening should be mandatory for all unit staff. … A look into the nature and causes of human errors in the intensive care unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 01, 2017 - The adaptive work of CUSP, the Comprehensive Unit-based Safety Program, involves everyone in your unit … ASK:
How do you think the next patient in your unit/clinical area will be harmed? … Develop a plan to include this video in new staff or unit orientations. … ASK:
For local safety culture, what is the unit response rate? … Debrief the results with frontline staff and unit leadership.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - Outside patient testing, as I said off the unit, really triggers a lot of things. … and our unit secretaries to do this as well. … You were talking about an 18-bed unit. How long did it take you to do rounds for that unit?
Dr. … , who's in the unit, identify who has transfer orders and that kind of thing. … Then you can go through the unit and alert the nurses to transport off the unit who's going to be transferred
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/slides.html
December 01, 2017 - Can be filtered to display residents at the unit and facility level. … Slide 17: Sample Existing Pressure Ulcers Report
On-Time Existing Pressure Ulcers Report
Unit: A … Slide 33: Sample Weekly Wound Rounds Report
On-Time Weekly Wound Rounds Report
Unit: A
Date: 02 … Displays information for an entire facility with breakdown by unit. … Facility Level by Unit
Month: January 2014
All Pressure Ulcers
# Ulcers Present on
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - percent of patients, and central venous catheter (CVC) use averages 35–50 percent of intensive care unit … (ICU) and 10–20 percent of non-ICU patients based on unit type. … Finally, 25–45 percent of ICU patients are on ventilator support, depending on unit type. … Each facility/unit may have special characteristics, and the implementation of the process needs to be
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - These patient outcomes stem from long intensive care unit or ICU stays with mechanical ventilation. … shift nurses, your unit could realize cost efficiencies. … SAY:
Let’s say your unit needs another full-time nurse. … ventilation in your unit each year. … Would you want your parent, spouse, or child treated in a unit not practicing evidence-based care?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
December 01, 2017 - Nursing Unit
System
Display the nursing unit name that is selected by the user during report parameter … Nursing Unit
System
Display the nursing unit name that is selected by the user during report parameter … Nursing Unit
System
Display the nursing unit name that is selected by the user during report parameter … Unit
Facility Level by Unit
Month: January 2014
All Pressure Ulcers
# Ulcers Present … On-Time Pressure Ulcer Counts by Month Report – Unit Level
Pressure Ulcer Count by Unit
Unit
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report-summary.pdf
January 01, 2022 - Other findings
Highest and lowest composite measure average score by staff position and unit/work area … highest)
81%
positive
Advanced
Practice Nurse
(NP, CRNA, CNS,
CNM)
(lowest)
64%
positive
Unit … 62%
positive
Telemetry
(lowest)
Overall patient safety rating
Average patient safety rating of unit … /work area
of respondents
rated their
unit/work area
29%
Excellent
37%
Very
Good
23%
-
www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - Say:
When a safety project is sustainable, the accomplishments are more likely to persist on the unit … The adaptive work of CUSP, the Comprehensive Unit-based Safety Program, involves everyone in your unit … Ask:
How do you think the next patient in your unit/clinical area will be harmed? … Ask:
For local safety culture, what is the unit response rate? … Debrief the results with frontline staff and unit leadership.
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
October 01, 2014 - Which patients do you believe will be transferring out of the unit today? … Are there any patients having problems on an inpatient unit?
Return to Contents
Slide 11. … Assign a person to the issue and have them follow up
Identify actions taken to meet any patient or unit … difference of >20 percent in culture scores between provider types
As part of orientation to a new unit … together
POE removed an important step; communicating to RN of stat order
Physicians unaware of unit