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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
April 30, 2022 - reality training)
26
Agenda
Longitudinal analysis of SOPS scores
Cross-sectional analysis of unit-based … data only)
Communication about error 82 +15
We are informed about errors that happen in this unit. … 80 +15
When errors happen in this unit, we discuss ways to
prevent them from happening again. 84 + … 14
In this unit, we are informed about changes that are
made based on event reports. 82 +16
TENTS … At the unit level: Identify positive and negative aspects of culture
of patient safety and relate them
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - Hospital Unit Challenges
All the States that were interviewed emphasized the importance of the engagement … Other Unit-level Success Factors
Physician and Nurse Champions
In the view of all State leads, teams … Strong State Hospital Association (SHA) Engagement to Increase Unit Accountability
State leads who … kept close contact with their unit teams were able to keep those teams more accountable. … The Toolkit was designed for State leads and hospital unit staff to successfully design and implement
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www.ahrq.gov/hai/cusp/modules/assemble/alt-text.html
March 01, 2013 - Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Assemble the Team" module of the Comprehensive Unit-Based … team performance
Define roles and responsibilities of team members
Slide 3
The Unit-Based … Slide 9
Team Performance
Inputs
Environment
Hospital unit and context
Team composition … Performance
Attitudes
Behaviors
Inputs into team performance are environment, hospital unit … and dependent relationship that exists between each aspect of the unit team.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docx
May 01, 2017 - Obstetricians (list all)
Anesthesiologists/Certified Nurse Anesthetists
Neonatal Intensive Care Unit … Technicians, Ward Clerks, Nurse’s Aides)
Staff from Safety, Quality, or Risk Management Office
Unit … Champion (Unit Team Lead)
Other Roles?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors (by Unit … or Facility)
Contextual Factors Report (by Unit or Facility)
Postfall Assessment Report (by Resident … Falls Prevention
24
Summary of Falls Risk Factors Report
Report displays falls information at the unit … Nursing Unit:
Date: ___/___/___
October 2017
On-Time Falls Prevention
27
Check Your Understanding … A Unit B Unit C
Monday 0 1 0
Tuesday 0 2 0
Wednesday 2 1 1
Thursday 0 1 1
Friday 0 2 1
Saturday
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www.ahrq.gov/patient-safety/settings/hospital/resetguide.html
July 01, 2020 - The AIMS model consists of five interventions:
Unit-Based Physician Teams. … Unit Nurse-Physician Co-Leadership.
Enhanced Interprofessional Rounds. … Unit-Level Performance Reports.
Patient Engagement Activities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - People support one another in this unit. … In this unit, people treat each other with respect. … When one area in this unit gets really busy, others help out.
2. … We are informed about errors that happen in this unit.
C5. … Staff in this unit work longer hours than is best for patient care.
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - When one area in this unit gets really busy, others help out.
2. … We have patient safety problems in this unit. (negatively worded)
6. … We are informed about errors that happen in this unit.
C5. … In this unit, we discuss ways to prevent errors from happening again.
7. … Staff in this unit work longer hours than is best for patient care.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - 2007
The impact of nosocomially-acquired resistant Pseudomonas aeruginosa infection in a burn unit … Berenholtz SM,
2004
Eliminating catheter-related bloodstream infections in the intensive care unit … cost estimates
Brun-Buisson C,
2003
The costs of septic syndromes in the intensive care unit … Published before 2002
Dimick JB,
2001
Intersive care unit physician staffing is associated … Published before 2002
Donowitz LG,
1987
Neonatal intensive care unit bacteremia: emergence
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - You have to send someone to another unit to borrow supplies as the central supply department is closed … Depending on your facility purchasing agreements and whether your ICU is the only unit in your facility … Is it the materials and supplies department or someone in your unit or department? … These all can impact unit readiness. … Some creative ways to implement the champion program might be to advertise within the unit.
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-care-processes-slides.html
January 01, 2017 - Your intensive care unit (ICU) or unit.
1. Another ICU/unit in your hospital.
2. … What sedation scale do you use on your unit? … This question refers to your unit, not to this specific patient. … NU = Unit uses neither RASS or SAS.
If NU , skip to Delirium Assessment. … If you entered " NU ":
NU = Unit uses neither RASS or SAS.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-slides.pptx
January 01, 2017 - the date the patient was intubated
If the date is not available*, enter admission date (either to the unit … Your intensive care unit (ICU) or unit
Another ICU/unit in your hospital
Outside hospital
Operating room … Program for Mechanically Ventilated Patients
Sedation Scale
What sedation scale do you use on your unit … This question refers to your unit, not to this specific patient
DCP Measure Descriptions ‹#› … ICDSC, or ASE, but not more than one
C = CAM-ICU
A = Attention Screening Exam (ASE)
I - ICDSC
NU = Unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - Results:
The Hospital Unit Safety Climate measure contains 33 items measuring 7
dimensions of safety … This article describes the process we used to
develop the Hospital Unit Safety Climate measure, the … The nurse respondents worked on 15 units (range of
respondents per unit was 4–31). … Unit manager.
b. Socialization/training.
c. Safety emphasis.
d. … Unit manager promotion of safety climate was marginally different.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - Intensive Care Unit Infographic Poster
Appendix M. … When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the
practices outlined in … Culture consists of the unit team’s values, attitudes, and
beliefs, which will all have an impact on … Catheters
placed for surgery duration should be removed in the post-anesthesia care unit. … Post this
metric in the nursing station of your unit or on a hallway bulletin board.
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - Intensive Care Unit Infographic Poster
Appendix M. … When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the
practices outlined in … Culture consists of the unit team’s values, attitudes, and
beliefs, which will all have an impact on … Catheters
placed for surgery duration should be removed in the post-anesthesia care unit. … Post this
metric in the nursing station of your unit or on a hallway bulletin board.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - To Improve Efficiency
How much do you agree or disagree with the following statements about your unit … In our unit, we are working to improve patient
flow. .............................................. … In our unit, we take steps to reduce patient
wait time. ........................................... … Provides us with reports on our unit
performance .................................................. … I looked at visual displays or graphs to see how well my unit was performing. ...........
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
May 01, 2017 - Slide 6
SAY:
In situ simulations can be designed to replay
real events that have occurred on a unit … Plan for transporting simulation equipment to
and from the unit. … If possible, store equipment
in the L&D unit where the simulations will take
place. … on the unit based
on volume and acuity of patient care needs,
and available staffing. … • Pilot-test program on a small-scale
prior to widespread unit
implementation.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises3.html
December 01, 2017 - Data
In reviewing triggers for a specific nursing unit over a 4-week period:
Which triggers are … Sample Trigger Summary Report: Unit Level
Pressure Ulcer Triggers
Week 4
5/10/14
Week 3 … True
False
On the Nursing Unit Level view of the Trigger Summary Report: ( choose all that apply … Level enables leadership to analyze specific and overall trends of PrU triggers for a nursing unit to … MDS nurse
Nursing assistant
Unit manager
QI or staff education staff member
Housekeeping
All
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - Slide 1
Connecting the Dots: Improving Unit Safety Culture to Stop HAI
Katherine J. … subculture within that unit/department. … This is why HSOPS results in this project are reported by unit and nurse vs. non-nurse within that unit … The attitudes and behaviors of unit managers determine whether or not people in that unit learn from … It is the unit leader’s response to error that is being assessed.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - Hematology/Oncology Unit
62.9
(n=35)
83.7
(n=43)
85
(n=40)
Medical/Surgical Unit
77.5
(n=200 … )
79.3
(n=310)
83.1
(n=360)
Hematology/Oncology Unit &
Medical/Surgical Unit: Aggregated
75.3