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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - This slides summarizes the interventions of this effort:
The 5 elements of the Comprehensive Unit-based … Your unit?
Would you want to be a patient in the unit where you work? … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for
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www.ahrq.gov/pqmp/measures/index.html?page=3
Complex Needs (COE4CCN)
Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit … (PICU) Measure Domain: Management of Acute Conditions Measure Subdomain: Pediatric Intensive Care Unit … Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit … of Acute Conditions Measure Subdomain: Transitions between Sites of Care: Hospital Intensive Care Unit … of Acute Conditions Measure Subdomain: Transitions between Sites of Care: Hospital Intensive Care Unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - bundle review the key elements of a rapid response system within the framework of the Comprehensive Unit-based … The key safety elements provide a comprehensive starting point for each unit to consider as it establishes … unintended outcomes
AHRQ Safety Program for Perinatal Care
18
Rapid Response
Perinatal Safety
18
Unit … Consider these factors:
Unit data suggesting adverse events or near misses that may have been minimized … Support implementation of unit rapid response system through:
Staff training/communication
Simulation
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
December 01, 2017 - When a safe surgery project is sustainable, the accomplishments are more likely to persist on the unit … During this module, consider the efforts at your unit or hospital and assess whether they are sustainable … The adaptive work of CUSP, the Comprehensive Unit-based Safety Program, involves everyone in your unit … Also, consider the unit or hospital priorities and how they might compete with the improvement efforts … Develop a plan to include this video in new staff or unit orientations.
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www.ahrq.gov/teamstepps-program/curriculum/team/teach/mini.html
May 01, 2023 - discussion of effectively collaborating with patients and family caregivers in your organization or unit … You may choose to use the TeamSTEPPS Video Simulation Training Unit for Team Leadership. … This unit includes:
Short video segments that introduce a team leadership scenario, show the scenario
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
April 01, 2011 - Calculated for each unit and overall facility
Incidence. … –
–
Calculated for each unit and overall facility
Also called facility-acquired (FA) or hospital … Every patient on every unit has a
head to toe skin assessment (looking for
pressure ulcers).
3. … Disseminate outcome (rates) and process
measurement information to unit staff and
key stakeholders. … Post monthly rates in places where all unit
staff can see how the unit is doing.
37
Study the Data
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - A little bit about our unit, we have two cohorts. … Another issue is staff changes on the unit. … And, again, time sometimes keeps the unit from sharing with others or even a shift on a unit sharing … or a spokesperson for that unit that reported. … in their unit that said “Our unit, our rules,” and with administrative backing would not allow a physician
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
June 01, 2017 - Key:
BO: Business Office
Pre: Preop unit
OR: Operating room unit
SPD: Sterile processing department … PAC: Postacute care unit
Slide 6: Apply the Model for Improvement to Observation
What are … Use regular, direct observation by the unit supervisor
Slide 7: Apply the Model for Improvement to … Consider huddle only for unit leaders to discuss problems touching multiple parts of the facility (e.g
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - You want to have
people on your unit that are very comfortable that other people can go to. … But if you're in a unit where there is still that culture that what the doc
does or says goes without … A lot of organizations in the nursing realm will have unit-based nursing practice
councils. … The unit has to set the tone, or it has to be an expectation in the unit that
conversations will happen … It's healthy for the unit, and it orients us
toward our common goal of zero infections.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … should use this tool: Nurses, physicians, midwives, pharmacists, and other labor and delivery (L&D) unit … 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. … A sample of how some of these key perinatal safety elements can be incorporated into a unit approach
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-4.html
November 01, 2014 - 2011
295
Family-centered labor, delivery, and postpartum care; Level III neonatal intensive care unit … ; pediatric intensive care unit (PICU); stroke care through primary stroke Center; Children and Adolescent … Rapid Evaluation Service (CARES) unit
Hospital 3, post-May 2011
368
*This hospital
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-4.html
November 01, 2014 - 2011**
295
Family-centered labor, delivery, and postpartum care; Level III neonatal intensive care unit … ; pediatric intensive care unit (PICU); stroke care through Primary Stroke Center; Children and Adolescent … Rapid Evaluation Service (CARES) unit
Horizon Hospital (Hospital 3), post-May 2011
368
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - − Select a specific unit, considering both its readiness and need for enhanced teamwork. … The selected unit should neither be the easiest nor the most difficult one to start with. … Focusing on a problem the unit wants to address can help keep it
motivated. … − Provide the unit training on teamwork and how to use the tool or process. … to begin the process with another unit
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - Most facilities begin with changes in workflow on one unit and then expand use to all units. … Change Team
The Change Team consists of a Change Team champion, nurse managers from each nursing unit … The team reviews material for the first report and generates the report for one nursing unit. … Likely champions for each nursing unit are the nurse managers, with backup support by a QI staff member … Pilot All Report/Meeting Strategies on One Unit
2 nd month
12.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - for Improving Care
Educate staff on science of safety
Identify defects
Assign executive to adopt unit … Intensive care unit safety culture and outcomes: a US multicenter study. … Teamwork within unit People support one another in this unit. … Patient safety grade (within hospital unit) Please give your work area/unit in this hospital an overall … Intensive care unit safety culture and outcomes: a US multicenter study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - American Hospital Association
Emily Pasola MSN, RN, CNL
Clinical Nurse Leader
Surgical Intensive Care Unit … data
What = Making clear goals, protocols and expectations
Where = Unit specific? … These four elements depict the primary means for engaging unit team members to ensure patient safety … Emphasizing unit team members’ involvement in improving the unit lends not only to the success of the … Educate
Education uses predominantly technical work and requires unit teams to guarantee that staff and
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
December 01, 2017 - Meaningful
Using the CUSP Culture Check-Up Tool
Share culture results with everyone on the unit … Understand the unit culture.
Use teammates’ feedback to predict and avoid barriers. … Slide 8: Culture Check-Up Tool
Identifies general strengths and weaknesses of your unit culture … How accurately does the unit score reflect your experience on this unit? Share examples. … Identify at least one actionable idea to improve unit results in this area.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … , resource, & data collection
Unit Team Leader:
Peer champion, coordinate project efforts,
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www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - Indiana, focused on medication reconciliation for patient transfers into and out of the intensive care unit … gain leadership support for installing new medication reconciliation report software on all nursing unit … The post-anesthesia care unit can now print an updated medication list after surgery, and the surgeon … is able to reconcile medications before the patient returns to the nursing unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/clabsi_invest-slides/CLABSI-Investigation-Walk-the-Process-Sept-14-2010-508.ppt
January 01, 2010 - In one unit, they had a BSI about 35 weeks ago. … ultimate goal, of course, is to completely lick blood stream infections with your patient, in your unit … all staff who accessed lines
Standardize
Line Cart Contents – 4 drawers
Process Auditing
Unit … Defects Tool
Develop a plan to prevent the system defect in the future
Conclusion
Ensure your unit … A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).