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www.ahrq.gov/sites/default/files/publications/files/haify11.pdf
January 01, 2011 - Standardization of Antibiotic Use in
Long-Term Care
SSIs—Surgical site infections
SUSP—Surgical Unit-based … Goals: This project will develop and
test a Comprehensive Unit-based Safety
Program (CUSP) to reduce … Demonstrating and field testing
CUSP-VAP in two States
Development and Demonstration of
a Surgical Unit-based … surgical complications
Setting: Hospitals
Goals: The goal of this project is to
develop a Surgical Unit-based … Care of
Complex Patients
Translating Comparative Effectiveness
Research Results from Intensive Care
Unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
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/hai/cusp/modules/assemble/team-slides.html
December 01, 2012 - The Unit-Based CUSP Team .
Slide 4. CUSP Team Members .
Slide 5. Unit Team Characteristics . … The Unit-Based CUSP Team
Understands that patient safety culture is local. … Unit Team Characteristics
Ven diagram showing union of CUSP and TeamSTEPPS team characteristics. … Hospital unit and context.
Team composition.
Task design .
Processes
Inside team. … Makes rounds and meets monthly with members of health care team on the unit.
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Intensive Care Unit Infographic Poster
Appendix M. … The Problem
The Solution
Frameworks for Change and Improvement
The Comprehensive Unit-based … Intensive Care Unit Infographic Poster ( PDF , 425 KB)
Appendix M. … for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
March 01, 2009 - percent of patients suffer a medication error2
On average, every patient admitted to an intensive care unit … Checks
12
12
Learn From Defects
13
14
Exercise
Think about a recent safety issue in your unit … Technical Work and Teamwork
16
How do you see technical and adaptive work fitting in your unit … view the Understand the Science of Safety video
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/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - Nursing Unit System IF the report is generated for a single nursing unit, display the nursing
unit name … Unit- or Facility-Level Reports
Unit- or facility-level reports will display the facility name or nursing … unit name in the header. … , use ADC for specified nursing unit. … Report Example: Key Metrics Trended Report by Unit or Facility
Unit Name: A100 Jan Feb Mar Apr May
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Purpose of This Tool
The Comprehensive Unit-based Safety Program employs the Staff Safety assessment … helps you access this wisdom by directly asking providers: How will the next patient be harmed in your unit … How will the next patient develop a surgical site infection on your unit? … hand out the Perioperative Staff Safety Assessment tool to all clinical and nonclinical staff in the unit
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www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
December 01, 2012 - 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
May 01, 2017 - Set expectation for unit-level culture assessment.
4. … Set the expectation that a senior leader is an active member of each Comprehensive Unit-based Safety … (*“How is the next patient likely to be harmed on my unit?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
January 01, 2017 - Most facilities begin by implementing one report on one unit. … 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 … Pilot All Report/Meeting Strategies in One Unit
2nd month
12.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/timeline.html
June 01, 2017 - Most facilities begin by implementing one report on one unit and then expand use to all units once 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 … Pilot All Report/Meeting Strategies in One Unit
2 nd month
12.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
February 01, 2018 - Nursing Unit System • For unit-level reports, display the nursing unit name that is
selected by the … ; user defines filter as unit and specifies unit or facility.
3.1.3. … 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 … A Unit B Unit C
Location
Fall
Totals
(Count)
Day of Week Shift Time of Day
22
3.3.5.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - (s) prior to this training to identify Unit Champions for each shift on each pilot unit. … By reviewing a different unit, the nurse may recognize discrepancies in processes that the unit may not … Description: The SWAT has a representative from each unit and shift. … Solution: Educate SWAT members, who in turn educate unit staff. … Each board is unit specific and showcases the process and outcome data from that patient care unit.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-teamwork-transcript.html
December 01, 2017 - excited that you've joined us on today's call, which is going to focus on the process of building your unit … First, to improve the culture of safety on your unit, using the model of the comprehensive unit-based … project on your unit. … So, how often does the nursing unit evaluate urinary catheter presence and appropriate need? … I rounded today in my unit on Foley catheters, which is a cardiovascular-thoracic unit, and I want to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - excited that you've joined us on today's call, which is going to focus on the process of building your unit … First, to improve the culture of safety on your unit, using the model of the comprehensive unit-based … project on your unit. … So, how often does the nursing unit evaluate urinary catheter presence and appropriate need? … I rounded today in my unit on Foley catheters, which is a cardiovascular-thoracic unit, and I want to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Ventilated Patients
6
Perceptions of Teamwork
RN Labor and Delivery Operating Room Intensive Care Unit … Anesthetist/
Anesthesiologist 48 48 54 59 Physician Labor and Delivery Operating Room Intensive Care Unit … Intensive care unit safety culture and outcomes: a US multicenter study. … People get involved when asked
Offer “lead” title, unit reputation, opportunity to present to leadership … Intensive care unit safety culture and outcomes: a US multicenter study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
March 22, 2014 - and the Unit Level report
displays risk for the entire census of a single nursing unit. … Trigger Summary Report: Unit Level
3.5.1. … )
Compute an overall bowel completeness average for the unit. … )
Compute an overall bladder completeness average for the
unit. … )
Compute an overall behaviors completeness average for the
unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based … Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based … The second step is to use our developing system lenses to identify areas for improvement in the unit … And, they engage actively in breaking down silos within the unit, so that they come to see themselves … A physician champion might be the unit director, the chief medical officer, or a senior clinician who
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - in your unit and helps identify areas of
improvement. … Policies for many of these interventions may already be in
place in your unit. … Head of bed elevation compliance should
be reported to unit staff on a regular basis. … Impact of the ventilator bundle on ventilator-
associated pneumonia in intensive care unit. … Implementing a ventilator care
bundle in an adult intensive care unit.
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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