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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
May 13, 2014 - Ashley’s a registered nurse in the surgical and sensitive care unit and neuroscience care unit, and has … We had this woman present to our unit with diastolic heart failure. … So we had to transfer her to the intensive care unit, put a filter in her. … What is going on in your unit? … Everybody wanted a wedge pressure on every sick patient that came into the unit.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - We need to know what falls risk is when patients are going from unit to unit, so I would jot that down … on my list and add it to some of the issues that arisen on the unit. … knew that it was just as slow on one unit as it was on the next. … They are referred immediately to the unit manager. … rapid responders being able to get into the unit.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Director of Surgical Critical Care and the Medical Director of the Surgical Trauma Intensive Care Unit … Director of Surgical Critical Care and the Medical Director of the Surgical Trauma Intensive Care Unit … catheter options
Physician order sets updated for POD #1
Foley removal stickers as reminders
Unit … Mark the milestones
Newsletters
Unit Meetings
Management Team Recognition
Slide 65
What … CUSP improvement tools are designed for bedside caregivers – easy for busy staff to use:
Unit
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - for the institution; the basics should be covered (e.g., condom catheters, bladder scanners)
Pick a unit … Nurse buy-in is key to success
A physician administrator : “Because the nurses on the geriatrics unit … The key senior leaders in preventing CAUTI are the CNO and CMO
But other leaders are important…
Unit … Institutionalization
The initiative becomes part of the “standard of care” in the hospital (or unit … Do you currently collect CAUTI-related data (e.g., catheter prevalence and appropriateness) in the unit
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
December 01, 2009 - influenzae type b
HRSA
Health Resources and Services Administration
ICU
Intensive Care Unit … Journal of Medicine
NHSN
National Healthcare Safety Network
NICU
Neonatal Intensive Care Unit … Primary Care Physician
PHP
Prevention and Health Promotion
PICU
Pediatric Intensive Care Unit
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www.ahrq.gov/hai/cusp/videos/05a-id-unit-safety-issues/index.html
June 01, 2018 - Identify Your Unit’s Safety Issues
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Identify…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
December 01, 2017 - health program may seek to provide health services for AI/ANs living in the project site (i.e., Service Unit … ) as well as for AI/ANs from the Tribe who live outside of the IHS Service Unit. … focus the provision of specific services in geographic areas that are smaller than the IHS Service Unit
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www.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - The AHRQ resources are:
Comprehensive Unit-based Safety Program (CUSP), an evidence-based method … Culture was administered as a benchmark measure to all staff delivering care on the medical-surgical unit … Impact Case Study Identifier:
2015-26
AHRQ Product(s):
Comprehensive Unit-based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - for the institution; the basics should be covered (e.g., condom catheters, bladder scanners)
Pick a unit … The key senior leaders in preventing CAUTI are the CNO and CMO
But other leaders are important…
Unit … for the institution; the basics should be covered (e.g., condom catheters, bladder scanners)
Pick a unit … 1) Institutionalization
The initiative becomes part of the “standard of care” in the hospital (or unit … Do you currently collect CAUTI-related data (e.g., catheter prevalence and appropriateness) in the unit
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - It will take work, and it will take new work—work on the Comprehensive Unit-based Safety Program, or … Slide 12: Comprehensive Unit-based Safety Program (CUSP)
Say:
To address the adaptive work, we … The surgeon leader also serves as the communication link between unit physicians and the team. … Surgeons on the unit have access to the surgeon leader to voice their concerns and needs. … The surgeon leader functions as the leader for unit and hospital physicians while contributing to the
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - These underlying values, attitudes, and beliefs really drive what happens in our unit every single day … The same discrepancy is seen in the intensive care unit or ICU and in the operating room. … Giving them a lead title, helping them to establish some unit reputation, giving them an opportunity … What are some activities you can do to specifically encourage the engagement of physicians in your unit … A second task is ensuring your intensive care unit (ICU) has an overarching, protocolized approach to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - These underlying values, attitudes, and beliefs really drive what happens in our unit every single day … The same discrepancy is seen in the intensive care unit or ICU and in the operating room. … Giving them a lead title, helping them to establish some unit reputation, giving them an opportunity … What are some activities you can do to specifically encourage the engagement of physicians in your unit … A second task is ensuring your intensive care unit (ICU) has an overarching, protocolized approach to
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - State the indications for an indwelling urinary catheter
Identify causes of CAUTI in the intensive care unit … Preventing catheter-associated urinary tract infections in the intensive care unit. … structures of genitourinary tract
Anticipated prolonged surgery duration (removed in post-anesthesia care unit … Settings
Technical Issues
Evidence-based guidelines
Socio-adaptive (cultural issues)
Staff behavior and unit … Preventing catheter-associated urinary tract infections in the intensive care unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - Discuss the impact of unnecessary antibiotic use in causing C. difficile infection
Summarize the role of unit … -Unit medical director
Physician barriers
37
Knowledge or problem and financial consequences
“ … -Unit medical director
Nurse barriers
40
Workflow issues
Risk of Foley v. other risks
“I think they … So you actually need champions on the unit level.” … for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-slides.html
February 01, 2017 - Slide 4: Comprehensive Unit-based Safety Program (CUSP)
Steps of CUSP:
Educate staff on the Science … idea and that we need them to help us prevent ventilator-associated pneumonia in our intensive care unit … Share unit-specific information before the first executive safety rounds. … Pertinent information about the unit that the senior executive might not know.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
March 01, 2018 - Respondent Unit/Work Area ........................................................................... … Information Services Staff, Clinical
Informatics Staff
276 3%
Security 5 <1%
Transporter 6 <1%
Unit … Respondent Unit/Work Area
Unit/Work Area
Pilot Hospital
Respondents
Number Percent
Many different … Unit 599 6%
Medical Unit (Nonsurgical) 265 3%
Surgical Unit 213 2%
Transplant Unit 15 <1%
Patient … Respondent Unit/Work Area, continued
Unit/Work Area
Pilot Hospital
Respondents
Support Services
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/ptfamcare-slides.pptx
January 01, 2017 - Patients
4
Family Stress in the Intensive Care Unit1
Family members of patients in the intensive care unit … Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American … Understanding treatment with respect and dignity in the intensive care unit. … Understanding treatment with respect and dignity in the intensive care unit. … Understanding treatment with respect and dignity in the intensive care unit.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - On average, every patient who's admitted to an intensive care unit has or suffers an adverse event. … What we'd like to see is to have a reduction in average CAUTI rates in each participating unit by 25 … It's the comprehensive unit-based safety program. … And it does take time to improve culture on the unit. … While this call is tailored for the EDs, all hospital unit teams are welcome to attend.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - On average, every patient who’s admitted to an intensive care unit has or suffers an adverse event. … What we’d like to see is to have a reduction in average CAUTI rates in each participating unit by 25 … It’s the comprehensive unit-based safety program. … And it does take time to improve culture on the unit. … While this call is tailored for the EDs, all hospital unit teams are welcome to attend.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Unit Manager.
Provider Champion.
Senior Executive. … But everyone on the unit can and should participate in the process of learning from defects. … And : Nurse hands over chart with Kardex stamp plate as patient leaves intensive care unit (ICU). … Unit Environment
Near simultaneous emergent events; change of two different provider groups at same … Unit Environment
Near simultaneous emergent events; change of two different provider groups at same