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541. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
     September 01, 2017 - Monthly Transfers by Facility or Nursing Unit. Monthly Transfers by Provider. … Admit to unit (e.g., long-term care, subacute, or rehab). … Can be generated to display information at the unit or facility level. … Report Provides counts of hospital and ED visits for the month by unit or by facility. … Facility/Unit Totals.

542. Guide-Infection-Prevention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
     March 01, 2017 - A Unit Guide to Infection Prevention for Long-Term Care Staff is designed to provide LTC staff with basic … 4 INTRODUCTION A Unit Guide to Infection Prevention for Long-Term Care Staff AHRQ Safety … SECTION I: INFECTIONS AND INFECTION PREVENTION IN LONG-TERM CARE: INFECTIONS IN LONG-TERM CARE A Unit … or cold. 11 SECTION II: STANDARD PRECAUTIONS: INFECTION PREVENTION BASICS A Unit … STANDARD PRECAUTIONS: SPECIFIC STANDARD PRECAUTIONS: ENVIRONMENTAL CLEANING AND DISINFECTION A Unit

543. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-checklist.docx
     January 01, 2017 - Ensure your intensive care unit (ICU) has an overarching protocolized approach to daily ICU patient management … Ensure infection control reports of ventilator-associated event (VAE) rates are reviewed with unit staff … Become an active member of Comprehensive Unit-based Safety Program (CUSP) quality improvement (QI) team

544. West Virginia University Uses AHRQ's Patient Safety Culture Survey to Improve Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cquips0902.html
     October 01, 2014 - A Comprehensive Unit-Based Safety Program was implemented to enable staff to focus safety efforts on … unit-specific programs highlighted by the AHRQ survey. … Purchase of a patient lift device for Intensive Care Unit (ICU) patients.

545. Preventing CAUTI: What to Do When It’s Time for Plan B | Agency for Healthcare Research and Quality
     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

546. On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
     December 01, 2017 - The team may pilot report use in one unit initially and then implement in all units or implement more … Other     Pressure Ulcer Trigger Summary Report: Unit Level     1. … Internal quality review at nursing unit level     3. … Risk management meetings; use as complementary tool during risk review at the nursing-unit level  

547. Understand the Science of Safety | Agency for Healthcare Research and Quality
     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.

548. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     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.

549. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts4.html
     December 01, 2017 - Change Team The change team consists of a change team champion, nurse managers from each nursing unit … On-Time facilitator guides team in generating and reviewing a report with actual resident data on one unit … Pilot All Reports in One Unit The team pilots each report at a designated meeting. … Implement All Reports in All Units Facilitator, champion, or unit representative introduces On-Time … Likely champions for each nursing unit are the nurse managers, with backup support by the QI department

550. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
     October 01, 2015 - Audience This guide is intended for health care leadership, quality and patient safety specialists, unit … Engage a senior executive to “adopt” the unit. … It asks two important questions: How might the next patient in the unit be harmed? … part of daily work flow, the team focused on sustaining the gains achieved will continue to involve unit … Success Is Communicated and Rewarded Effective leaders and managers should always acknowledge unit

551. Morning Briefing and Shadowing (Slide Presentation) | Agency for Healthcare Research and Quality
     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

552. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
     January 01, 2017 - Slide 3 Comprehensive Unit-based Safety Program (CUSP) SAY: The CUSP program is your anchor of health … It can be a challenge for frontline staff and unit-level leaders to recognize all stakeholders. … The team will identify safety-related priorities on the unit and work to solve them. … Before the first ICU tour, share unit-specific information with the executive. … Do not just invite them to come to the unit and walk through the ICU with you.

553. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
     January 01, 2017 - This phase poses the biggest challenge for unit improvement teams. … Short- and long-term cognitive outcomes in intensive care unit survivors. … Cognitive impairment after intensive care unit admission: A systematic review. … Implementing a ventilator care bundle in an adult intensive care unit. … Early mobilization in the intensive care unit: a systematic review.

554. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
     May 01, 2017 - for Simulation Simulation scenarios can be designed to replay real events that have occurred on your unit … actual patient situation; Emphasize the primary focus is on how teams communicate and perform as a unit … goals. 23 AHRQ Safety Program for Perinatal Care In Situ Simulations 23 Staff Readiness Ensure unit … Plan for transportation of simulation equipment to/from unit. … Store equipment in L&D unit, if possible.

555. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Transfer Risk Report – Medium Risk ED Treat and Release Report Monthly Transfers by Facility or Nursing Unit … upon admission or readmission to the nursing home Displays the following: Admit date and time Admit to unit … Unit Report Provides counts of hospital and ED visits for the month by unit or by facility Enables … 2 0 2 0 0 1 0 2 1 1 0 0 0 0 Calculation Details for the Monthly Summary by Facility or Nursing Unit … Understanding the most frequent discharge diagnosis on each nursing unit.

556. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
     December 01, 2017 - Summary Report 4a Trigger Summary Reports: Resident Level 4b Trigger Summary Report: Unit … Include in the top left margin: Nursing unit Report ending date Include " Source: Agency for Healthcare … Filters End users must be able to filter reports by nursing unit. 2.3.4. … the count by the total number of meals possible for the current week (i.e., if a resident was not on unit … the count by the total number of shifts possible for the current week (i.e., if a resident was not on unit

557. Video: Postpartum Hemorrhage—Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/posthemorrhage-video.html
     May 01, 2017 - Perinatal Safety, presents a hypothetical case of postpartum hemorrhage in a fictional labor and delivery unit … It demonstrates the use of techniques in the Comprehensive Unit-based Safety Program to address the situation

558. Table 1. Case Study Sites | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwptab1.html
     August 01, 2015 - academic medical center; CLABSI = central line–associated bloodstream infection; CUSP = Comprehensive Unit-based … Safety Program; HPWP = high-performance work practices; ICU = intensive care unit; NA = not applicable … ; NICU = neonatal intensive care unit.

559. Christiana Care Health System: Safety Mentor Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
     March 30, 2008 - • Facilitates patient/employee safety activities within their unit or department, e.g., Unit Level … • Knowledge of unit/departmental PI and patient/employee safety activities. … • Unit level nursing practice PI committees chairpersons (includes Riverside). … • Dialysis unit. … Formalizing the relationship between the Safety Mentors and unit-based medical directors (physicians

560. Identify Your Unit’s Safety Issues | Agency for Healthcare Research and Quality
     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…