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psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
December 13, 2023 - Commentary
Targeting the fear of safety reporting on a unit level. … Targeting the Fear of Safety Reporting on a Unit Level. … Targeting the Fear of Safety Reporting on a Unit Level.
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psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
April 06, 2011 - Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit … Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit … The authors analyzed the organizational development of a new pediatric intensive care unit and discuss … Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit … December 18, 2014
The high-reliability pediatric intensive care unit.
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psnet.ahrq.gov/issue/attitudes-toward-safety-and-teamwork-maternity-unit-embedded-team-training
November 20, 2013 - Study
Attitudes toward safety and teamwork in a maternity unit with embedded team … Attitudes toward safety and teamwork in a maternity unit with embedded team training. … Attitudes toward safety and teamwork in a maternity unit with embedded team training. … October 21, 2020
How to be a very safe maternity unit: an ethnographic study. … April 27, 2019
How to be a very safe maternity unit: an ethnographic study.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception … CUSP Premortem Unit Input Sheet (copies for everyone plus some extra). … that we are 2 years into the future, and despite all of the team’s efforts, CUSP has failed on this unit … Premortem Input Worksheet
We are using a CUSP Premortem prior to launching CUSP on this unit, in order … CUSP Premortem Results
Date:
Unit:
Coordinator:
Attendees:
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psnet.ahrq.gov/issue/evaluation-harm-associated-high-dose-range-clinical-decision-support-overrides-intensive-care
August 17, 2018 - Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit … Evaluation of Harm Associated with High Dose-Range Clinical Decision Support Overrides in the Intensive Care Unit … support for medication dosing is needed to balance safety with alert fatigue in the intensive care unit … Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit … Evaluation of medication-related clinical decision support alert overrides in the intensive care unit
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
November 01, 2017 - Quarterly Summary of Falls Risk Factors by Unit or Facility . … On-Time Falls High-Risk Report
Sample Falls High-Risk Report
Unit: ______________________________ … Quarterly Summary of Falls Risk Factors by Unit or Facility
Sample Quarterly Summary of Falls Risk … Factors by Unit
On-Time Quarterly Summary of Falls Risk Factors by Unit
Nursing Unit: ___________
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - Respondent Characteristics: Unit/Work Area
Unit/Work Area
Respondents
Number Percent
Multiple Units … , No Specific Unit 960 8%
Medical/Surgical Units
Combined Medical/Surgical Unit 931 8%
Medical Unit … Respondent Characteristics: Unit/Work Area (Continued)
Unit/Work Area
Respondents
Number Percent … Units
2 Combined Medical/Surgical
Unit
3 Medical Unit (Nonsurgical)
4 Surgical Unit
Patient … 2 of 2)
Unit/Work Area Workplace Safety Rating
Unit/Work Area (Patient Care Units)
Cardiology
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
October 01, 2024 - , executive leadership, and physicians.
· Unit leadership reviews customized unit adherence data at regular … · Facility leadership reviews customized unit-specific adherence data for all participating units at … decolonization:
· on admission
· when patient receives a new qualifying medical device while on the unit … 2 to 9 PM:
One dose (PM) documented by 9 PM.*
· Consider retiming dose (if patient is absent from unit … Please change these times to match what works best for your unit.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - In this unit, we work together as an effective team.
A8. … During busy times, staff in this unit help each other. … In this unit, we have enough staff to handle the workload. … This unit relies too much on temporary, float, or PRN staff. … How would you rate your unit/work area on patient safety?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - (Item WPA2) 82% 80% 95%
In this unit, providers and staff use PPE appropriately. … (Item WPA2) 94% 90% 84%
In this unit, providers and staff use PPE appropriately. … (Item WPA2) 90% 95%
In this unit, providers and staff use PPE appropriately. … (Item WPA2) 94% 90% 89% 93%
In this unit, providers and staff use PPE appropriately. … Results
Tenure in Current Unit/Work Area
Unit/Work Area Workplace Safety Rating Less Than 1 Year
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
April 02, 2025 - The CUSP Champion may also be called a Unit Champion in work settings with a unit structure. … · Am I using CUSP tools to help facilitate and sustain learning on the unit? … Unit Manager
The Unit Manager, often a nurse manager, is the accountable supervisor of the employees … What Is Expected of a Unit Manager? … · Am I using CUSP tools to help facilitate and sustain learning on the unit?
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digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring
January 01, 2023 - Measuring the Value of Remote Intensive Care Unit (ICU) Monitoring
Project Final … Remote Patient Monitoring
Telehealth/Telemedicine
Care Setting
Intensive Care Unit … Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units … Workflow in intensive care unit remote monitoring: a time-and-motion study. … A time-motion study of registered nurses' workflow in intensive care unit remote monitoring.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Manager Infection Prevention
Highland Hospital
Jennifer Tuttle, RN, MSNEd
Adult Critical Care Unit … #1
What is your background:
State Lead
CUSP Faculty
Fellow or Mentor for CAUTI project
Unit … Physician Resistance
Nursing Resistance
Real or perceived need for accurate I and O
Unit culture … Communication- standardized processes and metrics
Local focused implementation – implementation at unit … Slide 30
Hospital Information
611 bed – Major teaching hospital
Unit 450 – 16 bed ICU:
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
July 01, 2023 - Each unit can decide its approach to reviewing these cases. … Each unit can decide its approach to reviewing these cases. … might customize each element to unit needs or preferences. … Slide 30: Unit Next Steps
Say:
The next steps for a unit are as follows:
Decide whether to … Interest and enthusiasm of unit staff for implementing.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/054-dec-guide-pre-launch-activities.docx
October 01, 2024 - Prevention
Decolonization
Pre-Launch Activities
ICU & Non-ICU
Develop a CUSP Team
The Comprehensive Unit-based … Identify Unit Champions (Nursing and Physician)
Your decolonization team should identify nursing and … Encourage high compliance among unit staff. … decolonization strategy and reflect your unit structure and hospital infrastructure. … Review all skin products currently being used in the unit for compatibility with CHG.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
October 01, 2024 - more than 2 days after unit admission through 2 days after unit discharge. … admission through 2 days after unit discharge. … stay through 2 days after unit discharge, if the patient remains hospitalized. … with a positive blood culture during their unit stay, divided by the total number of unit patient-days … the unit, if shorter than 5 days)
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (A2) 52% 49% 3% Added
“In this unit”
Staff in this unit work longer hours than is
best for patient … (C2) 83% 75% 8% Added
“In this unit”
When staff in this unit see someone with
more authority doing … (Question 2)
Multiple Units, No specific unit
1 Many different hospital units, No specific unit … Medical/Surgical Units
2 Combined Medical/Surgical Unit
3 Medical Unit (Non-Surgical)
4 Surgical … (C2)
83% 75% 8% +/- 2%
[6% to 10%]
Added
“In this
unit”
When staff in this unit see someone
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www.ahrq.gov/hai/cusp/toolkit/morning-briefing.html
December 01, 2012 - and relevant information to promote effective communication before patient rounds in the inpatient unit … Staff within the inpatient unit. … Do you believe patients will be transferred out of the unit today?
… Are there any patients having problems on the unit?
III.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - A unit-established process could specify patient, nurse, and unit criteria for use of intermittent auscultation—for … Finally, unit staff should disclose any unintended outcomes related to EFM use using unit policy for … Slide 18: Unit Next Steps
Say:
The next steps for your unit include the following:
Decide whether … Interest and enthusiasm of unit staff for implementing. … Support implementation of Key Safety Elements through—
Unit policies and procedures.
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www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
April 01, 2025 - Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality … processes and procedures for maternal-infant dyadic evaluation and management during the postnatal unit … Evaluation of patient access to Spanish-language–concordant care on a postpartum unit . … Implications for the physical design of the postnatal care unit from a targeted analysis of issues with … Final Report: Re-Engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity