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  1. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - teams a structured approach to assessing the patient safety culture on the L&D unit. … Sensemaking is a way for a L&D unit to learn from and prevent mistakes. … As shown on the previous slide, defects can be found everywhere on the L&D unit. … How might the next patient be harmed in our unit? … External causes outside the unit, such as the loss of an electrical supply.
  2. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
    July 01, 2023 - and dependent relationship that exists between each aspect of the unit team. … and dependent relationship that exists between each aspect of the unit team. … and dependent relationship that exists between each aspect of the unit team. … and dependent relationship that exists between each aspect of the unit team. … Encourages unit staff involvement.
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
    January 01, 2022 - in current unit/work area, and interaction with patients). … Unit/Work Area Number Percent Multiple Units, No Specific Unit 13,731 7% Medical/Surgical Units … Combined Medical/Surgical Unit 14,609 8% Medical Unit (Nonsurgical) 5,963 3% Surgical Unit 7,139 … During busy times, st aff in t his unit help each other. (Item A8) 87%. … There is a problem with disr espectful behavior by those w orking in this unit.
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
    April 02, 2025 - As you all know, the evening shift on my unit (which is our facility’s dementia care unit) is a very … You know at the unit level or across shifts? … It allows you to find patterns that are different by unit or for a unit over time. … Unit-level analysis is so helpful. … Sally will meet with the nurses on the unit to determine next steps regarding the on-unit huddles.
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx
    October 01, 2024 - Program for MRSA Prevention CUSP Tip Sheet: Celebrating Success and Spreading MRSA Prevention Beyond the Unit … success and work toward sustainable changes, spreading the best practices to other areas outside of the unit … Effective leaders and managers should always acknowledge unit teams that achieve safety goals or make … When interventions have been successfully piloted in a unit, it is important to rapidly share the lessons … find opportunities to share successes internally. · Create a visual display of team success on the unit
  6. psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
    December 09, 2020 - standardized handoff protocol for cardiac surgery patients between the operating room and intensive care unit … Systematic review and meta-analysis of interventions for operating room to intensive care unit … August 12, 2020 Standardization of pediatric noncardiac operating room to intensive care unit … Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit.
  7. www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
    December 01, 2012 - These meetings are a great opportunity to share unit-level data and discuss team-wide unit improvement … unit physicians to join their CUSP teams. … Adaptive work requires unit-wide cultural adjustments. … Unit team members should work together to create new policies for solving unit-wide problems. … While unit teams and unit-level managers can easily meet to discuss potential threats to safety, without
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
    July 22, 2022 - Positively worded survey item: In this unit, providers and staff use PPE appropriately. … In this unit, providers and staff are provided with the appropriate personal protective equipment (PPE … Respiratory is not a patient unit…we were not stocked with the correct PPE...” … In this unit, enough staff are available when needed to help move, transfer, or lift patients. 38 … needs of the unit.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
    April 02, 2025 - Rates are probably quite different by patient unit. Focus on trends over time. … , biweekly audits Pilot Unit: ICU 28 Coccyx 42005 42036 42064 42095 42125 42156 42186 42217 42248 … 31 Use of Data Find ways to disseminate the information to key stakeholders and unit staff. … Post monthly rates where all staff can see how the unit is doing. … Unit goal.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
    January 01, 2014 - • Plan how to orient and monitor temporary staff. 11 Assigning Unit Champions • Number of Unit … • It is best to have long-term Unit Champions and backups. 12 Qualities of Unit Champions • … • Track unit pressure ulcers. … Champions meet with unit staff on all shifts (or just the unit-level improvement team) … Team: Roles and Duties Strategies for Unit Team Roles Assigning Unit Champions Qualities of Unit
  11. www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
    December 01, 2017 - and by nurse versus non-nurse within the unit. … Then we want to identify unit-wide areas in need of improvement. … So, the supervisor/manager actions for your unit are below that. … Also, your unit is below teamwork within units. … This gives us a window into what that unit manager - how they function.
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
    October 01, 2014 - What role will the Unit-Based Team play? What role will the Unit Champions play? … staff, and Unit Champion. … Care Team, and the unit staff. … A Unit Champion may be anyone who works on the unit, including nurses (RN, LPN) and nurse aides. … However, as you organize the unit work, you should think beyond the unit in two ways.
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
    October 01, 2024 - stewardship can impact risk of MRSA colonization and infection · Identify approaches that a hospital unitunit. … Finally, the unit champions should engage frontline providers on the unit to practice routine, daily … for your unit, stratified by antibiotic class. … Identify unit-based champions for improving antibiotic stewardship. 2.
  14. www.ahrq.gov/hai/cusp/modules/index.html
    August 01, 2019 - Created for clinicians by clinicians, the CUSP toolkit is modular and modifiable to meet individual unit … Each module includes teaching tools and resources to support change at the unit level, presented through … Engaging a senior executive to partner with a unit will bridge the gap between senior management and … The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture … This module explores how to take the work from the unit level to the organization level.
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
    January 01, 2024 - /work area • Tenure in current unit/work area • Interaction with patients The appendixes in Part II … The fourth item is an overall unit/work area rating on workplace safety for providers and staff. … No Specific Unit 4,542 8% Medical/Surgical Units Combined Medical/Surgical Unit 3,269 6% Medical … Unit (Nonsurgical) 1,198 2% Surgical Unit 1,874 3% Medical/Surgical Units Subtotal 6,341 11% Patient … (Item WPA2) 93 In this unit, providers and staff use PPE appropriately. (Item WPA3) 88 2.
  16. www.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based … implemented CUSP to improve patient safety and employee communication and teamwork within the intensive care unit … "After we implemented the unit-based safety huddles, we've seen higher positive responses to several … Impact Case Study Identifier: 2014-19 AHRQ Product(s): Comprehensive Unit-based
  17. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-protocols.html
    October 01, 2024 - Stewardship Blood Culture Practices and Stewardship Index of Clinical Topics The Comprehensive Unit-based … Unit Protocols for Decolonization Unit protocols will vary depending on whether your unit implements … Protocols for both strategies are offered below: Unit Protocol: Universal MRSA Decolonization (DOCX … , 396 KB) Unit Protocol: Targeted MRSA Decolonization (DOCX, 398 KB) Chlorhexidine Gluconate (CHG)
  18. digital.ahrq.gov/ahrq-funded-projects/perception-and-use-patient-care-window-improve-care-and-family-engagement
    January 01, 2023 - Record/Electronic Medical Record Care Setting Children's Hospital Intensive Care Unit … Health Care Theme Patient-Centered Care Patient Engagement Pediatric intensive care unit … Providers’ assessment of a novel interactive health information technology in a pediatric intensive care unit … Consumer Health Informatics Provider use of a novel EHR display in the pediatric intensive care unit … Provider use of a novel EHR display in the pediatric intensive care unit.
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - Identify ways to apply key safety elements to unit procedures for medication administration. … Between individuals within the same unit. Have high-reliability teams. … Unit-established process for timely provider notification and response expectations. … Interest and enthusiasm of unit staff for implementing. … Comprehensively review the unit procedures each year to assess the need for updates.
  20. psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
    July 14, 2010 - Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit … Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit … handoffs when transferring cardiac surgery patients from the operating room to the intensive care unit … Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit … laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit