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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/sites/default/files/2024-04/baernholdt-report.pdf
January 01, 2024 - Additionally, context
(community, hospital, and nursing unit characteristics), nurse work environment … Methods: A nonexperimental longitudinal design comparing rural and urban nursing-
unit-level data from … related to the within-unit changes in
the explanatory variables (i.e., nursing unit characteristics … type, unit percentage of patients at risk for pressure ulcer, year, and quarter. … If a unit did not have data in a
follow-up quarter, this unit was still included in the analyses except
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psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
October 13, 2018 - Commentary
Creating the web-based intensive care unit safety reporting system. … Creating the Web-based Intensive Care Unit Safety Reporting System. … This commentary discusses the development of an Intensive Care Unit Safety Reporting System (ICUSRS), … Creating the Web-based Intensive Care Unit Safety Reporting System. … May 1, 2019
Integrating the intensive care unit safety reporting system with existing
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psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
March 01, 2011 - Study
Intensive care unit alarms—how many do we need? … Intensive care unit alarms--how many do we need? … This study found that only 15% of cardiovascular alarms in an intensive care unit setting were clinically … Intensive care unit alarms--how many do we need? … with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - The patient care unit-month is the unit of analysis (N = 1063). … The patient care unit-month (abbreviated as unit-month) is the unit of analysis; in other words, the … that unit and month. … Unit type As identified
by each
study
hospital
The unit classification of each study unit,
as designated … The
patient care unit-month was the unit of analysis.
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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/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Oversee Unit-Based Operations
Slide 7. … Nurse managers lead their unit staff in preventing patient harm in their unit, empowering nurses to be … Ask:
How does the nurse manager on your unit maintain unit-based operations? … They work closely within their unit to inspire, motivate, and engage administrators, unit staff, and … the unit team
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psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
March 23, 2022 - Review
Diagnostic errors in the neonatal intensive care unit: state of the science … Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. … Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. … From the Same Author(s)
Frequency of diagnostic errors in the neonatal intensive care unit … April 11, 2011
Adverse events in the neonatal intensive care unit: development, testing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. … This tool can be used to target a goal for improvement in unit safety shortly after the initial culture … Remember, attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture … How accurately does the unit score reflect your experience on this unit? Share examples.
3. … Identify at least one actionable idea to improve unit results in this area:
5.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
June 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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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/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … The L&D unit team’s performance will be influenced by the—
Environment,
Hospital unit and context,
Team … Emphasizing unit team members’ involvement in improving the L&D unit lends not only to the success of … They work closely within their unit to inspire, motivate, and engage administrators, unit staff, and … As managers, nurse managers deal are responsible for—
Unit operations,
Finances and budgets for the unit
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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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psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
December 02, 2020 - Study
Classic
Intensive care unit nurse staffing and the … Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. … Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. … October 19, 2022
Operating room to intensive care unit handoffs and the risks of patient … Accuracy and safety of medication histories obtained at the time of intensive care unit
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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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psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
October 05, 2022 - Postdischarge adverse events among neonates admitted to the neonatal intensive care unit … Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. … Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … October 13, 2010
Patient safety and quality in the pediatric intensive care unit.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Engaging Unit Personnel in MRSA Prevention
ICU … & Non-ICU
Purpose
Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program ( … CUSP team members and leaders must actively raise awareness, motivate, engage, and mobilize all the unit … as lab technicians and environmental services personnel, is essential for cultivating a supportive unit … for unit personnel.
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www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
December 01, 2012 - The Unit-Based CUSP Team .
Slide 4. CUSP Team Members .
Slide 5. Unit Team Characteristics . … initiative at the unit level … Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … Depending on the unit type and staff composition, the engagement of unit team members may need to be … Emphasizing unit team members’ involvement in improving the unit lends not only to the success of the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
May 01, 2017 - for Perinatal Care
Team Checkup Tool
Team Checkup Tool
Purpose of the tool: This tool helps assess unit … strengths and opportunities for improving unit processes and upgrading unit safety culture. … Agree
1
Five randomly selected staff members (e.g., nurses, nurse-midwives, physicians) from our unit … least two interventions that are part of the Safety Program for Perinatal Care.
2
Unit … unit do not believe that perinatal safety is an issue for this unit.
5
A junior staff
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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.