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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - A toolkit was developed to support
L&D unit implementation of these program pillars. … Each unit formed a local implementation team to guide implementation activities. … to create a composite
measure of implementation effectiveness for each unit. … and lack of
available unit staff time to participate in the interview at the other unit. … Impact on unit patient safety culture.
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hcup-us.ahrq.gov/reports/MCRSIDFinalReport083110.pdf
September 07, 2010 - The share of hospitals that had an AHA psychiatric unit indicator or an MCR
psychiatric unit indicator … Indicator
Hospitals with AHA
Psychiatric Unit Indicator
Hospitals with MCR or AHA
Psychiatric Unit … with AHA Psychiatric Unit Indicator, and with MCR or AHA Psychiatric Unit
Indicators, 2001-2007
Year … Hospitals with MCR or AHA
Psychiatric Unit Indicator
Hospitals with MCR
Psychiatric Unit Indicator … of the MH
24 Possible reasons why hospitals may have a psychiatric unit, but not report that unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
January 01, 2009 - My unit feels that senior leadership is committed
to our success. … Teamwork has improved at my unit since starting
this project. … My unit has an engaged physician champion. … My unit has goals established for CAUTI
prevention or reduction. … My unit is committed to maintaining a culture of
safety.
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
January 01, 2009 - My unit feels that senior leadership is committed
to our success. … Teamwork has improved at my unit since starting
this project. … My unit has an engaged physician champion. … My unit has goals established for CAUTI
prevention or reduction. … My unit is committed to maintaining a culture of
safety.
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psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit
May 06, 2009 - Review
Communication skills and error in the intensive care unit. … Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. … Communication skills and error in the intensive care unit. … April 18, 2011
Non-technical skills in the intensive care unit. … April 18, 2011
Non-technical skills in the intensive care unit.
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Sensemaking is a way for a unit to learn from and prevent mistakes. … How might the next patient be harmed in our unit? … "Because the unit wasn't removed from a prior ED case."
"Why?" … "Why wasn't the unit removed from a prior case?" … teams to learn from defects they have identified on their unit
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospvaluepilotreport.pdf
November 01, 2017 - Distribution of Respondents by Unit/Work Area in Hospital
Unit/Work Area
Pilot Respondents
Number … Provides us with reports on our unit
performance.
81%
3. … In our unit, we are working to improve
patient flow.
79%
3. … Item-Level Average Percent Positive Response by Hospital Primary Unit/Work Area
Hospital Primary Unit … Overall Ratings on Value and Efficiency by Hospital Primary Unit/Work Area
Hospital Primary Unit/Work
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
November 01, 2017 - Distribution of Respondents by Unit/Work Area in Hospital
Unit/Work Area
Pilot Respondents
Number … Provides us with reports on our unit
performance.
81%
3. … In our unit, we are working to improve
patient flow.
79%
3. … Item-Level Average Percent Positive Response by Hospital Primary Unit/Work Area
Hospital Primary Unit … Overall Ratings on Value and Efficiency by Hospital Primary Unit/Work Area
Hospital Primary Unit/Work
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
May 01, 2017 - 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:
6.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - • Identify ways to apply key safety
elements to unit procedures for
medication administration. … Nurses, physicians, midwives, pharmacists,
and other L&D unit staff involved in the
preparation and … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - To engage your colleagues, first make the CLABSI problem real by identifying a patient on your
unit … Third, raise awareness among unit staff members of evidence-based practices to eliminate
CLABSI. … Johns Hopkins care teams use four-drawer carts, but use what will
work best on your unit. … to find opportunities to decrease the number of central lines used on
your unit. … The second step is to track unit CLABSI rates
over time.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - the key safety elements related to the use of EFM
Identify ways to apply key safety elements to your unit … The key safety elements discussed provide a comprehensive starting point for each unit to consider as … Key safety elements are presented within the framework of the Comprehensive Unit-based Safety Program … 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - Project
Development
The neurology/orthopedic
unit was chosen as the
demonstration unit, since
it … The unit-
based nurse leader, nurse
3. … Unit-Specific Falls Data
Unit-specific patient falls and falls-with-injury data were presented to the … Unit-Specific Safety Model
The project team developed a unit-specific safety model based on the notion … “It is worth an entire day off the unit. It shows how important this is.”
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Unit-based Safety Program (CUSP)
Reduce your unit’s CAUTI rate by 25%
Both goals require strong … commitment at the organizational leadership and unit level! … Slide 6
Building a Successful Team: The Team Leader
Specific Tasks:
Explain project to unit … Have you shared the project goals within your unit and your organization? … Slide 19
Summary: To Be Successful…
To achieve BOTH project goals of improving your unit safety
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - Study
Integrating the intensive care unit safety reporting system with existing incident … Integrating the intensive care unit safety reporting system with existing incident reporting systems. … Integrating the intensive care unit safety reporting system with existing incident reporting systems. … June 29, 2009
Intensive care unit safety incidents for medical versus surgical patients … May 27, 2011
Creating the web-based intensive care unit safety reporting system.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
October 01, 2014 - Surgical Unit Huddle Board
Slide 11. … CUSP Components
Form a unit CUSP team with executive sponsorship
Measure unit culture
Educate … Beginning or mid shift
5-10 minute
Lead by member of unit leadership team
To the right of the … SICU Huddle Board
Image of a Surgical Intensive Care Unit (SICU) Huddle Board. … Surgical Unit Huddle Board
Image of a Surgical Intensive Care Unit (SICU) Huddle Board.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - In another example from a team working on a L&D unit, hierarchy issues plagued the unit, disrupting the … abilities of the unit nurses and doctors to work together effectively. … When learning from defects, L&D unit teams identify—
What happened?
Why did it happen? … How did the team implement independent checks in its unit? … programs will contribute greatly to the success of the CUSP in the L&D unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - Two Goals for the CAUTI Collaborative:
Improve the culture of safety on your unit through the Comprehensive … Unit-based Safety Program (CUSP)
Reduce your unit’s CAUTI rate by 25%
Both goals require strong … commitment at the
organizational leadership and unit level! … progress
5
5
Building a Successful Team:
The Team Leader
Specific Tasks:
Explain project to unit … Have you shared the project goals within your unit and your organization?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/staff-safety-asst.docx
January 01, 2017 - The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient … All health care providers and administrative staff on the unit should use this tool. … All health care providers on the unit should complete this tool at least twice a year. … unit/clinical area will be harmed? … Thank you for helping to improve safety on your unit.
AHRQ Pub.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - the L&D unit, the intensive-care unit
(ICU), the NICU, anesthesia, and the operating room. … quality and sustainable success on each unit. … Training all unit nurses first. … In addition, the L&D and mother/baby unit educators
developed education modules and trained unit staff … Community-based, private-practice physicians staff the L&D unit.