-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - · Do you feel comfortable talking about patient safety in your unit? Why or why not? … Do you believe this process is effective toward improving safety within your unit? … Information should be shared equally among unit team members. … If executives are unable to see the value of CUSP for the unit or the hospital, unit team members should … Besides unit factors, there are departmental factors.
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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.pdf
May 01, 2017 - 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 … A unit-
established process could specify patient,
nurse, and unit criteria for use of intermittent … Finally, unit staff should disclose any
unintended outcomes related to EFM use
using unit policy for … • Interest and enthusiasm of unit staff for
implementing.
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hcup-us.ahrq.gov/db/vars/pointoforiginub04/nisnote.jsp
October 04, 2025 - same facility
D
Transfer from one distinct unit of the hospital to another distinct unit of the … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Both frontline clinicians (e.g., physicians and nurses) and nonclinicians (e.g., unit administrator, … unit support staff, hospital quality officer) within a care setting may use this tool. … All safety program team members should understand the Comprehensive Unit-based Safety Program (CUSP) … Physical environment
How does the unit layout affect compliance?
… Unit culture
How does the unit culture affect compliance?
-
psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive
November 21, 2016 - Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit … The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit … April 6, 2022
Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence … July 18, 2016
Nighttime cross-coverage is associated with decreased intensive care unit
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hcup-us.ahrq.gov/db/vars/pointoforiginub04/kidnote.jsp
October 04, 2025 - same facility
D
Transfer from one distinct unit of the hospital to another distinct unit of the … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital … D
Transfer from one distinct unit of the hospital to another distinct unit of the same hospital
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
April 01, 2011 - •
•
Unit Champions
Sustainability Team
12
Unit Champions
•
•
Unit Champions (or staff members … Try to have multiple Unit Champions. … —
•
•
Keep Unit Champions engaged
Replace Unit Champions as needed
14
Sustainability Team Role … Designate a sufficient number of Unit Champions. … Reward the unit with the greatest decrease in
pressure ulcer incidence.
-
psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
April 11, 2012 - Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit … Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. … Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. … August 30, 2017
Multiprofessional survey of protocol use in the intensive care unit. … Improving adverse drug event detection in critically ill patients through screening intensive care unit
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - Due to the observable improvements in
teamwork and communication on the unit, unit leaders are advocating … the L&D unit, the intensive-
care unit (ICU), the NICU, anesthesia, and the operating
room. … ensure quality and sustainable success on each
unit. … Training all unit nurses first. … In addition,
the L&D and mother/baby unit educators developed
educa-tion modules and trained unit
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Due to the observable improvements in
teamwork and communication on the unit, unit leaders are advocating … the L&D unit, the intensive-
care unit (ICU), the NICU, anesthesia, and the operating
room. … ensure quality and sustainable success on each
unit. … Training all unit nurses first. … In addition,
the L&D and mother/baby unit educators developed
educa-tion modules and trained unit
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/monthly.html
October 01, 2017 - Unit A
# falls
0
0
2
0
0
1
1
1
2
1
0
0
0
1
1
1
0
0
1
0 … falls)
0
0
50
0
0
25
25
25
50
25
0
0
0
25
25
25
0
0
25
0
Unit … 13
25
13
13
25
13
0
25
38
38
25
0
0
0
13
13
13
13
13
13
Unit … Activities
Therapy
Beauty/Barber
Shower/Tub
Nursing Station
Out of Facility
Other
Unit … 0
0
50
0
0
25
25
25
50
25
25
25
0
0
0
0
0
50
0
0
0
Unit
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
May 01, 2017 - teams a structured approach to assessing the patient safety culture on the L&D unit. … Defects identification
CUSP asks L&D unit staff to work through a defect and ask—
What happened? … 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?
3.
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - The Comprehensive Unit-based Safety Program
Slide 14. … The Comprehensive Unit-based Safety Program
The Comprehensive Unit-based Safety Program (CUSP): An … Comprehensive Unit-based Safety Program. … Work towards healthy unit culture. … unit-level plan for the day.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - unit support staff, hospital quality officer) within a care setting may use this tool. … Human factors engineer
Technician for unit
Other unit support staff member
Other … Applicability to unit patients
Does the guideline apply to the unit’s patients? … Physical environment
How does the unit layout affect compliance? … Unit culture
How does the unit culture affect compliance?
-
www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
January 01, 2017 - Improve the care of mechanically ventilated patients in the intensive care unit (ICU) through delirium … Reduce the incidence and duration of delirium in the intensive care unit (ICU) setting. … Intensive care unit environment may affect the course of delirium. … , and 1 oncology hematology special care unit within a tertiary care hospital.
11. … Intensive care unit environment may affect the course of delirium.
-
psnet.ahrq.gov/node/867752/psn-pdf
March 12, 2025 - Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient … Analyzing and mitigating the risks of patient harm during
operating room to intensive care unit patient … psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-
care-unit-patient … psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient … psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
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.
-
psnet.ahrq.gov/node/836916/psn-pdf
April 13, 2022 - Implementing a robust process improvement program in
the neonatal intensive care unit to reduce harm … Implementing a robust process improvement program in the
neonatal intensive care unit to reduce harm … Medical errors in the neonatal intensive care unit threaten patient safety. … skill development and identify sustainable improvements) to
reduce harm in the neonatal intensive care unit … https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
-
psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
October 26, 2010 - patient- and drug-specific factors that increased the risk of adverse drug events in intensive care unit … Improving adverse drug event detection in critically ill patients through screening intensive care unit … February 19, 2014
Multiprofessional survey of protocol use in the intensive care unit … September 12, 2016
Factors associated with post-intensive care unit adverse events: a … December 15, 2011
Impact of intensive care unit discharge time on patient outcome.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - safety elements of a robust rapid response system
Identify ways to apply key safety elements to your unit … The key safety elements provide a comprehensive starting point for each unit to consider as it establishes … The key safety elements should be reviewed with L&D leadership, relevant unit staff, and staff outside … the L&D unit that may be involved with a rapid response system to determine how the elements will be … Likewise, a unit must be ready to disclose any unintended outcomes.