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psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
April 14, 2021 - evaluated the feasibility of using a safety auditing checklist during daily work in an intensive care unit … April 14, 2021
Patient misidentification in the neonatal intensive care unit: quantification … September 27, 2016
Nighttime cross-coverage is associated with decreased intensive care unit … of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit
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psnet.ahrq.gov/issue/diagnostic-uncertainty-among-critically-ill-children-admitted-picu-multicenter-study
June 14, 2023 - This study reports that diagnostic uncertainty in the pediatric intensive care unit (PICU) was associated … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit … template to improve referral communication for inter-facility transfers to the pediatric intensive care unit … April 27, 2022
Frequency of diagnostic errors in the neonatal intensive care unit: a
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - with a Braden ≤ 15 were placed on an alternating pressure mattress, and patients in the intensive care unit … 95% adherence to 4E4H across the system and 90% wound scout utilization in the medical intensive care unit … During and after the project, this information was available to unit leaders through a nursing dashboard … Information captured by the SWARM process was tracked on a dashboard that could be filtered by unit. … metrics, such as adherence to 4E4H, turn rates, and appropriate bed utilization, and are available to unit
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal6.html
January 01, 2013 - , accurate and actionable data to improve performance; tailoring the national program for local and unit … Strong hospital association engagement energized hospital leadership and unit teams. … Similarly, State leads in States with the highest unit engagement and often significant CLABSI reduction … collaboratives by equipping people to function independently as leaders of future infection prevention and other unit-based … providing the knowledge and materials needed to support ongoing efforts to train hospital staff in unit-based
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - It builds on knowledge gained from AHRQ's Comprehensive Unit-based Safety Program (CUSP) and the TeamSTEPPS … The tools can be customized to local unit processes and procedures.
… Communication for Perinatal Safety, Perinatal Safety Strategies, and In Situ Simulations—that an L&D unit … PowerPoint slide set, accompanying facilitator guide, and supporting CUSP tools to support change at the unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
April 02, 2025 - How will the patient care Unit Team communicate with the Implementation Team? … The patient care Unit Team or frontline staff will communicate with the Implementation Team via (Unit … Champions/Unit Manager/other). … Membership of the Unit Managers from the pilot study patient care units. … A draft process analysis on the pilot study unit would be a good start.
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/index.html
March 01, 2023 - Toolkit for Preventing CLABSI and CAUTI in ICUs
Today’s intensive care unit (ICU) teams understand … By including the Comprehensive Unit-based Safety Program (CUSP) and other evidence-based practices, this … that explains various resources to support the implementation process of decreasing infections in your unit … can reference the Overcome section multiple times as they work through lowering infections in their unit
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www.ahrq.gov/hai/cusp/modules/spread/index.html
July 01, 2018 - organization share, tailor, and implement the components of a process that have worked well at the unit … 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. … Work With the Next Unit [2 min., 45 sec.]
Account for Variability [1 min., 53 sec.]
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www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Engaging a senior executive to partner with a unit will bridge the gap between senior management and … providers and will facilitate a system-level perspective on quality and safety challenges that exist at the unit … Establishes clear goals for unit safety. … Reviews unit data with team and works with direct care providers to establish an improvement plan. … information
In preparation, gather relevant information about the unit for the senior executive.
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www.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - The network also used elements of AHRQ’s Comprehensive Unit-based Safety Program ( CUSP ) and Toolkit … Infections (CLABSI) in developing a CLABSI checklist to improve care in the neonatal intensive care unit … Initially, the OB unit—a high-risk area—was the focus for improvement efforts. … loop with a variety of communications methods: our OB performance improvement committee, grand rounds, unit … AHRQ Product(s):
Hospital Survey on Patient Safety Culture,
TeamSTEPPS®,
Comprehensive Unit-based
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
April 01, 2022 - Unit Action Plan
The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection … The ICU team is encouraged to work together to review various data sources (e.g., intensive care unit … Is this gap something the unit has overcome before?
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psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - been widely publicized, equally important components of the intervention included the comprehensive unit-based … December 9, 2020
Diagnostic errors in the intensive care unit: a systematic review of … Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/058-nursing-protocol-showering-liquid.docx
October 01, 2024 - with known allergies to CHG
· Initiate the protocol each time an eligible patient is admitted to the unit … , even if the patient has received the protocol in a prior unit admission or earlier in the hospital … patient, each day—
· Have the patient shower with CHG daily, starting on day 1 of admission, for entire unit …
· If patient is readmitted to the unit, restart the protocol. … use any non-CHG soap during their stay.
· CHG replaces routine bathing while the patient is in the unit
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
October 01, 2024 - Protocol Overview
· Daily CHG bathing for duration of unit stay.
· Initiate the protocol each time an … eligible patient is admitted to the unit, even if the patient has received the protocol in a prior unit … adult patient, each day—
· Bathe patient with CHG daily, starting on day 1 of admission, for entire unit … stay.
· If patient is readmitted to the unit, restart the protocol.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
October 01, 2024 - Protocol Overview
· Daily CHG bathing for duration of unit stay.
· Initiate the protocol each time an … eligible patient is admitted to the unit, even if the patient has received the protocol in a prior unit … adult patient, each day:
· Bathe patient with CHG daily, starting on day 1 of admission, for entire unit …
· If patient is readmitted to the unit, restart the protocol.
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www.ahrq.gov/hai/clabsi-tools/appendix-7.html
March 01, 2018 - Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit … When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced … (Check all that apply)
[ ] Floor nurse [ ] Nurse from other unit
[ ] Attending MD [ ] Resident … date
8
What are compliance rates for “scrubbing the hub” before accessing line on this unit … 16
How did workload/unit activity affect insertion and care of the CVC?
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
January 01, 2013 - units in a State that sustained a zero CLABSI rate for the last two reporting periods and degree of unit … engagement determined by the number of recruited and retained hospitals, data submission rates, and unit … States also asked for a focus on the neonatal intensive care unit (NICU). … States and unit teams worked to adapt, coordinate, and integrate other improvement techniques and tools … Other States were able to work with their QIO and not compete for hospital unit recruitment.
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www.ahrq.gov/hai/cusp/index.html
October 01, 2024 - About the CUSP Method
The Comprehensive Unit-based Safety Program (CUSP) is a method that can … Created for clinicians by clinicians, the Core 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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
October 01, 2024 - of Internal Medicine, 2006
Chlorhexidine Gluconate to Cleanse Patients in a Medical Intensive Care Unit … Chlorhexidine Bathing to Reduce Catheter-associated Bloodstream Infections in Medical Intensive Care Unit … Patient Cleansing with Chlorhexidine Gluconate for Infection Prevention in the Medical Intensive Care Unit … Chlorhexidine gluconate to cleanse patients in a medical intensive care unit: the effectiveness of source … chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - Hematology/Oncology Unit
62.9
(n=35)
83.7
(n=43)
85
(n=40)
Medical/Surgical Unit
77.5
(n=200 … )
79.3
(n=310)
83.1
(n=360)
Hematology/Oncology Unit &
Medical/Surgical Unit: Aggregated
75.3