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psnet.ahrq.gov/node/48078/psn-pdf
August 14, 2019 - Prompting rounding teams to address a daily best
practice checklist in a pediatric intensive care unit … Prompting rounding teams to address a daily best practice checklist in a
pediatric intensive care unit … psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-
intensive-care-unit … In a single institution's pediatric intensive
care unit, a quality champion who prompted teams to discuss … psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - for FG Monitoring5
Study results: Three randomly selected HTSs from two randomly selected rooms per unit … every 2 weeks is the optimal strategy
Optimal strategy to predict FG removal on a unit
For five units … Evaluate two rooms of a unit and three HTSs within those rooms.
Set up random and blinded monitoring … Nurse
Role
Unit Nurse
Advantages
Strengthens collaboration and facilitates discussion between EVC and … Level Feedback
Disseminate data at unit CUSP and quality improvement meetings.
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi4.html
January 01, 2013 - States and number of units participating in initiative *
* One unit is located in Georgia, a State … 6,783 (39.4)
Approximately 90 percent of central lines were new (8 percent placed outside the unit … new lines placed
Procedures Followed
Without
Prompt
With
Prompt
Not Done
Unit … Team Check-Up Tool
The number of unit teams submitting Team Check-Up Tool data per month has varied … burden") and one question showing a drop below baseline levels in the last data collection period ("Unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - Intensive Care Unit Infographic Poster
Appendix M. … When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the
practices outlined in … Culture consists of the unit team’s values, attitudes, and
beliefs, which will all have an impact on … Catheters
placed for surgery duration should be removed in the post-anesthesia care unit. … Post this
metric in the nursing station of your unit or on a hallway bulletin board.
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psnet.ahrq.gov/issue/missed-nursing-care-critical-care-unit-and-during-covid-19-pandemic-comparative-cross
July 21, 2021 - Study
Missed nursing care in the critical care unit, before and during the COVID- … Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative … Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative … 2022
Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
July 01, 2023 - Set expectation for unit-level culture assessment.
4. … Set the expectation that a senior leader is an active member of each Comprehensive Unit-based Safety … (*"How is the next patient likely to be harmed on my unit? What might we do to prevent that harm?")
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors (by Unit … or Facility)
Contextual Factors Report (by Unit or Facility)
Postfall Assessment Report (by Resident … Falls Prevention
24
Summary of Falls Risk Factors Report
Report displays falls information at the unit … Nursing Unit:
Date: ___/___/___
October 2017
On-Time Falls Prevention
27
Check Your Understanding … A Unit B Unit C
Monday 0 1 0
Tuesday 0 2 0
Wednesday 2 1 1
Thursday 0 1 1
Friday 0 2 1
Saturday
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - To Improve Efficiency
How much do you agree or disagree with the following statements about your unit … In our unit, we are working to improve patient
flow. .............................................. … In our unit, we take steps to reduce patient
wait time. ........................................... … Provides us with reports on our unit
performance .................................................. … I looked at visual displays or graphs to see how well my unit was performing. ...........
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-sorra.pdf
January 01, 2024 - handing out candy in hardhats
• Gave staff specific examples of how safety culture applied to their
unit … Comparative Results by
Unit/Work Area
Composite Measure Results
Item Results
Patient Safety Rating … Comparative Results by
Tenure in Unit/Work Area
Composite Measure Results
Item Results
Patient Safety … Survey Results
CEO/Board
of Directors
Senior leaders
Medical leaders/
Committees
Dept
UnitUnit
Unit … Dept
UnitUnit
Unit
Dept
UnitUnit
Unit
Dept
UnitUnit
Unit
34
SOPS Action Planning Steps
►
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - 2007
The impact of nosocomially-acquired resistant Pseudomonas aeruginosa infection in a burn unit … Berenholtz SM,
2004
Eliminating catheter-related bloodstream infections in the intensive care unit … cost estimates
Brun-Buisson C,
2003
The costs of septic syndromes in the intensive care unit … Published before 2002
Dimick JB,
2001
Intersive care unit physician staffing is associated … Published before 2002
Donowitz LG,
1987
Neonatal intensive care unit bacteremia: emergence
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
July 01, 2023 - Executive Officer or another leader) as an active member of each team to meet with the team(s) on the unit … Create a policy for unit-level accountability.
4. … Support local interpretation based on unit characteristics.
8.
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www.ahrq.gov/hai/tools/cauti-hospitals/index.html
March 01, 2018 - Infections (CAUTI) in Hospitals helps hospitals prevent CAUTI in patients and improve safety culture at the unit … level by implementing concepts from the Comprehensive Unit-based Safety Program (CUSP). … The toolkit consists of three modules—Implementation, Sustainability, and Resources—that a hospital unit … in Hospitals Modules
Modules contain guides, tools, and archived webinars to support change at the unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - Slide 1
Connecting the Dots: Improving Unit Safety Culture to Stop HAI
Katherine J. … subculture within that unit/department. … This is why HSOPS results in this project are reported by unit and nurse vs. non-nurse within that unit … The attitudes and behaviors of unit managers determine whether or not people in that unit learn from … It is the unit leader’s response to error that is being assessed.
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psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
November 23, 2016 - Reducing catheter-associated bloodstream infections in the pediatric intensive care unit … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case … Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business case … Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - Hospital Unit Challenges
All the States that were interviewed emphasized the importance of the engagement … Other Unit-level Success Factors
Physician and Nurse Champions
In the view of all State leads, teams … Strong State Hospital Association (SHA) Engagement to Increase Unit Accountability
State leads who … kept close contact with their unit teams were able to keep those teams more accountable. … The Toolkit was designed for State leads and hospital unit staff to successfully design and implement
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - When one area in this unit gets really busy, others help out.
2. … We have patient safety problems in this unit. (negatively worded)
6. … We are informed about errors that happen in this unit.
C5. … In this unit, we discuss ways to prevent errors from happening again.
7. … Staff in this unit work longer hours than is best for patient care.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.html
October 01, 2015 - Intensive Care Unit Infographic Poster
Appendix M. … Is unit doing daily rounding for removal? … decreasing)
Unfavorable (increasing)
Revisit staff education re: appropriate HICPAC indications; Is unit … Is unit rounding daily for removal? … Revisit staff education re: appropriate indications; Is unit rounding daily for catheter removal?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
January 01, 2017 - Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception … · CUSP Premortem Unit Input Sheet (copies for everyone plus some extra)
· Pens, markers, and Sharpie … that we are 2 years into the future, and despite all of the team’s efforts, CUSP has failed on this unit … Premortem Input Worksheet
We are using a CUSP Premortem prior to launching CUSP on this unit, in order … CUSP Premortem Results
Date
Unit
Coordinator
Attendees
TOP CONCERNS
ACTION PLAN
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - This slides summarizes the interventions of this effort:
The 5 elements of the Comprehensive Unit-based … Your unit?
Would you want to be a patient in the unit where you work? … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for … The nurse/physicians in the unit want to take the Foley out, but the surgeon/oncologist also caring for
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www.ahrq.gov/hai/cusp/modules/assemble/alt-text.html
March 01, 2013 - Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Assemble the Team" module of the Comprehensive Unit-Based … team performance
Define roles and responsibilities of team members
Slide 3
The Unit-Based … Slide 9
Team Performance
Inputs
Environment
Hospital unit and context
Team composition … Performance
Attitudes
Behaviors
Inputs into team performance are environment, hospital unit … and dependent relationship that exists between each aspect of the unit team.