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psnet.ahrq.gov/issue/engaging-frontline-staff-performance-improvement-american-organization-nurse-executives
February 13, 2008 - initiative—a collaborative intended to drive engagement of bedside nurses in enhancing safety through unit-based … February 10, 2015
Successful implementation of a unit-based quality nurse to reduce central … May 22, 2013
Evaluation of a nurse-led safety program in a critical care unit. … January 9, 2011
Implementing and validating a comprehensive unit-based safety program
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/functional-specs.html
December 01, 2017 - Nursing Unit
System
Display the nursing unit name that is selected by the user during report parameter … Nursing Unit
System
Display the nursing unit name that is selected by the user during report parameter … Nursing Unit
System
Display the nursing unit name that is selected by the user during report parameter … Unit
Facility Level by Unit
Month: January 2014
All Pressure Ulcers
# Ulcers Present … On-Time Pressure Ulcer Counts by Month Report – Unit Level
Pressure Ulcer Count by Unit
Unit
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - Say:
When a safety project is sustainable, the accomplishments are more likely to persist on the unit … The adaptive work of CUSP, the Comprehensive Unit-based Safety Program, involves everyone in your unit … Ask:
How do you think the next patient in your unit/clinical area will be harmed? … Ask:
For local safety culture, what is the unit response rate? … Debrief the results with frontline staff and unit leadership.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
October 01, 2014 - Which patients do you believe will be transferring out of the unit today? … Are there any patients having problems on an inpatient unit?
Return to Contents
Slide 11. … Assign a person to the issue and have them follow up
Identify actions taken to meet any patient or unit … difference of >20 percent in culture scores between provider types
As part of orientation to a new unit … together
POE removed an important step; communicating to RN of stat order
Physicians unaware of unit
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www.ahrq.gov/sites/default/files/wysiwyg/topics/cauti-interim.pdf
September 01, 2013 - .................................................................................. 7
Hospital and Unit … Unit teams are given 45 days from the end of a measurement
period listed in the table above to enter … Unit teams are given 2 weeks from the end of a measurement period to
enter process data. … Process measures related to safety culture (specifically unit
teamwork and communication) are being … TCTs are to be completed and submitted by unit teams quarterly throughout project
participation.
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www.ahrq.gov/sites/default/files/publications/files/cauti-interim.pdf
September 01, 2013 - .................................................................................. 7
Hospital and Unit … Unit teams are given 45 days from the end of a measurement
period listed in the table above to enter … Unit teams are given 2 weeks from the end of a measurement period to
enter process data. … Process measures related to safety culture (specifically unit
teamwork and communication) are being … TCTs are to be completed and submitted by unit teams quarterly throughout project
participation.
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www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
October 01, 2012 - and recruited NICUs to participate, submit CLABSI data to
PQCNC for real-time feedback, and engage unit … teams to improve safety culture using the
Comprehensive Unit-Based Safety Program (CUSP). … teams to improve safety culture using the
Comprehensive Unit-Based Safety Program (CUSP). … States and number of units participating in initiative*
*One unit is located in Georgia, a State … CLABSI rate estimated from unit data submitted to NHSN*
*Sample size per time period represents
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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - facilitated rapid identification of a cluster of unplanned extubations in a neonatal intensive care unit … March 17, 2010
Comparison of intensive care unit medication errors reported to the United … anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit … 2010
Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
September 20, 2011 - This study describes the development of a framework to achieve high reliability in the intensive care unit … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit … A system factors analysis of "line, tube, and drain" incidents in the 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/toolkit/ceo-snr-leader-chcklst.html
December 01, 2012 - 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.
9.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
October 01, 2014 - to the unit, daily, and on transfer or discharge. … Nursing managers should regularly review the unit log. … Tools
A sample sheet can be found in Tools and Resources ( Tool 5A, Unit Log ). … Consider having an expert or nurse from another unit round with unit staff quarterly to confirm findings … Are unit staff communicating the risk assessment results to all clinicians who need to know?
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psnet.ahrq.gov/issue/practice-respect-icu
August 09, 2018 - respect and dignity, which include the need to expand the research on respect in the intensive care unit … October 25, 2018
Family participation during intensive care unit rounds: goals and expectations … of parents and health care providers in a tertiary pediatric intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit
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psnet.ahrq.gov/issue/clinical-handover-critically-ill-postoperative-patient-integrative-review
March 23, 2016 - Exploring standardized handovers between the operating room and the intensive care unit , this commentary … January 27, 2021
Improving clinical handover between intensive care unit and general … ward professionals at intensive care unit discharge. … December 4, 2015
Often overlooked problems with handoffs: from the intensive care unit
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - The team may pilot report use in one unit initially and then implement in all units or implement more … Other
Pressure Ulcer Trigger Summary Report: Unit Level
1. … Internal quality review at nursing unit level
3. … Risk management meetings; use as complementary tool during risk review at the nursing-unit level
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - Audience
This guide is intended for health care leadership, quality and patient safety specialists, unit … Providing adequate resources for the change initiative by—
o Assigning a senior leader to adopt the unit … Engage a senior executive to “adopt” the unit.
4. … It asks two
important questions:
How might the next patient in the unit be harmed? … the science of safety
Assemble a multidisciplinary team
Engage a senior executive to adopt the unit
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - Audience
This guide is intended for health care leadership, quality and patient safety specialists, unit … Providing adequate resources for the change initiative by—
o Assigning a senior leader to adopt the unit … Engage a senior executive to “adopt” the unit.
4. … It asks two
important questions:
How might the next patient in the unit be harmed? … the science of safety
Assemble a multidisciplinary team
Engage a senior executive to adopt the unit
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide-slides.html
December 01, 2017 - Trigger Summary Reports: Resident and Unit Level.
Risk Change Report. … Risk
Sample Nutrition Report, High Risk: Decreased meal intake and weight loss during report week Unit … Available at the resident and unit level, it reports on nine triggers associated with pressure ulcer … total nursing unit census) who meet each of the trigger criteria. … Slide 25: Sample Trigger Summary Report: Unit Level
Pressure Ulcer Triggers
Week 4
5/
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - One McHugh at each site and one other unit. … prevention on that same unit? … in mind to find out how much they actually know about what your unit is doing. … is something that would actually be beneficial for your particular unit. … Look at how both MDs and RNs on your unit answer that question.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - One McHugh at each site and one other unit. … prevention on that same unit? … is something that would actually be beneficial for your particular unit. … Look at how both MDs and RNs on your unit answer that question. … Then even further tailored for the individual patient in that particular unit.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-checklist.html
January 01, 2017 - Ensure your intensive care unit (ICU) has an overarching protocolized approach to daily ICU patient management … Ensure infection control reports of ventilator-associated event (VAE) rates are reviewed with unit staff … Become an active member of Comprehensive Unit-based Safety Program (CUSP) quality improvement (QI) team