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  1. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/index.html
    May 01, 2017 - of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based … This Guide     Background     How To Use This Guide     Program Elements        The Comprehensive Unit-based … Safety Checklist        Infection Prevention        Planning for Sustainability The Comprehensive Unit-based
  2. www.ahrq.gov/hai/cusp/toolkit/infection-checklist.html
    December 01, 2012 - Work with unit teams to investigate each incident and report the findings across the institution.   … Provide monthly unit-level data to project leads for posting and transparent … Send senior hospital leaders unit-specific weekly reports on the number of people infected with
  3. www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
    March 01, 2017 - Slide 5: Family Stress in the Intensive Care Unit 1 Family members of patients in the intensive … care unit (ICU) may experience fear, anxiety, depression, and post-traumatic stress. … Understanding treatment with respect and dignity in the intensive care unit. … Understanding treatment with respect and dignity in the intensive care unit. … Understanding treatment with respect and dignity in the intensive care unit.
  4. psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
    February 29, 2012 - faecalis (VRE) , are frequent sources of hospital-acquired infection (HAI) in the intensive care unit … 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 … October 13, 2010 Infection Control in the Intensive Care Unit.
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
    January 01, 2013 - questions GPS questions 5 GPS Validation Study Kathlyn Fletcher, MD, PhD Goals To assess the unit-level … of nurse manager’s answers to others Other comparisons for today… Comparison of senior leadership to unit … quality officers are not always on the same page with nurse managers Examples Institutional versus unit-level … front lines Ideas Ask the infection control professional or quality officer to take the GPS with your unit … used or even see the results Ideas Use questions 8 and 9 with MDs and RNs If this is true for your unit
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
    November 01, 2017 - Quarterly Summary of Falls Risk Factors by Unit or Facility . … Sample Falls High-Risk Report Unit: _______________________________________________________________ … Return to Top Quarterly Summary of Falls Risk Factors by Unit or Facility Table 4. … by Unit Nursing Unit: ________________________________________________________________ Date: ___ … Using the reports, teams will be able to: Identify trends and patterns by nursing unit and target
  7. psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
    June 27, 2012 - , specifically for postsurgical patients transferred from the operating room to the intensive care unit … February 18, 2019 Often overlooked problems with handoffs: from the intensive care unit … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit … June 9, 2010 Identification of patient information corruption in the intensive care unit
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-checklist.docx
    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
  9. psnet.ahrq.gov/web-mm/workaround-error
    October 30, 2024 - After his acute hospitalization, he was transferred to a skilled nursing unit to complete antibiotic … Three days after transfer to the skilled nursing unit, the patient complained of nausea. … He was given glucagon and transferred to the intensive care unit. … In this skilled nursing unit, many of the nurses remove medications from the Pyxis machine (an automated … Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit.
  10. www.ahrq.gov/news/newsroom/case-studies/cquips0902.html
    October 01, 2014 - A Comprehensive Unit-Based Safety Program was implemented to enable staff to focus safety efforts on … unit-specific programs highlighted by the AHRQ survey. … Purchase of a patient lift device for Intensive Care Unit (ICU) patients.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50610/psn-pdf
    October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit October 30, 2019 … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit. … https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit … for improvement that should help inform the future of patient safety in the neonatal intensive care unit … George, a level 3, 24-bed (48-patient capacity) unit serving southern Utah.
  12. psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit … September 6, 2016 Adverse drug events in a paediatric intensive care unit: a prospective … June 9, 2011 Adverse events in the neonatal intensive care unit: development, testing … The nurses' experience of barriers to safe practice in the neonatal intensive care unit
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - It is also important to note that culture exists at multiple levels, from the unit level to the department … These surveys ask providers to rate the safety culture in their unit and in the organization as a whole … Specific measures of safety culture, such as teamwork training, leadership walk rounds, and establishing unit-based … The perception of safety culture might be high in one unit within a hospital and low in another unit … safety-culture-and-workforce-well-being-associations-positive-leadership-walkrounds https://psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
  14. psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era
    February 14, 2024 - with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit … alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit … April 17, 2013 Improving alarm performance in the medical intensive care unit using delays … March 1, 2011 Intensive care unit alarms—how many do we need?
  15. psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
    January 03, 2017 - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient … January 3, 2017 Often overlooked problems with handoffs: from the intensive care unit
  16. psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors
    June 16, 2010 - range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit … Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit … Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit … Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit
  17. hcup-us.ahrq.gov/db/vars/asource/kidnote.jsp
    September 01, 2008 - Transferred from on-site rehabilitation unit to chronic unit (beginning 7/05) 23 Transferred … chronic unit to acute care unit (beginning 7/05) 27 Transferred from on-site psychiatric unit … to acute care unit (beginning 7/05) 28 Transferred from on-site sub-acute unit to acute care … unit (Valid through 6/05) 21 Transferred from on-site rehabilitation unit to acute care unit … sub-acute unit to acute care unit (beginning 7/05) 42 Admit from rehab.
  18. psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
    August 21, 2024 - Case Objectives List the common causes of obstetric hemorrhage and the need for a unit-standard diagnosis … Case A 19-year-old woman, pregnant at 35 weeks gestation, was admitted to the labor and delivery unit … could not be found so the uterus was packed with gauze, and she was transferred to the intensive care unit … Readiness ensures that the unit is prepared for immediate action in the case of hemorrhage. … Response has two components: develop a unit-standard, stage-based response protocol with checklists
  19. psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
    September 22, 2010 - Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit. … and cardiothoracic postoperative care unit. … November 11, 2015 Comparison of intensive care unit medication errors reported to the … January 14, 2014 Adverse events are common on the intensive care unit: results from a
  20. psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
    psnet