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www.ahrq.gov/hai/cusp/modules/engage/index.html
July 01, 2018 - 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 … 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
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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - communication and response to clinical deterioration to increase patient safety in the intensive care unit … communication and response to clinical deterioration to increase patient safety in the intensive care unit … clinical deterioration in a timely manner and/or not escalating care, this surgical intensive care unit … communication and response to clinical deterioration to increase patient safety in the intensive care unit … and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit
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psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
March 10, 2021 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit … Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit … results of completing TeamSTEPPS training by leadership and staff in the pediatric intensive care unit … Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit … Systematic review and meta-analysis of interventions for operating room to intensive care unit
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psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
November 04, 2020 - resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit … resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit … A teamwork training intervention for nurses on an intermediate care unit increased appropriate utilization … resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit … patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
September 01, 2017 - Sample Monthly Summary of Transfers by Facility or Nursing Unit
Average Daily Census
30
TOTAL … Residents
3
1
2
Top 5 (Rank Order)
2
1
Unit … # Residents
Top 5 (Rank Order)
Unit … Residents
3
Top 5 (Rank Order)
Unit …
Top 5 (Rank Order)
Unit
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psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit
November 16, 2022 - Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit … Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit … However, this study did not find any change in adverse events in pediatric intensive care unit patients … Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit … errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit
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psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
May 20, 2009 - Commentary
The intensive care unit, patient safety, and the Agency for Healthcare … The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. … focus on sleep deprivation, incident reporting, and staffing to reduce error in the intensive care unit … The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. … May 27, 2011
Creating the web-based intensive care unit safety reporting system.
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psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and
January 23, 2019 - Review
A systematic review of teamwork in the intensive care unit: what do we know … A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks … This systematic review revealed that although studies of teamwork in the intensive care unit abound … A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks … May 25, 2010
Patient safety and collaboration of the intensive care unit team.
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digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/citation/costs-and
January 01, 2023 - Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units … Costs and cost-effectiveness of a telemedicine intensive care unit program in 6 intensive care units … Investigator
Thomas, Eric
Project Name
Measuring the Value of Remote Intensive Care Unit
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7c.html
October 01, 2014 - On the first of each month list the current unit census. … Draw a line from day 1 to the date patient was admitted to the unit. … A patient may be on any unit multiple times during a month. … Share the results with your unit staff and administrative leadership. … Share the findings with the unit staff and leadership.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
April 02, 2025 - Multiple Units, No specific unit
1 Many different hospital units, No specific unit
Medical/Surgical … Units
2 Combined Medical/Surgical Unit
3 Medical Unit (Non-Surgical)
4 Surgical Unit
Patient Care … In this unit, we work together as an effective team
1
2
3
4
5
9
2. … During busy times, staff in this unit help each other
1
2
3
4
5
9
9. … How would you rate your unit/work area on patient safety?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-appendix.pdf
January 01, 2024 - hospital
units, No specific unit
Medical/Surgical Units
2 Combined Medical/Surgical
Unit
3 … Medical Unit (Nonsurgical)
4 Surgical Unit
Patient Care Units
5 Cardiology
6 Emergency Department … Unit/Work Area – 2024 SOPS Hospital 2.0 Database (Page 1 of 2)
Unit/Work Area
Unit/Work Area Patient … Unit/Work Area – 2024 SOPS Hospital 2.0 Database (Page 2 of 2)
Unit/Work Area (Patient Care Units) … Tenure in Current Unit/Work Area – 2024 SOPS Hospital 2.0 Database
Tenure in Current Unit/Work Area
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
April 02, 2025 - Team Check-up Tool
Purpose of the tool: This tool helps assess unit strengths and opportunities for improving … unit processes and upgrading unit safety culture. … can list at least three interventions that are part of the CUSP project.
2
Unit staff … .
5
There are good systems in our unit to ensure we meet the goal of unit.
4
Staff in this unit do not believe
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalsurvey2-items.pdf
April 02, 2025 - In this unit, we work together as an effective team.
A8. … During busy times, staff in this unit help each other.
A9. … In this unit, we have enough staff to handle the workload.
A3. … We are informed about errors that happen in this unit.
C2. … How would you rate your unit/work area on patient safety?
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - Care will depend on the L&D unit team. … Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … Emphasizing unit team members' involvement in improving the L&D unit lends not only to the success of … They work closely within their unit to inspire, motivate, and engage administrators, unit staff, and … staff and support unit-based initiatives by ensuring close working relationships among unit team members
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psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
July 19, 2023 - Study
Unplanned transfers to a medical intensive care unit: causes and relationship … Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in … This retrospective review of 152 unplanned transfers to the intensive care unit (ICU) at a teaching hospital … Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in … A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit
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psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
March 09, 2022 - Medication reconciliation for patients after their discharge from intensive care unit … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … reviewed completed medication reconciliations of adult patients transferring from the intensive care unit … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … June 16, 2019
Unreported errors in the intensive care unit: a case study of the way we
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
April 02, 2025 - What role will the Unit Team and Wound Care Team play?
What role will the Unit Champions play? … Members of the Unit Team
Hospital staff members whose work brings them to the unit or includes interacting … Ensuring care is performed and documented.
14
Unit Team
The Unit Team works collaboratively with the … Within the unit (among nurses, nurse assistants, physicians, and patients and their families)
Among unit … Have the Implementation Team report to the unit what it did with the information the unit provided.
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
October 01, 2015 - Intensive Care Unit Infographic Poster
Appendix M. … Interpreting CAUTI Data Trends
The Comprehensive Unit-based Safety Program
CUSP is … Created for clinicians by clinicians, the CUSP Toolkit is modular and modifiable to meet individual unit … Illustrates how to share, tailor, and implement components of a process that have worked well at the unit … Culture Change Model Comparison
Objective
Comprehensive Unit-based Safety Program (CUSP)
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digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/citation/time-motion
January 01, 2023 - A time-motion study of registered nurses' workflow in intensive care unit remote monitoring. … A time-motion study of registered nurses' workflow in intensive care unit remote monitoring. … Investigator
Thomas, Eric
Project Name
Measuring the Value of Remote Intensive Care Unit