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61. Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project. | PSNet
    psnet.ahrq.gov/issue/changes-default-alarm-settings-and-standard-service-are-insufficient-improve-alarm-fatigue
    May 29, 2019 - alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit … Alarm Settings and Standard In-Service are Insufficient to Improve Alarm Fatigue in an Intensive Care Unit … default alarm settings and provide nursing education in a 20-bed transplant and cardiac intensive care unit … Transcription errors of blood glucose values and insulin errors in an intensive care unit … March 1, 2011 Intensive care unit alarms—how many do we need?

62. Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit. | PSNet
    psnet.ahrq.gov/issue/trends-central-line-associated-bloodstream-infections-trauma-surgical-intensive-care-unit
    September 13, 2023 - Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit … Trends in central line-associated bloodstream infections in a trauma-surgical intensive care unit. … Rates of catheter-related bloodstream infections  declined sharply in a trauma intensive care unit. … Trends in central line-associated bloodstream infections in a trauma-surgical intensive care unit. … Increased mortality associated with after-hours and weekend admission to the intensive care unit

63. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - In your unit? Would you want to be a patient in the unit where you work? … • Can you identify examples of human error in your unit or hospital? … • Can you identify example of reckless behaviors in your L&D unit or hospital? … , accountability, and safety on their unit. … First, L&D unit leaders can have procedures in place for employees to follow.

64. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. | PSNet
    psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
    June 30, 2021 - 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 … In a single institution's pediatric intensive care unit , a quality champion who prompted teams to discuss … 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

65. Battling alarm fatigue in the pediatric intensive care unit. | PSNet
    psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit
    July 22, 2020 - Commentary Battling alarm fatigue in the pediatric intensive care unit. … Battling alarm fatigue in the pediatric intensive care unit. … Children in the pediatric intensive care unit (PICU) require constant monitoring to detect early signs … Battling alarm fatigue in the pediatric intensive care unit. … October 31, 2014 Medication errors in a neonatal intensive care unit.

66. A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. | PSNet
    psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
    September 23, 2020 - Study A model for increasing patient safety in the intensive care unit: increasing … A model for increasing patient safety in the intensive care unit: increasing the implementation rates … thromboembolic disease, ventilator-associated pneumonia , and stress ulcers in a single intensive care unit … A model for increasing patient safety in the intensive care unit: increasing the implementation rates … August 25, 2010 Infection Control in the Intensive Care Unit.

67. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet
    psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and
    August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics … Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes … In this nationwide sample, 6.1% of patients discharged from the intensive care unit (ICU) were eventually … Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes … December 15, 2011 Quality and safety in the intensive care unit.

68. Culture Check-Up Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
    December 01, 2012 - Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. … This tool can be used to target a goal for improvement in unit safety shortly after the initial culture … Remember, attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture … This discussion can be informal, such as over a lunch break, or it can be a formal agenda item for unit … How accurately does the unit score reflect your experience on this unit?

69. Staff Safety Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/staff-safety-asst.html
    January 01, 2017 - The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient … All health care providers and administrative staff on the unit should use this tool. … All health care providers on the unit should complete this tool at least twice a year. … you think the next patient in your unit/clinical area will be harmed? … Thank you for helping to improve safety on your unit.

70. Nursingnotes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
    June 02, 2025 - Nurse managers lead their unit staff in preventing patient harm in their unit, empowering nurses to be … ASK: How does the nurse manager on your unit maintain unit-based operations? … 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 … the unit team.

71. Measurement | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
    October 01, 2015 - Intensive Care Unit Infographic Poster Appendix M. … Trends The collection and reporting of data is an effective means of first engaging unit … Assess each patient on the unit for the presence of a urinary catheter, and record the indication for … CAUTI rate is one way to measure the outcomes of the care of patients’ urinary needs on your unit. … Post this metric in the nursing station of your unit or on a hallway bulletin board.

72. Staff Safety Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/toolkit/staff-safety-assessment.html
    December 01, 2012 - Staff Safety Assessment CUSP Toolkit Determine what risks are present in your unit Purpose … into your experience at the front line of patient care to determine what risks are present in your unit … Drop off your completed assessment in the location designated by the unit team. … Name (optional): Job category: Date: Unit: Please describe how you think the next patient in … your unit or clinical area will be harmed.    

73. A look into the nature and causes of human errors in the intensive care unit. | PSNet
    psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
    June 29, 2009 - Classic A look into the nature and causes of human errors in the intensive care unit … A look into the nature and causes of human errors in the intensive care unit. … This study investigates the nature of human errors in the intensive care unit (ICU), adopting approaches … A look into the nature and causes of human errors in the intensive care unit. … June 1, 2011 Interdisciplinary communication in the intensive care unit.

74. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet
    psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
    August 02, 2011 - Reporting and classification of patient safety events in a cardiothoracic intensive care unit … and cardiothoracic postoperative care unit. … Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic … postoperative care unit. … postoperative care unit.

75. Assembleteam (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
    June 02, 2025 - initiative at the unit level. … Having a strong unit team in place will help your unit reduce clinical errors, improve patient outcomes … The unit team’s performance will be influenced by the: · Environment, · Hospital unit and context, · … Depending on the unit type and staff composition, the engagement of unit team members may need to be … Emphasizing unit team members’ involvement in improving the unit lends not only to the success of the

76. Patient misidentification in the neonatal intensive care unit: quantification of risk. | PSNet
    psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
    April 11, 2011 - Study Patient misidentification in the neonatal intensive care unit: quantification … Patient misidentification in the neonatal intensive care unit: quantification of risk. … This study demonstrated that more than half of the patients in a single neonatal intensive care unit … Patient misidentification in the neonatal intensive care unit: quantification of risk. … of parents and health care providers in a tertiary pediatric intensive care unit.

77. Sustainability Scorecard | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/sustainability/scorecard.html
    January 01, 2017 - Adaptive Work | Comprehensive Unit-based Safety Program (CUSP) Red Yellow Green What … 0 1 2 or more How many defects have you fixed on your unit within the last 6 months? … 0 1 2 or more How many CUSP meetings has your unit held in the last 6 months? … Mostly red: Your unit is below target at implementing interventions. … Mostly yellow: Your unit has been moderately successful at implementing interventions.

78. Hospital Survey on Patient Safety Culture Version 2.0 (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
    June 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?

79. Developing a team performance framework for the intensive care unit. | PSNet
    psnet.ahrq.gov/issue/developing-team-performance-framework-intensive-care-unit
    December 01, 2011 - Review Developing a team performance framework for the intensive care unit. … Developing a team performance framework for the intensive care unit. … This review analyzes how teamwork in the intensive care unit (ICU) influences outcomes. … Developing a team performance framework for the intensive care unit. … December 6, 2010 Quality and safety in the intensive care unit.

80. Teamcheckup (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
    June 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