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  1. www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide … Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units … CUSP helps hospital units move from a culture in which a punitive response to error prevails to a culture … champions inspire and motivate teams by sharing what is possible and has been done in other similar units … When CAUTI prevention processes show success on one unit, expanding the program to other hospital units
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impsteps.html
    January 01, 2017 - They then expand use to all units once the process to use the report is confirmed and effects on daily … Step 13: Develop Plan and Implement New Strategies in All Units The training and implementation planning … Implementing on all units is likely to add another 3 months. … The facility needs to establish a permanent champion for this QI effort and champions on units. … Develop Plan and Implement New Strategies in All Units 4th month–6th month 14.
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/timeline.html
    June 01, 2017 - Most facilities begin by implementing one report on one unit and then expand use to all units once the … Implementing on all units is likely to add another 3 months. … the team during the next 3 months to problem solve implementation issues until all reports and all units … The facility needs to establish a permanent champion for this QI effort and champions on units. … Develop Plan and Implement New Strategies in All Units 4 th month­-6 th month 14.
  4. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
    October 01, 2015 - Interaction between RP and other stakeholders Differences Between the Units Intensive Care Units … Many ICUs may have dedicated teams responsible for the care of the patients (“closed units”). … Non-Intensive Care Units The non-ICU setting usually represents 70–80 percent of the inpatient units … In addition, the non-ICU typically does not have physicians who are responsible for individual units … Other Units To Evaluate Other units where devices are placed and maintained include the ED and the
  5. www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
    February 01, 2024 - Nursing units and surgical services with the largest volume of PSI #12 cases were selected to implement … January–July 2022 to January–July 2023, the most visible advances occurred in the services and nursing units … chemical and mechanical prophylaxis and ambulation processes. 08/18/22–10/20/22 Nursing units
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - These main drivers are based on the lessons of the hospital units that participated in the On the CUSP … The Organization Has a Culture of Safety On the CUSP: Stop HAI hospital units that successfully lowered … Staff Safety Assessment Another very useful way for units to learn about potential harms or defects, … Units need to be on guard for the loss of a team leader, which can stall or reverse progress in HAI … An effective strategy is for units to have a team co-leader as well as a succession plan in the event
  7. www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 01, 2015 - These main drivers are based on the lessons of the hospital units that participated in the On the CUSP … The Organization Has a Culture of Safety On the CUSP: Stop HAI hospital units that successfully lowered … Staff Safety Assessment Another very useful way for units to learn about potential harms or defects, … Units need to be on guard for the loss of a team leader, which can stall or reverse progress in HAI … An effective strategy is for units to have a team co-leader as well as a succession plan in the event
  8. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-j.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide … Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units … output monitoring outside the ICU Incontinence Patients transferred from intensive care to general units
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
    December 01, 2014 - the On-Time Pressure Ulcer Prevention Program to other units. … The facility needs to establish a permanent champion for this QI effort and champions on units. … Implement All Reports in All Units 4th month - 6th month Actual pressure ulcer prevention reports … Ulcer Prevention Program to other units. … Facilitator provides support to change team if needed during report implementation in new units.
  10. www.ahrq.gov/hai/tools/mrsa-prevention/index.html
    November 01, 2024 - Program for MRSA Prevention This ongoing implementation project aims to help intensive care units … , non-intensive care units, surgical services, and long-term care facilities measurably decrease invasive
  11. www.ahrq.gov/news/newsroom/case-studies/201904.html
    June 01, 2019 - Mary’s who works in inpatient units is TeamSTEPPS-trained. … Labor and delivery units are high-risk environments where one miscommunication can lead to care breakdowns … labor and delivery as well as those in the perinatal special care unit, the ICU, and behavioral health units
  12. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
    September 01, 2013 - Methicillin-Resistant Staphylococcus aureus (MRSA) and bloodstream infections in adult intensive care units … from key stakeholders to support the adoption of a universal ICU decolonization strategy within adult units
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
    April 01, 2022 - Removal, is part of the Agency for Healthcare Research and Quality’s Safety Program for intensive care units … Slide 2 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Safety … The strategies can be simple or multifaceted and units may consider using several different approaches … Slide 11 Bundling best practices and using checklists are an effective way to help units organize … When using audits, units should determine the criteria which to measure, who the results will be shared
  14. Safemed Facguide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
    May 01, 2017 - Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units … These key safety elements can also be adapted and applied to other high-alert medications used in L&D units … Oxytocin is commonly used on L&D units, but administration procedures vary greatly because of lack of … This aspect of perinatal safety calls for L&D units to foster a culture of teamwork and communication … This aspect of perinatal safety calls for L&D units to engage patients and families in the process of
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
    February 06, 2008 - Utilizing a pre-test/post-test design, baseline and post-intervention data were collected on pilot units … (medical intensive care unit, acute care unit, and inpatient behavioral health units). … The behavioral health units were characterized by a unique patient population and unit milieu, with … As implementation of SBAR expanded across units, a number of various uses were established. … The performance of intensive care units: Does good management make a difference?
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-facguide.docx
    January 01, 2017 - It has been used to measure safety culture within the clinical units of hospitals. … It is crucial to note that safety culture is unique to these clinical units. … The HSOPS tool can also be used to examine details of your safety culture and that of other units and … By providing details in the form of diagrams and charts, these reports allow you to see how your units … Slide 20 Debriefing—Making HSOPS Data Meaningful SAY: Evidence shows that work units that debrief
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - The Good Catch Program A baseball theme was used to organize inpatient nursing units into teams and … Weekly scoreboards were e-mailed to representatives for posting on the units. … Every 6 months, a new Division of four to five nursing units was formed. … The Good Catch program was piloted on five acute care units beginning December 12, 2005. … units that just “fixed” concerns but did not report them were not being rewarded.
  18. www.ahrq.gov/sops/databases/hospital/databases/submission.html
    August 01, 2025 - The core does not include staff positions, units/work areas, and background questions at the end of … Units/work areas. Background questions at the end of the survey.  … If staff positions, units/work areas, and/or background questions are changed, they need to be cross-walked
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts3.html
    December 01, 2017 - Determining which units will implement On-Time? … Additional points: Units selected for implementation should have stable leadership, with no recent … Units may be selected based on having high pressure ulcer rates. … Staff on selected units should be comfortable pulling reports from the EMR. … If On-Time is implemented on more than one unit, the units may want to collaborate.
  20. www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
    September 01, 2013 - Methicillin-Resistant Staphylococcus aureus (MRSA) and bloodstream infections in adult intensive care units … from key stakeholders to support the adoption of a universal ICU decolonization strategy within adult units

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