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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - Several dozen L&D units across the country joined the Program. … Supportive relationships across staff and across units. … The women’s service line—which
includes labor and delivery (L&D) units, neonatal intensive-
care units … development of communication and teamwork
skills across units. … New staff members will be
oriented to these practices as they join the L&D units.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-mupirocin.pdf
March 01, 2022 - that can cause infection in adult patients who have medical devices but are not in
intensive care units … Surgical preoperative bathing
• Wound cleansing and irrigation
• Daily bathing in intensive care units
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-g.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
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - 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 Units
5 Cardiology
6 Emergency Department,
Observation, Short Stay
7 Gastroenterology
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www.ahrq.gov/research/findings/final-reports/ptflow/executive-summary.html
July 01, 2018 - physicians and nurses, ED support staff (e.g., clerks, registrars), representatives from inpatient units … Units given the opportunity to compare their performance relative to other units will develop a healthy
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Identifies areas of resistance that might undermine dissemination to other units. … Spread each change incrementally to more patients, then more nurses, then doctors, and finally to units … is a model for the improvement that others in the organization can use (e.g., implementing on other units
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/3-case-mix-mode-adjustments-webcast-elliott.pdf
April 02, 2025 - respond (mode
effects)
• Without appropriate adjustment, differences in these factors across reporting units … • In some settings, different reporting units choose among several survey mode protocols for
all of … Web-Mail) not on the mode of response (e.g., Web response)
• Not needed when all reporting units use … typically smaller than mode
adjustments
► Case-mix adjustment is typically also small for most reporting units … patient
experience data and can reduce incentives to avoid some patients
• When different reporting units
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/098-cusp-why-choose-cusp-approach.pptx
October 01, 2024 - Break down silos within unit/work area and between units/work areas. … Assessing and improving safety climate in a large cohort of intensive care units. … Assessing and improving safety climate in a large cohort of intensive care units. … Improving patient safety in intensive care units in Michigan. J Crit Care 2008;23(2):207-21. … Sustaining reductions in catheter-related bloodstream infections in Michigan intensive care units: an
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - you do not have Unit Champions but multiple staff who serve as pressure ulcer resource staff on the units … Are there unit experts of some sort who can be given extra training and work within units to maintain … Reward changed behavior at the unit level: For example, you might start by giving certificates to the units … Post results and comparative information for units and for the facility in general. … vigilance will still be required in a number of areas:
Turnover will mean that new staff will come onto units
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
April 02, 2025 - tasks to be completed.
7
Lack of Feedback & Strategy to Overcome
Patients move from the ED to other units … Organizational level strategies:
Post CAUTI rates for all units, so that comparisons can be seen.
8
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docx
April 02, 2025 - Yes: ______ No: ______
If yes, please explain:
15
Was the patient transported between units/Radiology … Yes: ______ No: ______
If no, please explain why:
22
What is hand hygiene compliance like for the units
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-i.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
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
October 01, 2024 - Rates are calculated monthly for adult units with >50 blood cultures per month. … Rates are calculated quarterly for adult units with <50 blood cultures per month. … 1,000 patient-days 1 medical ICU (USA)
Mahatanan et al15 80–110 BCx per 1,000 patient-days 5 medicine units … (USA)
Friedman et al13 125–129 BCx per 1,000 patient-days 9 medicine units (Israel)
A retrospective … utilization of blood cultures in 30 percent of cases in a medical ICU and 50 percent of cases in medicine units
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - Toolkit, the tools have nearly eliminated
CLABSI in more than 100 participating Michigan intensive care units … Finally, make sure your staff members recognize that benchmarking your performance against
similar units … cart every 4 hours or every 8 hours
and sign off on the checklist located on top of the cart; other units … Nonetheless, to reduce patient
exposure to central lines, units should have a systematic approach to … Units should require nurses to complete the checklist at bedside during central line placement.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Identify your bundle of best practices.
3.5.1 How do we customize the bundle for specific work units … These special units are often the ones that have patients whose needs fluctuate rapidly. … These include the operating room, recovery room, intensive care unit, emergency room, or other units … In critical care units, severity of medical conditions, sedation, and poor tissue perfusion make patients … staff are aware of care plan
___
___
___
Customize the bundle for specific work units
-
www.ahrq.gov/research/findings/final-reports/ptflow/section7.html
July 01, 2018 - Units given the opportunity to compare their performance relative to other units will develop a healthy
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - Behind Decolonization
11
Decolonization Evidence Summary
Author Study Year Study Type Hospitals (#) Units … multidrug-resistant organisms and all-cause bloodstream infections in general medical and surgical units … multidrug-resistant organisms and all-cause bloodstream infections in general medical and surgical units … Does chlorhexidine bathing in adult intensive care units reduce blood culture contamination? … Effect of body surface decolonisation on bacteriuria and candiduria in intensive care units: an analysis
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - Teamwork across units Hospital units cooperate and coordinate with one another
to provide the best care … Teamwork Within Units 82% 4.90% 67% 76% 79% 83% 85% 88% 98%
2. … Teamwork Across Units % Agree/Strongly Agree
There is good cooperation among hospital units that need … Teamwork Within Units 83% 83% 0% 10% -14% 3% -3%
2. … Teamwork Across Units % Agree/Strongly Agree
There is good cooperation among hospital units that need
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - Many units have clinical pharmacists who are already integrated into daily work, but if this is not the … Pharmacists often are present on the units regularly rather than rotating on- and off-service and can … Many hospitals and units have already worked to decrease use of these agents due to their association … Numerous materials can be found at the website listed to assist units in implementing interventions to … Ineffective communication hinders teams and units.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/017-contact-precautions-webinar-slides-notes.docx
October 01, 2024 - They will also be able to discuss how to implement contact precautions in their units. … The CUSP teams in the units reviewed the information from the IPs with their staff. … They each discussed implementation strategies appropriate to their units. … In many of the units, staff were concerned about the quality of care their patients would be receiving … Contact precautions were rolled out on all units on December 1.