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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - 14 units and about two-thirds of the frontline caregiving staff represented in that. … It’s readily apparent in our boardroom, to our units, to our OR and ED. … We’ve seen it active in our units, our ORs, et cetera. … They only had access to the medications on the units where they worked. … I’m curious about how many people participate on the walkabouts that aren’t on the units.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - improving perinatal safety involves efforts on multiple fronts, including the labor and delivery, or L&D, units … , the newborn nursery and neonatal intensive care unit, antenatal and postpartum units, ambulatory medical … the Safety Program for Perinatal care has been tailored for presentation and use specifically in L&D units … that will seem messy and intractable, keep your eyes on the prize and remember that in thousands of units … As units use CUSP and its tools, they should look at resources already in place and enhance the projects
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - Alternatives,” 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 … Catheter diameter is measured in French (Fr) units, and sizes range from 14 to 22 Fr for adults. … as a device that should be assessed before insertion and daily for need, especially in critical care units … Make sure information flows between units or departments, for instance on transfer from the emergency
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
April 15, 2012 - 10
Inform the team
Work with the next unit to spread
Account for variability
Start with the units … spread
An effective spread plan involves:
Strong communication among the team
Collaboration with other units … Accounting for variability
Identification of units able to adopt the process easily
Spread plan evaluation
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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/es/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/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/es/sops/bibliography/index.html?page=6
January 01, 2025 - and sense of coherence: A cross-sectional study in restructured and not restructured intensive care units … Changes in patient safety culture after restructuring of intensive care units: Two cross-sectional studies … Patient safety culture and nurse-reported adverse events in outpatient hemodialysis units. … The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units
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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 … Units
5 Cardiology
6 Emergency Department, Observation, Short Stay
7 Gastroenterology
8
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
April 01, 2025 - and glove use in this study decreased MRSA acquisition by more than 40 percent in the intervention units … compared to the control units with their standard practice. … In this pilot project on surgical units, within 4 years they saw reductions of healthcare-associated … Further information on the use of contact isolation precautions for inpatient units can be found on the … Receiving units were often unaware of patients’ contact precaution status.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-k.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/news/newsroom/case-studies/201501.html
March 01, 2015 - RED was initially rolled out in the intermediate care and medical surgical units and then expanded to … the surgical, intensive care, and pediatric units.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 01, 2024 - presentation will outline the severity of the threat that MRSA poses to patients in intensive care units … (ICU) and non-ICU hospital units. … describe the sources of MRSA on people and in the healthcare environment, for both ICU and non-ICU units … Many tools exist for monitoring and improving hand hygiene adherence, but many inpatient units still … Working together and using these key strategies, hospitals, units, and staff can protect patients from
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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
June 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
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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
June 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/policymakers/chipra/factsheets/fullreports/chipra-145-materials-ix.pdf
June 02, 2025 - What proportion of units at
this level of aggregation can
achieve an acceptable
minimum sample … What proportion of units at
this level of aggregation can
achieve an acceptable
minimum sample
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
June 02, 2025 - • Review your survey results
• Compare your data
► Staff positions and units within your organization … • Identify key people who will be affected
► Consider domino effects in other units
23
5.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
November 01, 2017 - the Facilitator and Program Champion requested that the nurse managers work with the staff on their units … The Change Team completed the Self-Assessment with input from all units and shifts and from Rehab, involving … Team at this point of the implementation process include whether the reports will be trialed on all units … or certain units and, if trialed on certain units, how and when they will be rolled out to others. … strategy to implement on one unit with a small number of reports and meetings before expanding to more units
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - This tool provides instructions for implementing decolonization in adult intensive care units. … reduce bloodstream infections by roughly 30 percent in adult inpatients who were not in intensive care units … CLABSI and CAUTI in ICUs This customizable, educational toolkit aims to help hospital intensive care units
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - the structures and processes of care delivery in a cohort of
cardiovascular surgical intensive care units … This is certainly true of intensive care units, in which variation in physician, nurse,
and pharmacy … The nurse-to-patient ratio in the step-down units was 1:4.0. … A descriptive analysis of the organization of
care in cardiac surgical intensive care units in the US