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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/spot-coaching.pdf
April 01, 2022 - Tip Sheet: Spot Coaching To Support Behavior Change
AHRQ Safety Program for Intensive Care Units … Coaching can be integrated into leadership practices to facilitate change initiatives across
units, … • Telling seems faster—In busy units, it seems faster to just tell someone how to behave or what
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - The safe administration of two commonly used high-alert medications in labor and delivery (L&D) units … Can also be adapted and applied to other high-alert medications used on L&D units. … Oxytocin is commonly used on L&D units, but administration procedures vary greatly due to lack of standardization … Between units.
Between individuals within the same unit.
Have high-reliability teams. … Magnesium is commonly used on L&D units, but administration procedures vary greatly due to lack of standardization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
January 01, 2016 - Teamwork across units.
12. Teamwork within units. … Teamwork across units Hospital units cooperate and coordinate with one another
to provide the best care … Teamwork Across Units
1. Hospital units do not coordinate well with each other. (F2R) 49%
2. … Teamwork Within Units
A1 1. … Teamwork Across Units
F2R 1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.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/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/news/newsroom/case-studies/201807.html
November 01, 2018 - CUSP is used in the hospital’s telemetry, medical/surgical, and intensive care units. … and conducted a workflow analysis in each of our hospital 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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - 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/ncepcr/care/coordination/atlas/chapter6e.html
June 01, 2014 - Testing was conducted using a nationally representative sample from 42 medical/surgical intensive care units … measure developers believe that this instrument can be successfully used in other settings, beyond ICU units … Organizational assessment in Intensive Care Units (ICUs): Construct development, reliability, and validity … Testing was conducted using a nationally representative sample from 42 medical/surgical intensive care units … Organizational assessment in Intensive Care Units (ICUs): Construct development, reliability, and validity
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www.ahrq.gov/es/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
___
___
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Customize the bundle for specific work units
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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
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript)
October … The call today is titled “Best Practices: How Successful Units Engaged Their Senior Executive Leaders … our Infection Control Department and our Quality Department a cluster of CLABSIs in our critical care units … ability to speak up with his peers because we had nine intensivists that were practicing within our units … We got down to zero in a lot of units, but there’s always better line maintenance; there’s better line
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www.ahrq.gov/hai/tools/mvp/about.html
March 01, 2017 - Development
The toolkit was developed as part of a 3-year project to help staff in intensive care units
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - existing frameworks like TeamSTEPPS, Just Culture, and others to provide complete tools to support units … executives and physician champions
15
15
Challenges
Applicability and usability of CUSP within specialty units … Measurable Results7
CUSP in Michigan ICUs
Correlated with significant improvements in safety climate in 71 units … Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational
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www.ahrq.gov/hai/cusp/modules/spread/spread.html
December 01, 2012 - Start with the units that can adopt easily.
Return to Contents
Slide 12. … 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.
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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
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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
June 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
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-p.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/teamstepps-program/resources/additional/labor.html
July 01, 2023 - See how TeamSTEPPS techniques used in labor and delivery units can help improve communication and collaboration
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www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - Patients with a hematocrit >36%
had a declining month-to-month trend before (-164 units/week, p<0.0001 … ) and after (-80 units/
week, p=.001) the warnings and had a large drop in ESA level immediately after … the
Black Box (-4,744 units/week, p<.0001). … Not-for-profit facilities had a declining month-to-
month trend before the warnings (-90 units/week, … p=.009) and a large drop in ESA dose
immediately afterward (-2,487 units/week, p=0.015).