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  1. 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
  2. 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
  3. 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.
  4. 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.
  5. 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.
  6. 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.”
  7. 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.
  8. 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
  9. 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
  10. 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 ___ ___ ___ Customize the bundle for specific work units
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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.
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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).

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