-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - All included studies took place in the hospital setting, and all in general medical/surgical units. … units (p=0.038).8 Interestingly, Bellomo and colleagues found a significant
decrease in average LOS … as well as other hospital units. … compared with
420.35 patient days
for the comparison
units
71 general care
beds in two units … Similar measures of
comparison units did not change over
the same period.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - for patient safety 83.4 60.6 156.80
P <0.001 84.6 64.8 89.13
P <0.001 -3.1 69.0
Teamwork across units … • Teamwork across units. … • Teamwork within units. … Teamwork within units is perceived positively by both groups. … In a study in four Canadian university-
affiliated intensive care units (ICUs), managers perceived a
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapf.html
January 01, 2013 - Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs
Pediatric Units
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
March 01, 2020 - units).
3.2.3.1 Effect on Process Measures
While assessing PMSs for effects on outcome measures … An RCT in two ICU units with a total of 32 beds at an urban
medical center (Shimabukuro et al.) found … , 1 in a telemetry unit, and 1 in multiple hospital units (ICU, PCU, and
medical/surgical units). … Two medical-
surgical
intensive care
units; 32 total
unit beds
No adverse events were
reported … Adult non-ICU
patients admitted
to acute inpatient
units.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - Some hospitals are using ACE resource nurses to support staff on other units where patients at risk … with
non-ACE units. … In previous studies, ACE units have been shown to
improve processes of care, prescribing practices, … Improving geriatric care processes on two medical-
surgical acute care units: A pilot study. … Unit; the target
units were two
medical-surgical units
serving hospitalist
and orthopedic
patients
-
www.ahrq.gov/es/programs/index.html?page=3
Program for Perinatal Care-I aims to improve the patient safety culture of labor and delivery (L&D) units … The new tools are designed to help L&D units reduce obstetric hemorrhage and severe hypertension in pregnancy
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - between units. … 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.
-
www.ahrq.gov/sites/default/files/2024-09/harris-report.pdf
January 01, 2024 - from 197,961
hospital admissions and 176,696 8-hour nursing shifts across 43 hospital patient
care units … from 197,961
hospital admissions and 176,696 8-hour nursing shifts across 43 hospital patient care
units
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - whether done intermittently or continuously, is a commonly used practice on labor and delivery, or L&D, units … Last, units can establish standing orders for first-line response to Category III FHR tracings. … techniques to ensure a shared mental model of plan of care and perceived risks between shifts or between units … Slide 17: Key Safety Elements: Patient and Family Engagement
Say:
Some units may elect to offer
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
April 01, 2022 - Catheters, Including How To Obtain Buy-In From Physicians
AHRQ Safety Program for Intensive Care Units … :
Preventing CLABSI and CAUTI
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI … is part of its toolkit for the Comprehensive Unit-based Safety
Program, or CUSP, for intensive care units … have incorporated that question into our interdisciplinary rounds that occur
each day on our ICU units
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Integrate VTE prophylaxis assessment into checklists or care pathways, especially in critical care units … thrombosis (DVT) risk factors and mechanical prophylaxis orders found that patients on routine nursing units … Piloting measure-vention on one or two units is a great way to reduce false alarms and work out any bugs … All three units were at Level 3 on the Hierarchy of Reliability, with high-quality VTE order sets in … in a statistically significant increase in the prevalence of adequate VTE prophylaxis in all three units
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Integrate VTE prophylaxis assessment into checklists or care pathways, especially in critical care units … thrombosis (DVT) risk factors and mechanical prophylaxis orders found that patients on routine nursing units … Piloting measure-vention on one or two units is a great way to reduce false alarms and work out any bugs … All three units were at Level 3 on the Hierarchy of Reliability, with high-quality VTE order sets in … in a statistically significant increase in the prevalence of adequate VTE prophylaxis in all three units
-
www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
January 01, 2024 - approximately 3 million physiologic monitor
alarms occurring over an 11-month period on 15 non-ICU units … to nurse workload: We analyzed the relationship between alarms and
nurse workload on two inpatient units … We completed 19 simulations on two units. … and 20 in intensive care units (ICUs), between December 2019 and May 2022, with an
overall successful … A Systems
Engineering Approach to Improving Alarm Management in Pediatric Medical-Surgical Units.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Teams are the fundamental units of learning in high reliability organizations
Learning
“An organization … response to error
Staffing
Hospital management support for patient safety
Teamwork across hospital units … & Actions Promoting Safety
Hospital management support for patient safety
Teamwork across hospital units … 21
Case Scenario #1
Teamwork across Hospital Units
Nurse ED gives report to Nurse Med on the medical
-
www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
July 01, 2018 - is especially the case for many strategies requiring additional resources or potentially impacting units … WOWs because funds were limited, and the entire health system was moving toward standardized mobile units … the Reporting Structure
Having a supportive supervisor and/or senior leader who oversees multiple units … was critical to the success of strategies at several of our UMLN II hospitals where multiple hospital units
-
www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - existing frameworks like TeamSTEPPS, Just Culture, and others to provide complete tools to support units … champions
Slide 16
Challenges
Applicability and usability of CUSP within specialty units … Results 7
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
-
www.ahrq.gov/hai/clabsi-tools/index.html
March 01, 2023 - More than 1,000 intensive care units across the country reduced CLABSI rates by 41 percent when their
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - It has been reported that,
during a 51-day period on three medical units in a large teaching hospital … Individual hospitals were
responsible for deciding which units and nurses received the surveys. … distribution of
nurses throughout Iowa, and all four samples reflected the major types of nursing
units … Nurse staffing
• Nurses get pulled between teams and from
other units. … • Compare the mean scores for individual items/subscales across units
within hospitals or between
-
www.ahrq.gov/hai/tools/abate/staff-huddle.html
March 01, 2022 - multi drug-resistant organisms and all-cause bloodstream infection in general medical and surgical units
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/hickner-development-medical-office-sops.pdf
January 01, 2011 - Teamwork across units
12. … Teamwork within units
• Patient safety “grade” (Excellent to Poor)
• Number of events reported in past