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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
April 02, 2025 - Many different hospital units/No specific unit
b. Medicine (non-surgical) h. … Hospital units do not coordinate well with each other ................................ … There is good cooperation among hospital units that need to work
together ........................ … It is often unpleasant to work with staff from other hospital units .............. … Hospital units work well together to provide the best care for patients ..... 1 2 3 4 5
11.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
April 02, 2025 - Many different hospital units/No specific unit
(
b. Medicine (non-surgical)
(
h. … Hospital units do not coordinate well with each other
(1
(2
(3
(4
(5
3. … It is often unpleasant to work with staff from other hospital units
(1
(2
(3
(4
(5
7. … Problems often occur in the exchange of information across hospital units
(1
(2
(3
(4
(5
8. … Hospital units work well together to provide the best care for patients
(1
(2
(3
(4
(5
11.
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsisum.html
January 01, 2013 - central line-associated bloodstream infection (NCLABSI) reduction project in Neonatal Intensive Care Units … Results
A total of 100 units participated representing 9 States.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi/slides.html
July 01, 2013 - Virginia and the National Collaborative
Virginia enrolled units in two cohorts
Cohort 3 (start … date: February 2010)
Cohort 6 (start date: March 2011)
Virginia
# Hospitals
# Units … 90 percent in February 2010 to 70 percent in December 2011, data submission among Virginia Cohort 3 units … remained high In February 2010, 86 percent of Virginia's Cohort 3 units submitted data, and the rates … Challenge #2: Reducing CLABSI Rates VA Cohort 3 CLABSI Rate Down 46%
Among Virginia's Cohort 3 units
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - These main drivers are based on the lessons of the hospital units that participated in the On the CUSP … Staff Safety Assessment
Another very useful way for units to learn about potential harms or defects … Interdisciplinary Teams Create and Sustain Effective Safety Practices
Hospital units attempting to … An effective strategy is for units to have a team co-leader as well as a succession plan in the event … Many units will post a “days since the last________ (harm event, e.g., CLABSI).”
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/5_Francis_Fullam_slide_45-52.pdf
April 02, 2025 - Description
UHC Adjusted
Top box
Non-UHC
Adjusted Top
box Difference
UHC percentile rank
in units … Description
UHC
Adjusted
Top box
Non-UHC
Adjusted Top
box Difference*
UHC percentile rank
in units … Description
UHC
Adjusted Top
box
Non-UHC
Adjusted Top
box Difference*
UHC percentile rank
in units … Description
UHC Adjusted
Top box
Non-UHC
Adjusted Top
box Difference
UHC percentile rank in
units
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - Four items elicit perceptions of teamwork within units. … Teamwork within Units Teamwork within Units
Communication Openness Communication Openness Communication … Teamwork Across Hospital Units Teamwork Across Hospital Units
Hospital Handoffs & Transitions Hospital … Teamwork within Units Teamwork within Units
Communication Openness Communication Openness Communication … Teamwork Across Hospital Units Teamwork Across Hospital Units
Hospital Handoffs & Transitions Hospital
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www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
May 01, 2013 - Pass it on to other units
Identify and address your next challenge
Return to Contents … “Sustaining Reductions in Catheter-Related Bloodstream Infections in Michigan Intensive Care Units” British … Expand—Spread the Intervention
Why think about expanding to other units? … new ideas and methods or may change your perceptions of your own implementation when you see other units … years to come
Work with your executive partner and unit heads to expand the intervention into other units
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www.ahrq.gov/
resources, and tools for preventing methicillin-resistant Staphylococcus aureus (MRSA) in intensive care units … and non-intensive care units. … resources, and tools for preventing methicillin-resistant Staphylococcus aureus (MRSA) in intensive care units … and non-intensive care units.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Start to identify which practices can be spread to other hospital units or departments. … What You Can Do:
Coordinate with participating units. … It could be easier to see what is happening on the other units. … Solution: Require the units to provide SWAT representatives from all units and shifts. … Executive leaders visit the units and discuss results with staff.
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.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 … CUSP can be used to actively strengthen safety culture in participating units. … be able to use NHSN data for benchmarking purposes. 34 Comparing your unit’s CAUTI rate with other units … acuity gives the team “apples to apples” information about how their patient outcomes compare to other units
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim2.html
July 01, 2013 - CAUTI project is a unit-based initiative with a primary goal of reducing the CAUTI rate in hospital units … seeks to make decreased CAUTI rates sustainable through fostering a culture of safety in participating units … The NPT is charged with helping participating hospital units reduce their CAUTI rate and improve safety … The primary goal is to reduce the CAUTI rate in participating units upon completion of the 4-year initiative … seeks to make decreased CAUTI rates sustainable through fostering a culture of safety in participating units
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - Most facilities begin with changes in workflow on one unit and then expand use to all units. … Implementing on all units is likely to add another 3 months. … The Facilitator will help the team to problem solve implementation issues until all reports and all units … A permanent On-Time champion and champions on units should be identified by facility leadership. … Develop Plan and Implement New Strategies on All Units
4 th month to 6 th month
14.
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalsum.html
January 01, 2013 - reduction of CLABSIs to 1 per 1,000 central line days and to improve unit safety culture in intensive care units … Collectively, these States and regions recruited more than 1,000 hospitals and 1,800 hospital units to … The percentage of units with zero CLABSIs for at least one quarter increased from 30 percent at baseline … Participating non-ICU and pediatric units had similar, impressive reductions in CLABSI rates. … Adult ICU CLABSI Rate Overall Over Time
Percentage of Reporting Units with CLABSI Rate of 0/1,000
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
February 01, 2017 - It has been used to measure safety culture within the clinical units of hospitals. … It is crucial to note that safety culture is unique to these clinical units. … The HSOPS tool can also be used to examine details of your safety culture and that of other units and … By providing details in the form of diagrams and charts, these reports allow you to see how your units … and hospitals compare with the national average of other units and hospitals which have completed this
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Does the hospital survey focus on hospital units or on the hospital overall? … There is good cooperation among hospital units that need to work together.
F10. … Hospital units work well together to provide the best care for patients.
F2. … Hospital units do not coordinate well with each other. (negatively worded)
F6. … Problems often occur in the exchange of information across hospital units.
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www.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - Process
CUSP was piloted in more than 100 intensive care units in Michigan, where it was shown to be … line-associated bloodstream infections and catheter-associated urinary tract infections in intensive care units … central line-associated bloodstream infection rates by
41 percent in more than 1,000 intensive care units … catheter-associated urinary tract infection rates by
30 percent in more than 700 hospital non-intensive care units
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Lower perception of safety scores
Pharmacy, Gen Surg, OR, Medicine, PCU, ER
Paired Units … IMC/CIC and HRP/L&D
Recent significant events
Interventional Radiology
Inpatient units … CUSP Teams
11 CUSP Teams representing
14 units and 68% of frontline staff
Surrounding the text … month “secret shopper” from each patient safety leader for three months
CLABSI — Critical care units … CAUTI — Med/surg units
CLABSI/VAP/CAUTI defects tool — ICUs
Return to Contents
Slide 18
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
January 01, 2013 - and Use Timely, Accurate, and Actionable Data to Improve Performance
A Web-based data system that units … reporting progress to AHRQ on a semi-annual basis, the NPT was able to use the database to identify units … planning kit for States and regions to assist them in doing one-on-one follow up with each of these units … Of the units identified, about half dropped their rates since targeted efforts were implemented. … For example, Missouri saw a need to tailor the CUSP curriculum for their hospital units, and Wisconsin
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - These main drivers are based on the
lessons of the hospital units that participated in the On the CUSP … The Organization Has a Culture of Safety
On the CUSP: Stop HAI hospital units that successfully lowered … Staff Safety Assessment
Another very useful way for units to learn about potential harms or defects, … Units need to be on guard for the loss of a team leader, which can stall or reverse progress
in HAI … An effective strategy is for units to have a team co-leader as well as a
succession plan in the event