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psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
October 01, 2024 - This toolkit was developed to help staff in intensive care units use AHRQ’s Comprehensive Unit-based … March 1, 2023
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units … May 25, 2011
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Intensive Care Units
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psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal
July 30, 2014 - antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units … antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units … on patient infection rates, nurses’ skin conditions, and microbial counts in neonatal intensive care units … antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units … June 21, 2006
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Intensive Care Units
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psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
June 16, 2011 - The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units … The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units … This study targeted more than 20 clinical units to determine the impact of EWRs on perceived safety climate … The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units … July 2, 2009
Exposure to Leadership WalkRounds in neonatal intensive care units is associated
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psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
December 16, 2015 - Study
Manifestations of high-reliability principles on hospital units with varying … Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitative … In this qualitative study, researchers found that those working on hospital units with better safety … describing responses to safety issues and errors more consistent with high reliability principles than units … Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitative
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psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
October 29, 2017 - Study
Three missed critical nursing care processes on labor and delivery units during … Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic … staffing and nursing time at the bedside and, therefore, on missed nursing care in labor and delivery units … Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic … 2023
Linking patient safety climate with missed nursing care in labor and delivery units
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
April 01, 2022 - for Preventing CLABSI and CAUTI in the ICU Setting
AHRQ Safety Program for Intensive Care
Units … CAUTI in the
ICU Setting
2 Playbook
AHRQ Safety Program for Intensive Care Units … ......................... 39
3 Playbook
AHRQ Safety Program for Intensive Care Units … Care Unit Setting, herein
referred to as the Playbook, outlines interventions that intensive care units … But also
include personnel functions in non-nursing units, such as appropriate transport of patients
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-patients-pharmacist-key-resources-and-relationship
June 07, 2023 - ranked interventions by importance and assessed differences between high-, medium-, and low-resource units … Pharmacists in high-resource units optimized medications more often, though error rates were similar … across critical care units studied. … An ethnographic study of health information technology use in three intensive care units … June 23, 2009
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Intensive Care Units
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim1.html
July 01, 2013 - Overall, preliminary outcome data show that, among participating units, there has been a decrease in … Relative reduction improvements were more prominent in non–intensive-care units (ICUs) compared with … While the majority of participating units have successfully submitted data after registering for the … The national project team is working to identify opportunities for units experiencing difficulty with … data submission and/or working to offer targeted interventions for units not yet able to reduce the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx
October 01, 2024 - Teams have a unique opportunity to collaborate with other units and departments to share the lessons … been successfully piloted in a unit, it is important to rapidly share the lessons learned with other units … The spread of knowledge and practices is facilitated when other units become inspired to adopt these … adopt the new practice.
· Provide a detailed overview of the new practice or process with the other units … Below is a sample conversation of Laura, a surgical ICU (SICU) manager, whose units successfully reduced
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psnet.ahrq.gov/issue/relationship-between-job-burnout-psychosocial-factors-and-health-care-associated-infections
January 12, 2022 - Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units … Relationship between job burnout, psychosocial factors and health care-associated infections in critical care units … Supervision, interprofessional collaboration, and patient safety in intensive care units … October 21, 2015
Costs of adverse events in intensive care units. … June 23, 2009
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Intensive Care Units
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - • Choose phase I units and phase II units. … enhanced IPR for phase II units. … Phase I and Phase II Units
RESET requires that 1–2 units be designated for implementation of the AIMS … The following questions are about the phase I units.
29. … Learning from high-
performing front-line clinical units.
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units … Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units … In this AHRQ-funded study, the TeamSTEPPS training program was introduced in two intensive care units … Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units … May 13, 2009
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Intensive Care Units
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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - Keystone ICU study at preventing central line–associated bloodstream infections in intensive care units … was unsuccessful in that infection rates declined at similar rates in both intervention and control units … )
A qualitative study of speaking out about patient safety concerns in intensive care units … August 25, 2010
Intensive care units, communication between nurses and physicians, and … March 18, 2009
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Intensive Care Units
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4b.html
July 01, 2013 - Cohort Status – (Catheter Days/Patient Days)
Note: n's represent the total number of reporting units … – By Bed Size – (Catheter Days/Patient Days)
Note: n's represent the total number of reporting units … To date we have collected over 700 baseline surveys, representing 56 percent of participating units, … and over 300 followup surveys, representing 24 percent of participating units. … Team Checkup Tool
Participating units were requested to complete a Team Checkup Tool (TCT) evaluating
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonize-patients.html
October 01, 2024 - There resources are designed to support units and facilities in planning and executing successful decolonization … is sometimes appropriate for use in non-ICU units, such as step-down units and medical, surgical or other … units with high acuity patients (i.e., Oncology) should be considered for units with a high percentage … of central lines, midline catheters, PICC lines, or lumbar drains. is appropriate to use in hospital units … decolonized with CHG bathing daily throughout their stay in the unit. is recommended for use in non-ICU units
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psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain
April 17, 2024 - Study
Medication safety gaps in English pediatric inpatient units: an exploration … Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis … Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis … processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units … 2024
Exploring the human factors of prescribing errors in paediatric intensive care units
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care
January 01, 2023 - A convenience sample of eight nursing units (four units in year one, four units in year two) in five … Nurses can create patient plans from their local units and either view them on their computer screens … Participating units include medical, intensive care, surgical (cardiovascular and neurosurgical), and … Half of the units began the implementation at start up; the other four joined a year later. … One of the participating study units isdownsizing; nurses in the new cardiovascular subunit wanted to
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psnet.ahrq.gov/node/47633/psn-pdf
June 02, 2019 - Manifestations of high-reliability principles on hospital
units with varying safety profiles: a qualitative … Manifestations of High-Reliability Principles on Hospital Units
With Varying Safety Profiles: A Qualitative … https://psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles … In this qualitative study, researchers found that those working on hospital units with better safety … describing responses to safety issues and errors more consistent with
high reliability principles than units
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psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
August 04, 2021 - Study
Variation in caregiver perceptions of teamwork climate in labor and delivery units … Variation in caregiver perceptions of teamwork climate in labor and delivery units. … Variation in caregiver perceptions of teamwork climate in labor and delivery units. … August 4, 2021
Improving patient safety in intensive care units in Michigan. … 12, 2011
Assessing and improving safety climate in a large cohort of intensive care units
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
April 01, 2022 - members necessary to drive successful implementation of the AHRQ Safety Program for Intensive Care Units … AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Safety Program … Meet regularly with the team to review data/progress.
· Engage physicians, bedside nurses, and other units … Nurse Educator
· Works across units
· Subject matter expert
· Problem solver
· Collaborative
· Meet … and engage physicians and bedside nurses, and spread CLABSI/CAUTI prevention best practices to other units