Champions for Hospital Engagement Network

Hosting a Hands-On Residency Program

Thank you for your willingness to host a Hands-On Residency Program with your staff. We appreciate your support and commitment to quality improvement and patient safety. Please take a few moments to complete the information below. A project staff member will contact you by June 15th.

Thank you!

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* 1. First Name

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* 2. Last Name

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* 3. Title

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* 4. Facility

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* 5. Email Address

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* 6. Clinical area(s) that your hospital would be willing to host for the Hands-On Residency Program (click all that apply)

Adverse Drug Events

Catheter-Associated Urinary Tract Infections (CAUTI)

Central Line-Associated Blood Stream Infections (CLABSI)

Injuries from Falls and Immobility

Obstetrical Adverse Events

Pressure Ulcers

Preventable Readmissions (Process)

Surgical Site Infections and Complications (Process)

Venous Thromboembolism (VTE)

Ventilator-Associated Pneumonia (VAP)

Leadership

Culture

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* 7. What has been your success in this area (e.g., more than 12 months without a ventilator-associated pneumonia)?

For questions, please email Ann Marie Giusto, RN, VP Quality, agiusto@calhospital.org.

Thank you for your commitment to work together towards making progress to reduce patient harm and readmissions!