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A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).

作者信息

Pronovost Peter J, King Jay, Holzmueller Christine G, Sawyer Melinda, Bivens Shauna, Michael Michelle, Haig Kathy, Paine Lori, Moore Dana, Miller Marlene

机构信息

Adult Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA.

出版信息

Jt Comm J Qual Patient Saf. 2006 Mar;32(3):119-29. doi: 10.1016/s1553-7250(06)32017-x.

Abstract

BACKGROUND

An organization's ability to change is driven by its culture, which in turn has a significant impact on safety. The six-step Comprehensive Unit-Based Safety Program (CUSP) is intended to improve local culture and safety. A Web-based project management tool for CUSP was developed and then pilot tested at two hospitals. HOW ECUSP WORKS: Once a patient safety concern is identified (step 3), a unit-level interdisciplinary safety committee determines issue criticality and starts up the projects (step 4), which are managed using project management tools within eCUSP (step 5). On a project's completion, the results are disseminated through a shared story (step 6).

CASE STUDIES

OSF St. Joseph's Medical Center-The Medical Birthing Center (Bloomington, Illinois), identified 11 safety issues, implemented 11 projects, and created 9 shared stories--including one for its Armband Project. The Johns Hopkins Hospital (Baltimore) Medical Progressive Care (MPC4) Unit identified 5 safety issues and implemented 4 ongoing projects, including the intravenous (IV) Tubing Compliance Project.

DISCUSSION

The eCUSP tool's success depends on an organizational commitment to creating a culture of safety.

摘要

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