IngentaConnect A Web-based Tool for the Comprehensive Unit-based Safety Program ...

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

Source: Joint Commission Journal on Quality and Patient Safety, Volume 32, Number 3, March 2006 , pp. 119-129(11)

Publisher: Joint Commission Resources

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.

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A Web-based Tool for the Comprehensive Unit-based Safety Program (CUSP)