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Related Experiment Videos

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

Peter J Pronovost1, Jay King, Christine G Holzmueller

  • 1Adult Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA. ppronovo@jhmi.edu

Joint Commission Journal on Quality and Patient Safety
|April 19, 2006
PubMed
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The Comprehensive Unit-Based Safety Program (CUSP) uses a web-based tool (eCUSP) to improve hospital safety culture. Pilot testing showed eCUSP effectively manages patient safety projects and disseminates results.

Area of Science:

  • Healthcare Management
  • Patient Safety
  • Organizational Culture

Background:

  • Organizational culture significantly impacts safety and an organization's ability to change.
  • The Comprehensive Unit-Based Safety Program (CUSP) is a six-step program designed to enhance local safety culture.
  • A web-based project management tool, eCUSP, was developed to support CUSP implementation.

Purpose of the Study:

  • To pilot test the eCUSP tool in real-world hospital settings.
  • To assess the effectiveness of eCUSP in managing patient safety initiatives.
  • To evaluate the role of eCUSP in fostering a culture of safety.

Main Methods:

  • eCUSP was pilot tested at two hospitals: OSF St. Joseph's Medical Center and The Johns Hopkins Hospital.
  • Patient safety concerns were identified, and interdisciplinary committees initiated projects managed within eCUSP.

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  • Project outcomes were disseminated through shared stories.
  • Main Results:

    • OSF St. Joseph's Medical Center identified 11 safety issues, implemented 11 projects, and created 9 shared stories.
    • The Johns Hopkins Hospital MPC4 Unit identified 5 safety issues and implemented 4 ongoing projects.
    • The pilot demonstrated the practical application of eCUSP in managing safety projects.

    Conclusions:

    • The success of the eCUSP tool is contingent upon an organization's commitment to cultivating a safety culture.
    • eCUSP facilitates the systematic management and dissemination of patient safety improvements.
    • Effective implementation of CUSP, supported by eCUSP, can lead to measurable improvements in patient safety.