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Integrating CUSP and TRIP to improve patient safety
Mark Romig1, Christine Goeschel, Peter Pronovost
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Johns Hopkins University Hospital Medicine, Baltimore, MD 21287-7294, USA. mromig1@jhmi.edu
Hospital Practice (1995)
|November 12, 2010
Summary
Patient safety remains a critical issue, with 1 in 7 hospitalized patients experiencing harm. Two models, Comprehensive Unit-Based Safety Program (CUSP) and Translating Evidence Into Practice (TRIP), improve health care delivery and patient safety.
Area of Science:
- Health Services Research
- Patient Safety Science
- Healthcare Quality Improvement
Background:
- Despite increased awareness, patient safety has seen little improvement, with 1 in 7 hospitalized patients experiencing adverse events.
- Harm arises from medical errors and poor adherence to evidence-based best practices, with recommended therapies received only 50% of the time.
- Limited research exists on the science of healthcare delivery, focusing more on new therapies than on system improvements.
Purpose of the Study:
- To introduce two models for enhancing healthcare delivery and patient safety.
- To demonstrate the application of these models in reducing catheter-related bloodstream infections within the Michigan Keystone Project.
- To provide a framework for improving the safety and quality of patient care.
Main Methods:
- Development of the Comprehensive Unit-Based Safety Program (CUSP) to foster a safety culture and address local patient safety issues.
- Implementation of the Translating Evidence Into Practice (TRIP) model to evaluate and standardize best practices across hospital units.
- Utilizing local insights within CUSP for tailored harm mitigation and identifying barriers to best-practice implementation in TRIP.
Main Results:
- The CUSP and TRIP models were successfully applied in the Michigan Keystone Project.
- These models facilitated the elimination of catheter-related bloodstream infections, demonstrating their effectiveness.
- The programs offer adaptable strategies for improving patient safety at both unit and system levels.
Conclusions:
- The Comprehensive Unit-Based Safety Program (CUSP) and Translating Evidence Into Practice (TRIP) models are effective in improving healthcare delivery.
- These models provide a robust framework for enhancing patient safety and reducing adverse events in hospitals.
- Combining CUSP and TRIP components offers a comprehensive approach to mitigating patient harm and standardizing care.
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