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Application of a Comprehensive Unit-based Safety Program in critical care: the royal exchange
Lauren E Smith1, Sonya A Flanders2
1Cardiothoracic & Heart-Lung Transplant ICU, Baylor University Medical Center at Dallas, 3500 Gaston Avenue, Dallas, TX 75246, USA.
Critical Care Nursing Clinics of North America
|December 3, 2014
Summary
The Comprehensive Unit-based Safety Program (CUSP) fosters a culture of safety through teamwork and nurse empowerment. A case study demonstrates its effective use in critical care for standardized patient handovers.
Area of Science:
- Healthcare Management
- Patient Safety
- Nursing Leadership
Background:
- Establishing a robust safety culture is crucial in healthcare settings.
- Interdisciplinary teamwork is essential for effective patient care and safety.
- Nurse empowerment is increasingly recognized as a driver for quality improvement.
Purpose of the Study:
- To explore the history and application of the Comprehensive Unit-based Safety Program (CUSP).
- To illustrate how CUSP fosters a culture of safety within healthcare units.
- To present a case study on CUSP's effectiveness in critical care patient handovers.
Main Methods:
- Historical review of the Comprehensive Unit-based Safety Program (CUSP).
- Analysis of CUSP's role in promoting interdisciplinary teamwork and nurse leadership.
- Case study detailing the implementation of CUSP for operating room to intensive care unit patient handovers.
Main Results:
- CUSP effectively promotes a culture of safety by encouraging teamwork.
- Nurses at all levels are empowered to initiate changes and develop leadership.
- Standardized patient handovers in critical care were successfully implemented using CUSP.
Conclusions:
- The Comprehensive Unit-based Safety Program (CUSP) is a valuable framework for enhancing patient safety.
- Empowering nurses and fostering interdisciplinary collaboration are key components of CUSP's success.
- CUSP implementation can lead to significant improvements in clinical processes, such as patient handovers.

