title: A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).
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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  The eCUSP tool's success depends on an organizational commitment to creating a culture of safety.
authors.affiliation: Adult Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA. ppronovo@jhmi.edu
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Pronovost
authors.forename: Jay
authors.initials: J
authors.lastname: King
authors.forename: Christine G
authors.initials: CG
authors.lastname: Holzmueller
authors.forename: Melinda
authors.initials: M
authors.lastname: Sawyer
authors.forename: Shauna
authors.initials: S
authors.lastname: Bivens
authors.forename: Michelle
authors.initials: M
authors.lastname: Michael
authors.forename: Kathy
authors.initials: K
authors.lastname: Haig
authors.forename: Lori
authors.initials: L
authors.lastname: Paine
authors.forename: Dana
authors.initials: D
authors.lastname: Moore
authors.forename: Marlene
authors.initials: M
authors.lastname: Miller
mesh_terms: D006268:Health Facilities; D020407:Internet; D019300:Medical Errors / Q000517:prevention & control; D019982:Organizational Case Studies; D015279:Organizational Culture; D009936:Organizational Innovation; D016730:Program Development; D011787:Quality of Health Care; D017751:Safety Management / Q000458:organization & administration*; D014481:United States