A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).
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.
Pronovost
Peter J
PJ
Adult Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA. ppronovo@jhmi.edu
King
Jay
J
Holzmueller
Christine G
CG
Sawyer
Melinda
M
Bivens
Shauna
S
Michael
Michelle
M
Haig
Kathy
K
Paine
Lori
L
Moore
Dana
D
Miller
Marlene
M
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