CLABSI Supplemental Call Series. The Organizational Embrace of CUSP to Improve Patient Safety. March 20, 2012. Objectives.
March 20, 2012
Holy Cross Hospital Silver Spring, MarylandYancy Phillips, MD, MACP, Vice President Quality and
Care ManagementSean Maxwell, Lead Angiography TechnicianUpper Chesapeake Health
Havre de Grace and Bel Air, MarylandJim Hursey, MBA, Sr. VP, COOJudi Webster, RN, BSN, PI Patient Safety Coordinator
CUSP Beyond the ICUHoly Cross HospitalSilver Spring, MarylandYancy Phillips, MD, MACP, Vice President Quality and Care ManagementSean Maxwell, Lead Angiography Technician
Three-day patient safety training – 94 individuals
Five one-hour frontline staff patient safety sessions
Grand rounds on patient safety
Medical Executive Committee dinner
“Safety as a System” video at orientation and on HCH intranet
11 CUSP Teams representing 14 units and 68% of frontline staff
L&D and HRP
Brief defect description
Why did it happen?
System factors; e.g., staffing, workload, equipment, production pressure, training, fatigue, physical environment, etc.
What can we do to reduce the risk of it recurring with different caregivers?
How will we know the risk was reduced?
With whom should we share our learning?
Actively Engaged Staff
Jim Hursey, MBA, Sr. VP, COO
Judi Webster, RN, BSN, PI Patient Safety Coordinator