Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
Yea-Jen Hsu, Jill A Marsteller

Abstract

Using data from the Keystone ICU project, this study examined whether the intensive care units (ICUs) that implemented the Comprehensive Unit-based Safety Program (CUSP) would have greater improvement in safety climate, team progress barriers, and central line-associated bloodstream infections (CLABSIs) than ICUs not implementing CUSP. The study population consisted of 103 ICUs; 60 ICUs (58%) used CUSP, with 6 of them later discontinuing CUSP, and 17 ICUs (16.5%) never used CUSP. The researchers could not determine CUSP use status for the remaining 26 ICUs because of missing data. The use of CUSP was associated with improved safety climate, job satisfaction, and working conditions after a 2-year period, as measured by the Safety Attitudes Questionnaire. Study results on barriers and CLABSIs are inconclusive. This study demonstrated that unit-based, formalized processes targeting cultural improvements in teamwork, communication, self-identification of hazards, and hazard mitigation can improve several aspects of patient safety climate in ICUs.

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Citations

Mar 2, 2017·Annals of Intensive Care·María BodíGonzalo Sirgo
Jun 24, 2017·Critical Care Medicine·Kevin C ThorntonUNKNOWN Project Emerge Collaborators
May 3, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Bickey H ChangDavid A Thompson
Feb 7, 2018·JBJS Reviews·W G Stuart MackenzieMichael G Vitale
Jul 15, 2015·Journal of Patient Safety·Yea-Jen Hsu, Jill A Marsteller
Mar 30, 2017·Tumour Biology : the Journal of the International Society for Oncodevelopmental Biology and Medicine·Dandan ZhangXuesong Yang
Mar 7, 2017·Journal of Health Organization and Management·Peter J PronovostMichael A Rosen
Jan 10, 2020·Human Resources for Health·Martina Buljac-SamardzicJeroen D H van Wijngaarden
Dec 9, 2020·Current Infectious Disease Reports·Barbara I BraunMireia Puig-Asensio

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Software Mentioned

CUSP
Team Check - up Tool ( TCT )

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