Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit.

摘要: Article-at-a-Glance Background A culture of teamwork and learning from mistakes are universally acknowledged as essential factors to improve patient safety. Both part the Comprehensive Unit-based Safety Program (CUSP), which improved safety in intensive care units but had not been evaluated other inpatient settings. Methods CUSP was implemented beginning February 2008 on an 18-bed surgical floor at academic medical center safety, nurse/physician collaboration, unit. This unit admits three six patients per day up eight clinical services. Results Staff several interventions reduce hazards culture. Surgical admitted one service were cohorted this increase physician presence. team-based goals sheet communication coordination daily care. Nurses included rounds form interdisciplinary team. Five domain scores demonstrated significant improvements 2006 2007 2008. There a 27% nurse turnover rate 0% Conclusions Improvements observed climate, rates after implementing program. As process, staff described then team designed interventions. is sufficiently structured provide strategy for health organizations learn mistakes, yet flexible enough focus risks that they perceive most important, given their context. Broad use program throughout systems could arguably produce substantial