Implementing and Validating a Comprehensive Unit-Based Safety Program

摘要: Background: The IOM identified patient safety as a significant problem. This paper describes the implementation and validation of comprehensive unit-based program (CUSP) in intensive care settings. Methods: An 8-step was implemented Weinberg ICU, with second control (SICU) subsequently receiving intervention. Unit improvement teams (physician, nurse, administrator) were to champion efforts between staff Safety Committee. CUSP steps: (1) culture assessment; (2) sciences education; (3) identification concerns; (4) senior executives adopt unit; (5) improvements from (6) documented/analyzed; (7) results shared; (8) reassessment. Results: improved post versus pre-intervention (35% 52% WICU 35% 67% SICU). Senior executive adoption led transport pharmacy presence ICUs. Interventions assessment included: medication reconciliation, short-term goals sheet relabeling epidural catheters. One-year post-CUSP implementation, length stay (LOS) decreased 2 1 day 3 days SICU (P , 0.05 Medication errors transfer orders nearly eliminated, nursing turnover 9% 2% 8% (neither statistically significant). Conclusions: successfully can improve reduce errors, LOS, potentially turnover.