UMass Memorial Cuts CLABSI Beth Israel Deaconess Medical Center among the first-ever awardees in the National Awards Program to Recognize Progress in Eliminating Healthcare-Associated Infections CDC: Hospitals continue progress in preventing infections American Heart Association: Improvements in Door-to-Balloon Time in the US - 2005 to 2010 Thomson Reuters Top 10 Health Systems of 2011 UMass Memorial Diabetes Scorecard Cooley Dickinson Hospital: Better-than-National Infection Rate Drops Further Following UV Room Disinfection Mercy Medical Center, Implements a Program to Decrease Pressure Ulcers Lawrence General Hospital: Runner Up: Med/surg unit boosts safety and satisfaction with initiative care MetroWest Medical Center Demystifies Outpatient Satisfaction Partners Study on Falls Featured in JAMA Winchester Hospital: A Focus on Outcomes Southcoast Health System: Reducing the Use of Safety Sitters Partners: Coordinating Care for High-Risk Patients New Bedford Rehab's use of volumetric capnography Winchester Hospital -- Reducing IV-associated bloodstream infection Newton-Wellesley Hospital: eMAP Rx for Medication Errors? Reducing Surgical Site Infections at New England Baptist Hospital Milton Hospital Reduces Catheter-Associated Urinary Tract Infections Cooley Dickinson Hospital's Positive Culture Led to Pressure Ulcer Improvements Beverly Hospital Implements Nurse-Led Program to Reduce Patient Falls Boston Medical Center Nurses Teach Pressure Ulcer Prevention Two Hospitals are Co-Winners of Betsy Lehman Patient Safety Award Making Strides at Jordan Hospital to Reduce Falls Telling Your Hospital's Story Public Reporting of Serious Reportable Events Winchester Hospital's Hand-Hygiene Competency Beth Israel Deaconess Medical Center Wins $4.9 Million Grant for Program to Improve Patient Outcomes Within 30-Day Window of Discharge

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The goals for this national project funded by the Agency for Healthcare Research and Quality (AHRQ) to implement CUSP include:

1. Improve patient safety culture
2. Reduce the mean central-line associated blood stream infections (CLABSI) rate in the participating hospital units to 1 per 1000 catheter days over two years.

Twelve Massachusetts hospitals are enrolled in the national project: On the CUSP: Stop BSI. This project is aimed at reducing central line associated blood stream infection rates (CLABSI) in intensive care units (ICU) and improving the patient safety culture through the Comprehensive Unit-based Safety Program (CUSP). ICU project teams participate in national content calls and state coaching calls, and submit CLABSI data, as well as data on the unit patient safety culture and team progress.

Hospital ICU teams have been assembled, partnered with a hospital senior executive, and completed baseline CLABSI data submission, and surveys on the culture of safety and exposure to initiatives to prevent central line associated blood stream infections. In addition to applying central line insertion and management interventions, the teams are beginning to apply components of the comprehensive unit based safety program into the culture of their respective ICUs. These include education on the science of safety, staff identification of defects, unit partnership with a senior executive, learning from defects, and the implementation of teamwork and communication tools.

The hospitals enrolled in the Massachusetts ICU Safe Care Initiative - Comprehensive Unit Based Safety Program include:

  • Baystate Franklin Medical Center
  • Baystate Mary Lane Hospital
  • Baystate Medical Center
  • Berkshire Medical Center
  • Cambridge Health Alliance
  • Cambridge Health Alliance Whidden
  • Fairview Hospital
  • Harrington Hospital
  • Holyoke Medical Center
  • Jordan Hospital
  • Marlborough Hospital
  • Melrose Wakefield Hospital
  • Morton Hospital and Medical Center
  • Mount Auburn Hospital
  • New England Baptist Hospital
  • Noble Hospital
  • Southcoast Saint Luke's Hospital
  • Spaulding Rehabilitation Network (in CUSP for CAUTI)
  • Tufts Medical Center
  • Wing Memorial Hospital & Medical Center

 

Johns Hopkins program can help improve safety culture at hospitals

Jeanne Henson in Johns Hopkins, PPeter Pronovost, QQuality and Safety in Healthcare, Quality Improvement Methods, Serious Reportable Events (SRE)

 

All hospitals can adopt recommendations from Johns Hopkins University in order to improve the safety culture, according to a study in Quality and Safety in Healthcare.

According to the study, researchers implemented a safety program called CUSP - comprehensive, unit-based safety programs, at Johns Hopkins Medical Center. The program aims to train staff in the science of safety, including how to identify, report and measure safety issues, and then find ways to correct the problems.  

The study found that 55% of units achieved the established safety culture goals in the first year after CUSP implementation and 82% of units reached the goals after two years. 

(Sources: The Advisory Board Daily Briefing, http://advisory.com, January 14, 2011; Quality and Safety in Health Care, http://qualitysafety.bmj.com, December, 2010; Nurseweek, http://news.nurse.com, January 11, 2011)

 

Program to eliminate up to 60,000 bloodstream infections in the critically ill being rolled out in 50 states

Premier SafetyShare Newsletter, January 2011

A statewide program proven successful in reducing central-line associated bloodstream infections (CLABSIs) in intensive care units (ICUs) is being implemented in every state with hopes to not only eliminate the 30,000 - 60,000 preventable deaths that occur annually in the United States from CLABSIs, but also to learn. how to collaboratively address complex processes in healthcare systems. The key elements for success include an improved culture with teamwork and standardization of practices and measurement of results. 

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