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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - Learning from defects is considered an “adaptive” component of CUSP.
ASK:
Why is that important? … SAY:
The CUSP team guides the use of the LFD tool. … The CUSP team consists of the facilitator, the champion, the unit manager, the provider champion, and … Slide 10
Checking Your Assumptions
SAY:
CUSP brings together a diverse group of team members. … Your core CUSP team will need to augment the team with representatives that correspond to the defect
-
psnet.ahrq.gov/node/867701/psn-pdf
August 01, 2017 - developed to help staff in intensive care units use AHRQ’s Comprehensive Unit-based Safety Program
(CUSP … two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
https://psnet.ahrq.gov/issue/cusp-method
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Improve the culture of safety on your unit through the Comprehensive Unit-based Safety Program (CUSP … use:
Facilitate the development of a process to review the appropriateness of catheter use
CUSP … implementation:
Ensure staff education about patient safety
Use CUSP tools to improve teamwork … Outcome and Process Data
Team Checkup Tools
Sustainability:
Support the integration of CUSP … nurses
Develops and shares expertise in:
Technical skills to reduce CAUTI
Adaptive work of the CUSP
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - Nursing staff, providers
Patient safety personnel, and other Comprehensive Unit-based Safety Program (CUSP … & Non-ICU
Assessing Environmental Cleaning
Effective Unit Level Feedback
Disseminate data at unit CUSP … EVC associates are integral members of the CUSP team. … There was an established CUSP team. … Piloted the program on one floor with the help of the CUSP team
| 41
Case Example
AHRQ Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - and projected savings, based on the current and projected numbers of cases and costs of supplies
Unit CUSP … The CUSP Team highlighted the unit’s improvement in the hospital newsletter
It’s important to acknowledge … Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010 Nov;38(4):114-21. … Agency for Healthcare Research and Quality. https://www.ahrq.gov/hai/cusp/videos/02b-the-4e/index.html … Agency for Healthcare Research and Quality. https://www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - characteristics of an engaged senior leader, see the Engaging the Senior Executive module of the AHRQ CUSP … For more information on Just Culture, see the Apply CUSP module of the AHRQ CUSP Toolkit. … Say:
For more information on this video, and to see a debrief on accountability, see the AHRQ CUSP
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - SPPC Key Perinatal Safety Elements for Safe Medication Administration
Standardize When Possible (CUSP … Create Independent Checks (CUSP Science of Safety).
Simulation (SPPC Pillar). … Learn From Defects (CUSP Module).
Teamwork Training (TeamSTEPPS®). … Patient and Family Engagement (CUSP Module). … Slide 32: Tips for Implementation Success
Use CUSP principles for implementing teamwork and communication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Slide Title and Commentary
Slide Number and Slide
Comprehensive Unit-based Safety Program (CUSP … )
SAY:
The first step of CUSP involves educating staff on the Science of Safety. … ASK:
Why is this component so critical to the CUSP mission? … cusptoolkit/videos/04g_diverseinput/index.html
Slide 14
Identify Defects
SAY:
The second step of CUSP
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/14-engaging-stakeholders.pptx
June 01, 2023 - for Improving Surgical Care and Recovery
1
Visit AHRQ’s Comprehensive Unit-Based Safety Program (CUSP … ) website to learn more about the CUSP method.
-
www.ahrq.gov/action-alliance/webinars/teamwork-ptsafety-norms.html
April 01, 2025 - tools and strategies as well as provided an overview of the Comprehensive Unit-based Safety Program (CUSP
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - ) team for additional
information about team member roles
https://www.ahrq.gov/hai/cusp/modules/assemble … beyond the scope of the SPPC‐II Toolkit to fully describe the Comprehensive
Unit‐based Safety Program (CUSP … ), you may find that the information provided in AHRQ’s
CUSP module for assembling the team provides … The module is available at:
https://www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html.
25 … https://www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
https://www.ahrq.gov/hai/cusp/modules
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - Hospital AIM
Team
Leads
SPPC‐II
Additional Resources
• AHRQ’s module for assembling a (CUSP … ) team for additional
information about team member roles
https://www.ahrq.gov/hai/cusp/modules/assemble … ), you may find that the information provided in AHRQ’s
CUSP module for assembling the team provides … The module is available at:
https://www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html.
25 … https://www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
https://www.ahrq.gov/hai/cusp/modules
-
www.ahrq.gov/patient-safety/index.html
January 01, 2024 - Comprehensive Unit-based Safety Program (CUSP)
The CUSP toolkit includes training tools
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - Building on this successful foundation, AHRQ’s CUSP programs
have reduced the rates of infections in … The evidence and products
of the CUSP projects are shared with other HHS OPDIVs. … NIRSQ-24
Program Portrait: Comprehensive Unit-based Safety Program (CUSP)
1. … The FY 2021 CUSP
funding level provides continuation funding for one CUSP project, CUSP for methicillin-resistant … In FY 2021, NIRSQ’s three current CUSP projects will complete their expansion efforts.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - When used with
the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the tools have nearly eliminated … The tools align with the E’s found in the CUSP toolkit:
1. … hospital infection control professional or epidemiologist to become an active part of your
unit’s CUSP … To streamline and ensure use of the audit form, bundle it with the CUSP Toolkit’s
https://www.ahrq.gov … The template can be used with the
CUSP Toolkit’s Identify Defects Through Sensemaking module, and it
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … Key Perinatal Safety Elements
Standardize When Possible (CUSP Science of Safety)
Key Perinatal … magnesium levels to avoid miscommunication and delays in timely care. 10
Create Independent Checks (CUSP … Learn From Defects (CUSP Module)
Debrief and analyze near misses and adverse events related to … Patient and Family Engagement (CUSP)
Discuss risks and benefits of intrapartum or postpartum magnesium
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/index.html
October 01, 2015 - Resident Physician Device Risk Checklist
Resident Physician Device Risk Pocket Card
CUSP … Quality through the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP
-
www.ahrq.gov/hai/clabsi-tools/appendix-7.html
March 01, 2018 - When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced … [ ] No Explain:
If defects are identified, use the Learning from Defects Tool in the CUSP
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - rapid response system or RRS, within the framework of the Comprehensive Unit-based Safety Program, or CUSP … overarching principles of patient safety derived from the Comprehensive Unit-based Safety Program (CUSP … This is a core principle from the CUSP Science of Safety module. … This is also a core principle from CUSP. … Success
Say:
Here are tips for implementing a unit’s tools successfully:
Staff should use CUSP
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - This is an example of adaptive work where CUSP teams help staff and leaders understand the impact of … Educate is a technical process, in which the CUSP team transmits information to personnel and leaders … The ICU had an established CUSP team with senior leadership support. … The CUSP team examined the problem of the rising rates using the 4 Es approach. … This important step was to help ensure that the CUSP team fully understood and reviewed the evidence