The safety program for surgery builds on the lessons learned from previous successful statewide efforts to improve culture and reduce healthcare-associated infections, or HAIs, including the Michigan Keystone ICU program. The Michigan Keystone intensive-care unit, or ICU, program was a multifaceted program that included a checklist to help ensure that providers complied with evidence-based recommendations for the prevention of two other common health care-associated infections, CLABSIs and VAP. The results were quite impressive. They achieved a 66 percent reduction in CLABSIs and a 71 percent reduction in VAP in over 100 Michigan intensive care units. 15 . . . And National-Level Highlights SAY: It also builds on the lessons learned from National On the CUSP: Stop BSI program. That program included more than 1,000 ICUs across 44 States and was with a 43 percent reduction in CLABSI rates. While many organizations had been working on reducing CLABSI for years, the number of participating ICUs that achieved zero CLABSI rates for a quarter more than doubled during the program. Slide 16 Positive Impact of CUSP on Michigan ICU Safety Culture SAY: To address the adaptive work, CUSP was used. CUSP is perhaps the best-validated approach to improve teamwork and safety culture on a large scale. In Michigan, CUSP implementation was associated with a dramatic reduction in the number of units that were in the improvement zone” for both teamwork “needs and safety culture. 17 This Improvement Model Works for Surgery SAY: Evidence shows this approach works. Johns Hopkins, for example, has been using this approach with the support of anesthesia, nursing, and surgical leadership. Hopkins asked staff how the next patient will be harmed and what the hospital can do about it. Combined with emerging evidence and local
The safety program for surgery builds on the lessons learned from previous successful statewide efforts to improve culture and reduce healthcare-associated infections, or HAIs, including the Michigan Keystone ICU program. The Michigan Keystone intensive-care unit, or ICU, program was a multifaceted program that included a checklist to help ensure that providers complied with evidence-based recommendations for the prevention of two other common health care-associated infections, CLABSIs and VAP. The results were quite impressive. They achieved a 66 percent reduction in CLABSIs and a 71 percent reduction in VAP in over 100 Michigan intensive care units. . . . And National-Level Highlights SAY: It also builds on the lessons learned from National On the CUSP: Stop BSI program. That program included more than 1,000 ICUs across 44 States and was with a 43 percent reduction in CLABSI rates. While many organizations had been working on reducing CLABSI for years, the number of participating ICUs that achieved zero CLABSI rates for a quarter more than doubled during the program. 15 Positive Impact of CUSP on Michigan ICU Safety Culture SAY: To address the adaptive work, CUSP was used. CUSP is perhaps the best-validated approach to improve teamwork and safety culture on a large scale. In Michigan, CUSP implementation was associated with a dramatic reduction in the number of units that were in the “needs improvement zone” for both teamwork and safety culture. Slide 16 This Improvement Model Works for Surgery SAY: Evidence shows this approach works. Johns Hopkins, for example, has been using this approach with the support of anesthesia, nursing, and surgical leadership. Hopkins asked staff how the next patient will be harmed and what the hospital can do about it. Combined with emerging evidence and local 17
onboarding_overview_impmodel_facnotes.docx