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CUSP/Stop CAUTI Collaborative
Carol Hafley, MHA, BSN, RNAssistant DirectorMissouri Center for Patient SafetyJefferson City, [email protected] x227
Supplement – Preparing for the HSOP Survey 5/17/2011
Content Call 6 – Supplement 5/17/11Document 2
The “Secret Ingredient”Comprehensive Unit-Based Patient
Safety Program1. Form a unit CUSP team with executive
sponsorship2. Measure unit culture3. Educate staff on Science of Safety4. Identify defects using the Staff Safety
Assessment; prioritize defects5. Learn from one defect per quarter6. Implement team/communication tools
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Why Measure Unit Culture?
• Determine how bedside staff are feeling related to communication and recognizing defects– Diagnose and assess the current status of patient safety culture.– Identify strengths and areas for patient safety culture improvement.– Examine trends in patient safety culture change over time.– Measure/evaluate the cultural impact of patient safety initiatives and
interventions.
• CUSP is the intervention that will help you improve culture results– Results will be discussed during coaching call 5 – unit culture action
plan development
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AHRQ’s Hospital Survey on Patient Safety (HSOPS)
42 items assess 12 dimensions of patient safety culture
1. Communication openness
2. Feedback & communication about error
3. Frequency of event reporting
4. Handoffs & transitions
5. Management support for patient safety
6. Nonpunitive response to error
7. Organizational learning--continuous improvement
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AHRQ’s Hospital Survey on Patient Safety (HSOPS)
8. Overall perceptions of patient safety
9. Staffing
10. Supv/mgr expectations & actions promoting patient safety
11. Teamwork across units
12. Teamwork within units
Patient safety “grade” (Excellent to Poor)
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HSOPS Process• The HSOPS webinars scheduled this week and next will walk
through this process and the timeline – survey will be open beginning the middle of June and go through mid-July.
• Each Team Leader must identify how many staff members on the unit will be surveyed – all staff should take the survey!– Physicians – including residents, physician assistants– Licensed Staff – RNs, RTs, LPNs, therapists, pharmacists, dietician etc.– Non-licensed Staff – CNAs, technicians (i.e. EKG tech), Unit Clerks,
Housekeepers, etc.
• Goal is reaching a 60% response rate• You will receive weekly response rate updates from MHA.
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HSOPS Process: If the unit has recently completed a
safety survey• If units have already taken a patient safety culture survey and
the following is true:– A) survey occurred within the last 6 months– B) unit received at least a 60% response rate– C) there have been no major staff, leadership, or structural changes in
the unit, such as• Staff turnover/layoffs• Changes in medical staff or medical staff model (i.e. open vs. closed unit)• Change in manager
. . . then you do not need to take it again – you will need to discuss with Carol how to get your results imported.
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HSOPS Process: Getting a 60% Response Rate
• Value it!• Explain to staff why filling out the survey is so important –
showcase specific examples from the unit that help validate that culture improvement is important for all staff
• Spend time in your next Team Meeting planning how you will reach 60% :– Engage your physician champion to encourage physicians to take the
survey– Make the survey accessible to all staff– Email the URL vs. Putting URL on one computer accessible to all staff – both
are options• Make it a challenge – if the unit reaches 60%, get some sort of
incentive (i.e recognition, small gift, pizza or ice cream party, etc.)
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Upcoming Dates• Attend ONE HSOPS Training Webinar (May 16, 19,
23, or 26). No need to register, just join the meeting.• June 1, 2011 – Data Collection for CAUTI rates and
prevalence begins!!• June 10, 2011 – Kick Off Meeting in Columbia,
Courtyard by Marriot, 8 AM to 3 PM. Invitation was emailed on May 11. Please RSVP and register so we can get a head count!
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