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Implementing the Comprehensive Unit-based Safety Program (CUSP)
The Role of the Nurse Manager
January 14, 2016 Webconference
Pat Posa RN, BSN, MSA, FAAN System Performance Improvement Leader
St. Joseph Mercy Health System Ann Arbor, MI
This material was prepared by the Atlantic Quality Innovation Network (AQIN), the Medicare Quality Innovation Network-Quality Improvement Organization for New York State, South Carolina, and the District of Columbia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 11SOW-AQINNY-TskC.1-16-04
Learning Objectives
1. Review the 5 components of CUSP 2. Understand the responsibilities of the
nurse manager to support CUSP 3. Learn key strategies to support the
CUSP team
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Comprehensive Unit-based Safety Program
Pre-CUSP work Assemble a safety team Measure unit culture
1. Educate on the Science of Safety 2. Identify Defects (Staff Safety Assessment) 3. Senior Executive Partnership 4. Learn from Defects 5. Implement Teamwork & Communication Tools
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References 4. Krugman M. Evidence-based practice: the role of staff
development. J Nurses Staff Dev. 2003 Nov-Dec;19(6):279–85. 5. Benner PE. From Novice to Expert: Excellence and Power in
Clinical Nursing Practice. Menlo Park, CA: Addison-Wesley; 1984. 6. National Institute of Standards and Technology. Baldridge by
Sector: Healthcare. www.nist.gov/baldrige/enter/health_care.cfm. Accessed July 5, 2012.
7. Studer Q. Hardwiring Excellence: Purpose, Worthwhile Work, Making a Difference. Gulf Breeze, FL: Fire Starter Publishing; 2003.
References 8. Kaplan RD, Norton DP. The balanced
scorecard: measures that drive performance. Harv Bus Rev 1992 Jan-Feb;70(1):71-9.
9. The American Organization of Nurse Executives. Nurse Manager Leadership Partnership Learning Domain Framework. www.aone.org/resources/leadership%20tools/NMLPframework.shtml.
Accessed July 5, 2012.