13 Missouri Hospitals Target Increased Patient Safety with the Missouri Center for Patient Safety’s CUSP Teamwork & Communications Tools

July 21, 2011    |   By: Calevir

Effective new strategies rally hospital unit team members to improve patient care and safety with a new level of practical collaboration citing “What you permit, you promote.”

Jefferson City, Missouri – July 21, 2011 — As part of the Missouri Center for Patient Safety’s initiative, People, Priorities & Learning Together, 13 Missouri hospitals have joined CUSP Teamwork & Communication Tools, launched in June, 2011, to increase patient safety and eliminate medical errors by improving communication and coordination of care at the bedside.

The six month module builds upon The Basics of CUSP, the first module offered by MOCPS last fall to teach hospital units how to implement the Comprehensive Unit-based Safety Program (CUSP), an evidenced-based safety improvement program designed by Johns Hopkins University to help bedside caregivers drive safety and quality improvement on their units.

In CUSP Teamwork & Communication Tools, units will continue to proactively seek out and solve defects on their respective units by learning to implement ‘Multi-disciplinary Rounds with Daily Goals’ and ‘Structured Huddles.’

Multi-disciplinary Rounds with Daily Goals is an effective strategy that assembles patient care team members to review important patient care and safety issues and improve collaboration within the overall plan of care for individual patients.   Tools such as daily checklists are used during patient rounds to prompt caregivers to focus on daily accomplishments that safely move patients closer to their transfer out of the ICU or discharge home. The practice has improved communication among care team and family members regarding the patient’s daily plan of care.

Research studies on the effectiveness of multidisciplinary rounds show earlier identification of clinical issues, more timely referrals, improved patient outcomes and improved ratings by nurses and physicians on teamwork, communication and collaboration.

“Using a Standardized Work System, the object of implementing Multidisciplinary Rounds with Daily Goals is to achieve a stable baseline for patient care processes in order to systematically improve them,” says MOCPS project manager, Kimberly O’Brien.   “Patient goals are specific, measurable and documented where all care team members, patients and family members have access to them.”

“The mantras in this module are ‘What you permit, you promote’ and ‘We deserve what we tolerate.’”

O’Brien says Structured Huddles are designed to keep bedside caregivers, informed and engaged in improvement efforts every day as a briefing to review goals and achievements functioning around a central white board which keeps everyone focused on common safety goals and progress.

The brief daily meetings allow staff members to focus on safety assessments asking proactive questions such as “what patients on the unit today are at risk for falling and what can we do to ensure those potential falls do not occur?” Other main areas of focus include discussing any variances from patient safety or clinical outcome goals, and developing daily strategies to help meet those goals.

“These short briefings allow unit staff members to stay informed, review work, make plans, and move ahead rapidly,” says O’Brien.   “They give fuller more frequent participation for bedside caregivers who often find it impossible to get away for the conventional hour-long improvement team meetings.”

“We are really proud of the 13 hospitals that have taken on this second patient safety module and look forward to working with them in the months to come,” O’Brien said.

List of Participating Hospitals

Barnes-Jewish St. Peters Hospital, St. Peters
Capital Region Medical Center, Jefferson City
Community Hospital – Fairfax, Fairfax
Fitzgibbon Hospital, Marshall
Jefferson Regional Medical Center, Festus
Missouri Southern Healthcare, Dexter
Ozarks Medical Center, West Plains
Saint Louis University Hospital, St. Louis
St. Luke’s Hospital, Kansas City
St. John’s Mercy Hospital, Washington
St. Luke’s Rehabilitation Hospital, Chesterfield
St. Mary’s Health Center, Jefferson City
Texas County Memorial Hospital, Houston

More About MOCPS – The Missouri Center for Patient Safety was founded by the Missouri Hospital Association, Missouri State Medical Association and Primaris as a private, nonprofit corporation to serve as a leader to fulfill its vision of a health care environment safe for all patients, in all processes, all the time.

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.