CUSP named in Top 10 Best Strategies for Infection Prevention and Control

In April, Becker’s Clinical Quality and Infection Control named the Comprehensive Unit-based Safety Programs (CUSP) one of the top 10 best strategies for prevention of infection.   CUSP provides a structured framework that integrates teamwork, communication, and leadership at the unit level.   To learn more about CUSP and the services offered by the Center, click on the Safety Culture tab above.   Read the full article.

Nine-state NICU CUSP-CLABSI project acheives 58% reduction!

Central line associated bloodstream infections (CLABSIs) in newborns was reduced by 58% in just 11 months.   Nine states, participating in HRET’s AHRQ-funded, NICU CUSP-CLABSI project, have reduced overall infections in newborns. The project utilized AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to improve project participant’s safety culture and utilize consistent guidelines for catheter insertion and maintenance.

“The CUSP framework brings together safety culture, teamwork and best practices-a combination that is clearly working to keep these vulnerable babies safer,” says AHRQ Director Carolyn M. Clancy, M.D. “These remarkable results show us that, with the right tools and dedicated clinicians, hospital units can rapidly make care safer.”   Read the full article

Ozarks Medical Center Shares CUSP/CAUTI Success on National Stage!

Ozarks Medical Center in West Plains, Missouri, has been recognized as a national resource for their success with the Comprehensive Unit Based Safety Program (CUSP) implementation and the Stop BSI/Stop CAUTI projects.

Mary Fine, Director of Quality at Ozarks Medical Center, was a faculty member for the national CUSP Boot Camp which took place on September 20th in Chicago.   This workshop was offered by the Health Research and Educational Trust (HRET), with support from the Agency for Healthcare Research and Quality (AHRQ) as part of the national CUSP/Stop BSI project, and was an opportunity for high need hospitals who were not previously able to participate in On the CUSP: Stop BSI, to gain knowledge of CUSP and how to implement the program in their facility.   Mary shared with the Chicago attendees the success story of CUSP at Ozarks Medical Center, and how they have leveraged the success of their original ICU unit and throughout their 114-bed facility.

Mary is presenting their facility’s Stop CAUTI project implementation, challenges, and success at the HRET Hospital Engagement Network meetings in Indianapolis on Thursday, November 15, 2012.

Congratulations Ozarks Medical Center for being a great example of what the Show Me state is all about!

Great Ideas Exchanged at CUSP/Stop CAUTI Learning Session!

MOCPS welcomed representatives from 10 of our CUSP/Stop CAUTI Cohort 2 teams to Columbia on September 5th, 2012, for the final Learning Session of this collaborative. We were very fortunate to have Dr. Tammy Lundstrom, CMO for Premier Health Partners in Dayton, Ohio, speak on the challenges and importance of sustainability after collaborative projects come to an end. She shared some great tips on communicating with physicians about catheter use and how to bring utilization numbers down. Teams were recognized for 100% data reporting and for reductions in their CAUTI rates.

Congratulations to:

  • Bothwell Regional Health Center
  • Callaway Community Hospital
  • Citizens Memorial Hospital
  • Cooper County Memorial Hospital
  • Cox Medical Centers
  • Cushing Memorial Hospital
  • Jefferson Regional Medical Center
  • Liberty Hospital
  • Mercy Washington
  • Missouri Southern Healthcare
  • Ozarks Medical Center
  • Saint Joseph Medical Center
  • Saint Lukes Hospital of Kansas City
  • Saint Lukes South Hospital
  • The University of Kansas Hospital

Ozarks Medical Center and MOCPS Receive National Accolades for CUSP Initiatives

On January 10, 2012, Ozarks Medical Center (OMC) and MOCPS presented to an audience of over 800 health care providers nationwide participating in the On the CUSP:   Stop BSI collaborative.   The topic of the presentation was “Coordinating Multiple Quality Improvement Initiatives,” in which MOCPS showcased its People, Priorities & Learning Together (PPLT) initiative, and OMC showcased its successes in implementing the programs offered in the PPLT initiative.


Primaris Taps the MOCPS to Lead CUSP Training Program

MOCPS is pleased to announce that Primaris, the federally designated Quality Improvement Organization (QIO) for the state of Missouri, has asked us to lead the Basics of Comprehensive Unit-based Safety Program (CUSP) training program for seven hospitals as part of a CAUTI training project.  We are honored that Primaris has recognized our expertise with CUSP and success in working with hospitals to implement it successfully.  The Basics of CUSP is part of the Center’s People, Priorities and Learning Together initiative.

MOCPS Co-Hosts CUSP/Stop CLABSI Mid-Course Meeting in Topeka, Kansas

The Kansas Healthcare Collaborative, along with the Missouri Center for Patient Safety, co-hosted the Cohort 5 & 6 CUSP/Stop CLABSI Mid-Course meetings in Topeka, Kansas this week!   Over 30 teams from Kansas and Missouri were in attendance and participated in group work on overcoming project barriers and walked through the process of learning from a defect.

Several Missouri teams were recognized for completing 6 or more consecutive months without a CLABSI in 2011, and teams from Cohort 2 in the Greater Kansas City area were recognized for completing the two year project.   Congratulations to all the Missouri teams!

MOCPS Leading CUSP Education in National NICU CLABSI Collaborative

The MOCPS has been invited to lead a six-month course on the Comprehensive Unit-based Safety Program (CUSP) to over 70 Neonatal Intensive Care Units (NICUs) located throughout 7 states.    All participating NICUs have joined a national collaborative sponsored by the Health Research Educational Trust (HRET) to stop central-line associated blood stream infections (CLABSIs).     (more…)

MOCPS Hosts Table at Health Literacy Missouri – Sorrel King reinforces our mission

The MOCPS was pleased to host a table at the October 5th Health Literacy Missouri awards luncheon.   Keynote, Sorrel King, is always a pleasure to hear, although the story of her 18 month old daughter, Josie’s, death from failures in the health care system is heart wrenching.   (more…)

CPS Article Published in Missouri Board of Nursing Newsletter

The MOCPS Press Release, 13 Missouri Hospitals Target Increased Patient Safety with the Missouri Center for Patient Safety’s CUSP Teamwork & Communications project was recently, featured in the Aug. – Oct., 2011, edition of the Missouri Board of Nursing newsletter, which goes to all nurses licensed in Missouri!   Thanks very much to the Board



PSO Case Law: Ungurian v. Beyzman, et al., 2020 PA Super 105:

A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

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