1. The Comprehensive Unit-Based Safety Program: How Will This Work?
Chris George, R.N, M.S
Sam Watson, M.S.A
Pat Noga, R.N

2. The Michigan Experience

3. Workshop Learning Objectives
Describe the purpose and vision of the ICU Safe Care Initiative/Comprehensive Unit-Based Safety Program.
Describe the process used to identify and eliminate system defects.
List three tools or strategies used to improve teamwork and build a safety culture.
State research and best practices in reducing infections, preventing central line infections, and going beyond the bundle.

4. Session Learning Objectives
Review the purpose and vision of the ICU Comprehensive Unit-Based Safety Program/CLABSI Initiative. Understand how your ICU and your hospital will benefit from participation.
Build the skills of physicians, nurses, and other care team members in identifying and eliminating system defects that can result in patient harm, and improve teamwork and build a safety culture.
Engage in discussion with national experts on research and best practices in reducing infections, preventing central line infections, and going beyond the bundle.  Discuss how to apply in your hospital.
Identify opportunities to reduce central line infections and the impact it will have on costs and patient days.
Discuss steps and timeline in implementation of the initiative.

5. ICU Safety Culture

6. ICU Teamwork Culture

7. Teamwork Climate & Annual Nurse Turnover
% reporting positive teamwork climate
High Turnover 16.0%
Low Turnover 7.9%
Mid Turnover 10.8%

8. Median Central Line Associated Bloodstream Infection Rate
Time period
Median Central Line Associated Bloodstream Infection Rate
Baseline
2.7
Intervention
1.6
0-3 months
4-6 months
7-9 months
10-12 months
13-15 months
16-18 months

9. Results
Lives Saved – 1,729*
Patient Days Saved – in excess of 127,000*
Dollars Saved – 0ver $246 Million*
Culture of Safety improved 28%
Teamwork improved 15%
* Based on the Johns Hopkins Opportunity Calculator

10. On the CUSP Data Collection
Form
Frequency of Completion
How to submit
Reports generated
Exposure survey
Once
Survey Monkey
(Link will be sent via )
Descriptive
Culture assessment (AHRQ Hospital Survey on Patient Safety)
Baseline and 18 months
HSOPS administered via MHA Care Counts or thru existing process such as Press Ganey (will accept surveys within 6 month window from state administration date)
Unit reports and comparative reports from Westat
CLABSI
*Monthly
ComparativeAvailable in MHA Care Counts
Team Check-Up Form
Available in MHA Care Counts
Staff Safety Assessment survey ‘How is the next patient going to be harmed’
Baseline and biannual
Not submitted
No report
Learning From Defects
Monthly
*Due by the 15th of the Month following data collection. (Ex: January MTCT is due by February 15)

11. Workshop Learning Objectives
Describe the purpose and vision of the ICU Safe Care Initiative/Comprehensive Unit-Based Safety Program.
Describe the process used to identify and eliminate system defects.
List three tools or strategies used to improve teamwork and build a safety culture.
State research and best practices in reducing infections, preventing central line infections, and going beyond the bundle.

12. Questions