May 042011

As part of their landmark Keystone MHA project in Michigan ICUs (that previously demonstrated a 0% catheter-related bloodstream infection rate with adherence to a central-line bundle), Sexton, Pronovost et al also implemented the CUSP intervention to create a climate of continuous quality improvement and safety. Based on surveys of the staff in 71 ICUs, mean safety scores rose from 42.5% in 2004 to 52.2% in 2006, p<0.001 -- a significant increase, but still in the sub-60% "needs improvement" category and barely shy of the predefined 10-point meaningful difference. Crit Care Med 2011;39:934-939.

Get our weekly email update, and explore our library of practice updates and review articles.

PulmCCM is an independent publication not affiliated with or endorsed by any other organization, society or journal referenced on the website. (Terms of Use | Privacy Policy)


Comprehensive intervention improved “safety climate” in ICUs