Implementing a Comprehensive Unit-Based Safety Program (CUSP) to Enhance a Culture of Patient Safety and Improve Medication Safety in a Regional Home Care Program

Ganaden, Rachel E; Mitchell, L. Brent

doi:10.1097/qmh.0000000000000180

Cited by 12 publications

(34 citation statements)

References 18 publications

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“…However, the study by Meyer‐Massetti et al shows that the availability of CIRS in home care facilities is still currently limited and needs to be adapted. Ganaden and Mitchell have shown with their Comprehensive Unit Based Safety Program that medication safety can be improved in home care 28 . Considering that comprehensive use of CIRS is difficult and a timeline for it is not yet foreseeable, other alternatives could help to prevent errors, for example, using FMEA (Failure Mode and Effects Analysis).…”

Section: Discussionmentioning

confidence: 99%

“…In quality management, some programs have shown great success to address this issue, that is, Critical Incidence Reporting Systems (CIRS), especially in the medication process. 28 Considering that comprehensive use of CIRS is difficult and a timeline for it is not yet foreseeable, other alternatives could help to prevent errors, for example, using FMEA (Failure Mode and Effects Analysis). FMEA is a teamoriented analysis that serves to find potential sources of errors in processes to derive suitable preventive measures for avoidance,it could help to improve the medication process in home care.…”

Section: Nomentioning

confidence: 99%

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Patient safety in home care: A multicenter cross‐sectional study about medication errors and medication management of nurses

Strube‐Lahmann

Müller‐Werdan

Klingelhöfer‐Noe³

et al. 2022

Pharmacology Res & Perspec

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Studies assume that up to 30% of home care recipients are exposed to a possible medication error. For the home care sector, the study situation regarding such errors is limited. The aim of the study was to find out how often medication errors occur and whether they are related to training, quality assurance measures (use of the double‐check principle (DCP)), and other structural conditions of home care services. A cross‐sectional study was conducted, comprising 485 fully trained nurses of 107 randomly selected home care services. Potential influencing factors were analyzed in a multiple logistic regression model. Of 485 fully qualified nurses, 41.6% reported medication errors within a 12‐month period, while 14.8% did not answer this question. Nurses who had attended medication training within the last 2 years compared to a longer period (frequently to rather rarely applied DCP); the odds ratio of not making medication‐related errors was 1.79[1.42–3.09] (OR 3.13; [1.88–5.20]). Years of professional experience, amount of patients per shift, and type of work contract (full/part‐time) were not statistically significantly associated with reported medication errors. Medication‐related errors occur frequently in home care. Regular training and adequate quality management measures increase patient safety. Nursing managers and other responsible individuals of home care institutions have to make sure that nursing staff take part in regular medication training and apply the DCP when they give out medication in home care.

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Section: Discussionmentioning

confidence: 99%

Section: Nomentioning

confidence: 99%

Patient safety in home care: A multicenter cross‐sectional study about medication errors and medication management of nurses

Strube‐Lahmann

Müller‐Werdan

Klingelhöfer‐Noe³

et al. 2022

Pharmacology Res & Perspec

View full text Add to dashboard Cite

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“…Nurses are recognized as the most important group for clinical medication safety globally [10,11]. In addition, medication safety is an important part of patient safety [12,13]. Therefore, we should focus on nurses' positive role in patient safety and medication safety competence under the high prevalence of medication errors.…”

Section: Introductionmentioning

confidence: 99%

Psychometric evaluation of medication safety competence scale for clinical nurses

Yang

Chen

et al. 2021

BMC Nurs

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Background Nurses are the most important members of the health care system for medication safety, there are few tools to evaluate their medication safety competence. This study aimed to translate the Medication Safety Competence Scale into Chinese and validate its reliability and validity among clinical nurses. Methods A total of 894 clinical nurses were recruited from three cities in China. The original version of the Medication Safety Competence Scale was translated into Chinese using the backward and forward translation procedure. The reliability of the scale was measured by internal consistency, split-half reliability, and stability. The validity of the scale was assessed by the content validity index, exploratory factor analysis and confirmatory factor analysis. Results The Cronbach’s coefficient of the scale was 0.940, and the coefficient values for the six domains ranged between 0.843 and 0.948. The split-half reliability and stability were 0.671 and 0.703, respectively. The content validity index of the scale was 0.952. The 6-factor structure, supported by the eigenvalues, total variance explained, and scree plot accounted for 71.485 % of the total variance. Moreover, as a result of the confirmatory factor analysis, the average variance extracted values were 0.55 to 0.70, and the model fitting indexes were all in the acceptable range. Conclusions The Chinese version of the Medication Safety Competence Scale had ideal reliability and validity among clinical nurses. The evaluation results of the scale can provide a reference for nursing managers to formulate education plans and intervention measures to improve clinical nurses’ safe medication competence.

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“…CUSP had been used in many medical institutions to improve the quality and safety of health care. For example, the program has been proven to be effective in reducing catheter-related urinary tract infections [6], surgical complications [7], nosocomial infection rates [8], and medication errors [9]. The application in the field of intensive care unit (ICU) was mainly focused on improving the management of mechanically ventilated patients [10] and reducing catheter-related blood flow infections [11].…”

Section: Introductionmentioning

confidence: 99%

Application of comprehensive unit-based safety program model in the inter-hospital transfer of patients with critical diseases: a retrospective controlled study

Liu

et al. 2021

BMC Health Serv Res

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Background To explore the effect of applying a comprehensive unit-based safety program (CUSP) in the intrahospital transfer of patients with critical diseases. Methods A total of 426 critically ill patients in the first affiliated Hospital of Anhui Medical University from August 2018 to February 2019 were divided into two groups according to the time of admission. Overall, 202 patients in the control group were treated with the routine transfer method, and 224 patients in the observational group were treated with the transfer method based on the CUSP model. The safety culture assessment data of medical staff, the occurrence rate of adverse events and related causes, the time of transfer, and the satisfaction of patients’ relatives to the transfer process were compared before and after implementation of the transfer model between the two groups. Results Before and after the implementation of the CUSP mode transfer program, there were significant differences in the scores of all dimensions of the safety culture assessment of medical staff (P < 0.05), and the occurrence rate of adverse events and the causes in the observational group were significantly lower than those in the control group (disease-related, staff-related, equipment-related, environment-related) (P < 0.05). The transfer time for Computed Tomography (CT), Magnetic Resonance Imaging (MRI), operating room, and the interventional room was significantly shorter in the observational group than that in the control group (P < 0.05), while the satisfaction of relatives to the transfer process was significantly higher than those in the control group (P < 0.05). Conclusion The implementation of CUSP model for the intrahospital transfer of critically ill patients can significantly shorten the in-hospital transfer time, improve the attitude of medical staff towards safety, reduce the occurrence rate of adverse events, and improve the satisfaction of patients’ relatives to the transfer process.

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Implementing a Comprehensive Unit-Based Safety Program (CUSP) to Enhance a Culture of Patient Safety and Improve Medication Safety in a Regional Home Care Program

Cited by 12 publications

References 18 publications

Patient safety in home care: A multicenter cross‐sectional study about medication errors and medication management of nurses

Patient safety in home care: A multicenter cross‐sectional study about medication errors and medication management of nurses

Psychometric evaluation of medication safety competence scale for clinical nurses

Application of comprehensive unit-based safety program model in the inter-hospital transfer of patients with critical diseases: a retrospective controlled study

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