A collaborative learning network approach to improvement: The CUSP learning network

Joint Commission Journal on Quality and Patient Safety

Volumn 41, Issue 4, 2015, Pages 147-159

  Weaver, Sallie J ^a,b   Lofthus, Jennifer ^c   Sawyer, Melinda ^c   Greer, Lee ^d   Opett, Kristin ^e   Reynolds, Catherine ^f   Wyskiel, Rhonda ^c   Peditto, Stephanie ^c   Pronovost, Peter J ^a,c  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c Armstrong Institute for Patient Safety and Quality   (United States)

^d NORTH MISSISSIPPI MEDICAL CENTER   (United States)

^e Rochester General Health System   (United States)

^f EINSTEIN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HOSPITAL; HUMAN; LEARNING; ORGANIZATION; PATIENT SAFETY; SATISFACTION; COOPERATION; EDUCATIONAL MODEL; HEALTH CARE ORGANIZATION; HEALTH SERVICES RESEARCH; INTERDISCIPLINARY COMMUNICATION; LEADERSHIP; MANAGEMENT; MASS COMMUNICATION; PERSONNEL MANAGEMENT; QUESTIONNAIRE; SAFETY; TOTAL QUALITY MANAGEMENT; UNITED STATES;

COOPERATIVE BEHAVIOR; DIFFUSION OF INNOVATION; HEALTH CARE COALITIONS; HEALTH SERVICES RESEARCH; HUMANS; INSTITUTIONAL MANAGEMENT TEAMS; INTERDISCIPLINARY COMMUNICATION; LEADERSHIP; MODELS, EDUCATIONAL; ORGANIZATIONAL CULTURE; ORGANIZATIONAL INNOVATION; QUALITY IMPROVEMENT; QUESTIONNAIRES; SAFETY MANAGEMENT; STAFF DEVELOPMENT; UNITED STATES;

EID: 84938690980     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1553-7250(15)41020-7     Document Type: Article

References (49)

1. U.S. Federal Aviation Administration. Press Release: FAA Final Rule Requires Safety Management System for Airlines. Jan 7, 2015. Accessed Feb 23, 2015. http://www.faa.gov/news/press-releases/news-story.cfm?newsId=18094.
2. The Joint Commission. 2015 Comprehensive Accreditation Manual for Hospitals. Oak Brook, IL: Joint Commission Resources, 2014.
3. Flin R, Yule S. Leadership for safety: Industrial experience. Qual Saf Health Care. 2004;13 Suppl 2:ii45-51.
4. The Joint Commission. Leadership committed to safety. Sentinel Event Alert. 2009 Aug 27;43:1-3.
5. Weaver SJ, et al. Promoting a culture of safety as a patient safety strategy: A systematic review. Ann Intern Med. 2013 Mar 5;158(5 Pt 2):369-374.
6. Nadeem E, et al. Understanding the components of quality improvement collaboratives: A systematic literature review. Milbank Q. 2013;91(2):354-394.
7. Institute for Healthcare Improvement (IHI). The Breakthrough Series: IHI's Collaborative Model for Achieving Breakthrough Improvement. IHI Innovation Series white paper. Cambridge, MA: IHI, 2003.
8. Carlhed R, et al. Improved clinical outcome after acute myocardial infarction in hospitals participating in a Swedish quality improvement initiative. Circ Cardiovasc Qual Outcomes. 2009;2(5):458-464.
9. Gustafson DH, et al. Which elements of improvement collaboratives are most effective? A cluster-randomized trial. Addiction. 2013;108(6):1145-1157.
10. Gould JB. The role of regional collaboratives: The California Perinatal Quality Care Collaborative model. Clin Perinatol. 2010;37(1):71-86.
11. Horbar JD. The Vermont Oxford Network: Evidence-based quality improvement for neonatology. Pediatrics. 1999;103(1 Suppl E):350-359.
12. Schonlau M, et al. Evaluation of a quality improvement collaborative in asthma care: Does it improve processes and outcomes of care? Ann Fam Med. 2005;3(3):200-208.
13. Pronovost P, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006 Dec 28;355(26):2725-2732. Erratum in: N Engl J Med. 2007 Jun 21;356(25):2660.
14. Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: A statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-210.
15. Hulscher ME, et al. Determinants of success of quality improvement collaboratives: What does the literature show? BMJ Qual Saf. 2013;22(1):19-31.
16. Schouten LM, et al. Evidence for the impact of quality improvement collaboratives: Systematic review. BMJ. 2008 June 28;336(7659):1491-1494.
17. Versteeg MH, et al. Factors associated with the impact of quality improvement collaboratives in mental healthcare: An exploratory study. Implement Sci. 2012 Jan 9;7:1-11.
18. Marsteller JA, et al. How do teams in quality improvement collaboratives interact? Jt Comm J Qual Patient Saf. 2007;33(5):267-276.
19. Carter P, et al. How collaborative are quality improvement collaboratives: A qualitative study in stroke care. Implement Sci. 2014 Mar 11;9(1):32-43.
20. Pronovost PJ, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: Lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-875.
21. Lichtmacher A. Quality assessment tools: ACOG Voluntary Review of Quality of Care Program, Peer Review Reporting System. Obstet Gynecol Clin North Am. 2008;35(1):147-162.
22. Wenger E, McDermott R, Snyder WM. Cultivating Communities of Practice: A Guide to Managing Knowledge. Boston: Harvard Business School Press, 2002.
23. van der Krogt FJ. Learning network theory: The tension between learning systems and work systems in organizations. Human Resource Development Quarterly. 1998;9(2):157-177.
24. Poell RF, van der Krogt FJ, Wildemeersch D. Strategies in organizing work-related learning projects. Human Resource Development Quarterly. 1999;10(1):43-61.
25. Mohrman SA, Tenkasi RV, Mohrman AM Jr. The role of networks in fundamental organizational change: A grounded analysis. Journal of Applied Behavioral Science. 2003;39(3):301-323.
26. The Health Foundation. Closing the Gap Through Clinical Communities. 2012. Accessed Feb 23, 2015. http://www.health.org.uk/areas-of-work/programmes/closing-the-gap-through-clinical-communities/.
27. Berenholtz SM, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidemiol. 2011;32(4):305-314.
28. Berenholtz SM, et al. Eliminating central line-associated bloodstream infections: A national patient safety imperative. Infect Control Hosp Epidemiol. 2014;35(1):56-62.
29. Agency for Healthcare Research and Quality. Eliminating CLABSI, A National Patient Safety Imperative. Final report on the National On the CUSP: Stop BSI Project. 2012. Accessed Feb 23, 2015. http://www.ahrq.gov/professionals/quality-patient-safety/cusp/clabsi-final/index.html.
30. Agency for Healthcare Research and Quality. CUSP Toolkit. Accessed Feb 23, 2015. http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/index.html.
31. Weick KE, Sutcliffe KM, Obstfeld D. Organizing for high reliability: Processes of collective mindfulness. In Straw BM, Sutton RS, editors: Research in Organizational Behavior, vol 21. Greenwich, CT: JAI Press, 1999, 81-123.
32. Weick KE, Sutcliffe KM, Obstfeld D. Organizing and the process of sensemaking. Organization Science. 2005;16(4):409-421.
33. Pronovost PJ, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617.
34. Agency for Healthcare Research and Quality. Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. 2008. Accessed Feb 23, 2015. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/hroadvice/index.html.
35. Marsteller JA, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units. Crit Care Med. 2012;40(11):2933-2939.
36. Sexton JB, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-939.
37. Dixon-Woods M, et al. Explaining Michigan: Developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):167-205.
38. Sawyer M, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med. 2010;38(8 Suppl):S292-298.
39. Agency for Healthcare Research and Quality. Comprehensive Unit-based Safety Program (CUSP). Accessed Feb 23, 2015. http://www.ahrq.gov/professionals/quality-patient-safety/cusp/index.html.
40. Denning S. Telling tales. Harv Bus Rev. 2004;82(5):122-129, 152.
41. Brown AD, Gabriel Y, Gherardi S. Storytelling and change: An unfolding story. Organization. 2009;16(3):323-333.
42. Tucker AL, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807-1829.
43. Sorra JS, Nieva VF. Hospital Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality, 2004. Accessed Feb 23, 2015. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafety culture/hospital/userguide/hospcult.pdf.
44. Timmel J, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm J Qual Patient Saf. 2010;36(6):252-260.
45. US Department of Health & Human Services, Office of Grants and Acquisition Policy and Accountability. Questions and Answers: HHS Policy on Use of Appropriated Funds for Conferences and Meeting Space. Accessed Feb 23, 2015. http://www.hhs.gov/asfr/ogapa/acquisition/funds-for-conferences.html#Q1.
46. Johns Hopkins Medicine, Armstrong Institute for Patient Safety and Quality. CUSP Guidance for Hospitals. Accessed Feb 23, 2015. http://www.hopkinsmedicine.org/armstrong-institute/training-services/cusp-offerings/cusp-guidance.html.
47. Hsu E, et al. Doing well by doing good: Assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital. Am J Med Qual. 2014;29(1):13-19.
48. Lee KK, et al. Building a business case for colorectal surgery quality improvement. Dis Colon Rectum. 2013;56(11):1298-1303.
49. CSI Solutions, LLC. Healthcare Communities. Home Page. Accessed Mar 2, 2015. http://www.healthcarecommunities.org/.