Board Checklist
CUSP Toolkit
Who should use this tool? Senior leaders.
| Checklist items | Leader Responsible | Date Initiated |
|---|---|---|
| 1. Set an organization aim of annually assessing the safety and teamwork climate. | ||
| 2. Improve the safety and teamwork climate using valid measures. | ||
| 3. Set expectation for unit-level culture assessment. | ||
| 4. Require at least a 60 percent participation rate by doctors and nurses. (Hospital-level culture scores do not allow targeted improvement.) | ||
| 5. Review culture assessment data regularly (The Joint Commission requirement). | ||
| 6. Explore the relationship between culture and clinical outcomes. | ||
| 7. Hold the executive team accountable for an explicit action plan to improve safety and teamwork. | ||
| 8. Review the progress of safety and teamwork improvement monthly. | ||
| 9. Establish a policy that requires all current and new employees and board members to receive Science of Safety training. | ||
| 10. Set the expectation that a senior leader is an active member of each CUSP team. | ||
| 11. Ensure senior leaders meet with the CUSP team at least monthly. | ||
| 12. Hear at least one story of a patient being harmed from an infection at each board meeting. Discuss major patient safety events/errors that have occurred in the most recent timeframe to show that this is an important and ongoing concern. | ||
| 13. Work with the chief executive officer and chief medical officer to establish interdisciplinary patient rounds as an organizational standard practice. | ||
| 14. Review a summary report of staff patient safety assessments* no less than annually. (*“How is the next patient likely to be harmed on my unit? What might we do to prevent that harm?”) |
