Identify Defects Through Sensemaking

The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.

This module includes--

Facilitator Notes [ - 3.23 MB] (Accessible Version)

Presentation Slides [ - 2.97 MB] (Accessible Version)

Tools

Staff Safety Assessment [ - 199.5 KB] (Accessible Version)
Safety Issues Worksheet for Senior Executive Partnership [ - 208 KB] (Accessible Version)
Learn from Defects Tool [ - 217 KB] (Accessible Version)

Video (Flash® file)

Identify Your Unit’s Safety Issues (Full video, 3 min., 17 sec.)
Develop a Plan of Action (Full video, 5 min., 15 sec.)

Video Segments (Flash® file)

What Happened? (43 sec.)
Why Did It Happen? (34 sec.)
What Will You Do to Reduce the Risk of Recurrence? (40 sec.)
How Will You Know the Risk is Reduced? (40 sec.)
Identifying Contributing Factors (Bonus video, 1 min.)
Identifying and Ranking Defects (Bonus video, 1 min., 41 sec.)

ZIP files

Download the entire CUSP Toolkit