Supplemental Tools

Applying CUSP To Promote Safe Surgery Tools

Surgical Safety Team Roles and Responsibilities Tool (Word, 1.57 MB)

This tool will help your safety program team understand the core tasks of your improvement project and will help you organize your team to complete the work. Just like clinical teams, effective improvement teams have clearly defined roles and responsibilities. Explicit delegation helps share leadership, ownership, and accountability.

Perioperative Staff Safety Assessment (Word, 1.57 MB)

Empower your frontline staff to voice their patient safety concerns. Gauge perceptions of risks in your unit and tap into team wisdom to proactively identify improvement targets.

Learn From Defects Tool—Perioperative Setting (Word,  1.18 MB)

Use this tool to lead discussions that engage frontline staff in characterizing defects, uncovering system-level causes, and developing plans for improving patient safety and quality. An example case study is also included that helps you understand the learn from defects (LFD) process and use of the tool. It shares a based-on-real-life story about a surgical safety team using the LFD tool to improve care in their perioperative area.

Briefing and Debriefing Tool (Word, 1.57 MB)

Simple yet effective, this tool helps you anticipate safety hazards and reflect on performance as a team. It standardizes your briefing and debriefing process to reduce the potential for surgical site infections and other complications.

Operating Room Briefing and Debriefing Audit Tool (Word, 1.57 MB)

This tool helps your safety program team evaluate the quality of your briefings and debriefings, and understand how appropriately you are using briefings and debriefings throughout the perioperative period. It can help your team identify practice patterns so you can more easily pinpoint opportunities for intervention. You will find a real-time identification of defects and real-time system of learning.

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Page last reviewed December 2017
Page originally created November 2017
Internet Citation: Supplemental Tools. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD.