Cut falls-with-injury rate by ≥ 30%, CAUTI SIR to < 0.75, and CLABSI SIR to < 0.50 in two quarters by making safety practice unit-owned and visible daily.
Cut falls-with-injury rate by ≥ 30%, CAUTI SIR to < 0.75, and CLABSI SIR to < 0.50 in two quarters by making safety practice unit-owned and visible daily.
Units With Active CUSP Team from 30 to 100 (monthly). Weekly Safety Huddle Attendance from — to ≥ 90 (weekly). Learn-from-Defects Cases Closed Monthly from — to ≥ 1 per unit (monthly).
16 weeks.
Integrates with EHR with line/catheter necessity prompt (Epic Brain / Cerner Clinical Notes), NHSN automated reporting feed (Vigilanz / Premier SafetySurveillor), Bedside fall-risk assessment (Hester Davis / Morse) embedded in EHR, Smart bed alarm + nurse-call integration through the AEROSS Execution Mesh. All writes are credit-metered, CAPS-gated, and audit-stamped.
CMS HAC Reduction Program — bottom-quartile = 1% Medicare payment penalty; CDC NHSN reporting — CAUTI / CLABSI / SSI with SIR methodology; Joint Commission NPSG.07.04.01 / 07.06.01 — CLABSI / CAUTI prevention; AHRQ CUSP toolkit — endorsed unit-based safety methodology All agent actions inherit AEROSS CAPS governance — autonomy ceilings, human approval gates, and a tamper-evident audit log.