Welcome to the State of California 

Sustaining Infection Prevention Progress  
Image of penguins           The Penguin Project           

The Penguin Project is a compilation and an adaptation of the national program “On the CUSP: Stop HAI”. It also incorporates material from Kotter International and Ensign Services. “On the CUSP: Stop HAI” is a quality intervention program designed for the prevention of healthcare–associated infections and to create a culture of safety in the healthcare environment in order to sustain improvements in clinical practice. It is the latter strategy, the culture of safety, that is the focal point of The Penguin Project.

Establishing and maintaining a culture of safety appears to be simplistic in concept but it is actually challenging to incorporate in the complex environment of health care. Awareness, attention and application of safe culture elements requires that important behavioral traits and actions become an integral part and seamless outcome of the healthcare experience for patients, their family and all healthcare practitioners.

Who might benefit from The Penguin Project?

Across the spectrum of healthcare, many organizations are in the process of implementing or further developing quality improvement projects. This project is not a substitute for the national CUSP program or a replacement for quality projects already initiated at a hospital or medical facility. Options for use include, but are not limited to, the following:

· Provide a snapshot view of the robust and extensive national program “On the CUSP: Stop HAI”.
Introduce organizations to safe culture principles if not previously engaged in an improvement program and /or contemplating initiating an improvement program.
· Share concepts, resources and forms with healthcare facilities to further enhance existing programs.
· Educate stakeholders of key components, in addition to prevention strategies, that is essential to sustaining clinical improvements over time.

Project Organization

The Penguin Project is divided into 6 easy-to-use chapters or modules that cover the following topics:

1.    Comprehensive Unit-based Safety Program (CUSP) - This chapter will introduce strategies to overcome barriers and challenges to safe behavioral change in healthcare at the unit level
2.    The Science of Safety - This chapter will highlight the importance of how well designed systems improve organizational performance
3.    Leadership Engagement - This chapter will demonstrate the importance of leadership participation in the improvement process
4.    Assemble the Team - This chapter will underscore the fact that responsibility for improvement project success and sustainability must be embraced by all disciplines on the unit
5.    Communication / Teamwork - This chapter will stress how effective teamwork and communication can contribute to project success
6.    Learning from Defects - This chapter will identify an easy mechanism to identify potential areas of patient harm and a simple strategy to analyze and implement an improvement plan

Each chapter has 2 elements: a PowerPoint presentation and resources and forms. Materials presented for use can be adapted to accommodate organizational style while retaining the essential contents of the document.
*When directed to the federal Agency for Healthcare Research and Quality (AHRQ) website, a print-out version of the form is accessible in the upper-right hand area under "Alternate Formats".
When accessing link under "Alternate Formats" it may prompt you for a password, ignore this by selecting "cancel" and the form will appear.

Additional materials include:

Document Guide
What is Culture?
Would You Do It?
Stages of Organizational Maturity


CUSP Contact Information:

"On the CUSP"can be reached at info.ahrq.gov/app/ask

Contact Us
On the CUSP: Stop HAI website
Last modified on: 10/7/2016 12:30 PM