Many hospitals say they are using the checklist yet their rates of CLABSI remain high. When I ask whether a nurse in their hospital would stop a senior physician who violated one of the items on the checklist, the answer is nearly always "NO". This is why culture change is so critical to our work and why we are asking you to do CUSP. However, some of you have successfully changed culture so that nurses can and do ensure patients receive the checklist items even if a doctor forgets. Your colleagues in other hospitals and states would love to hear how you created a culture that allows nurses to question physicians or what you are struggeling with in trying to change culture. Please add your thoughts and comments in response to this post.
Thank you,
Peter
