Section: Applying CUSP to MRSA and SSI Prevention
The ´óÏóÊÓƵToolkit for MRSA and SSI Prevention utilizes the CUSP 4 Es framework because it is straightforward and effective. The 4 Es are designed to address both adaptive and technical challenges. Technical challenges are usually easily identified and can be addressed by education and implementation of evidence-based practices. Adaptive challenges are more complex and involve peoples’ beliefs, behaviors, feelings, values, and preferences. Adaptive challenges are therefore harder to identify and address.
The 4 Es stand for: Engage, Educate, Execute, and Evaluate. These describe four basic components of implementation.
Presentations
Presentation: What Are the 4 Es?
After reviewing the content of this presentation, viewers will be able to—
- Define the 4 Es framework—Engage, Educate, Execute, Evaluate—and explain its significance in implementing effective interventions​
- Identify common implementation barriers within systems and how each component of the 4 Es can address these barriers.
- Implement and prioritize interventions based on the 4 Es framework to address identified issues.
- Disseminate findings and results to stakeholders using the 4 Es framework to ensure widespread understanding and adherence to best practices
Documents:
- What Are the 4Es? – Slides (PPTX, 6 MB)
- What Are the 4Es? – Facilitator Guide (DOCX, 4 MB)
One-Pagers
One-Pager: What Are the 4Es? (DOCX, 732 KB)
This one-page document provides a summary of the presentation What are the 4 Es.
Tools and Resources
Assemble the Team (´óÏóÊÓƵCore CUSP Toolkit)
Convening an effective and engaged team is vital for success. For more information, follow this link to the Assemble the Team module of the ´óÏóÊÓƵCore CUSP Toolkit.
Engage the Senior Executive (´óÏóÊÓƵCore CUSP Toolkit)
Engaging a senior executive to partner with the team bridges the gap between senior management and frontline providers and facilitates a system-level perspective. For more information, follow this link to the Engage the Senior Executive module of the ´óÏóÊÓƵCore CUSP Toolkit.
Implement Teamwork and Communication (´óÏóÊÓƵCore CUSP Toolkit)
Nurse managers are the leader of their unit and can influence the unit's culture and ability to embrace change. For more information, please follow this link to The Role of the Nurse Manager module of the ´óÏóÊÓƵCore CUSP Toolkit.
CUSP Tool: CUSP Tip Sheet: Assembling the CUSP Team (DOCX, 394 KB)
A guidance document on assembling an effective CUSP team. When assembling the team, it is important to identify key team members who understand their role and are actively involved.
CUSP Tool: CUSP Tip Sheet: Engaging Senior Leaders in MRSA Prevention (DOCX, 396 KB)
A guidance document on engaging senior leadership. Senior leaders play an essential role in building engagement and their support can have a dramatic impact on interventions.
CUSP Tool: CUSP Tip Sheet: Engaging Staff in MRSA Prevention (DOCX, 397 KB)
A guidance document on engaging frontline staff beyond the CUSP team. To be successful, the CUSP team must motivate, engage, and harness the knowledge of all staff, all critical steps to ensure sustained positive outcomes.
CUSP Tool: CUSP Tip Sheet: Engaging Surgeons in MRSA Prevention (DOCX, 395 KB)
A guidance document on engaging surgeons. Surgeons play vital roles in any undertaking to improve quality and patient safety. Engaging and involving surgeons fully in MRSA prevention efforts will be very impactful.
CUSP Tool: CUSP Tip Sheet: Promoting SSI and MRSA Prevention (DOCX, 395 KB)
A guidance document on recognizing success and sharing the lessons learned broadly.
