Comprehensive Unit-based Safety Program (CUSP)

CUSP Toolkit

The Comprehensive Unit-based Safety Program (CUSP) toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. It builds the capacity to address safety issues by combining clinical best practices and the science of safety.

Eliminating CAUTI, Interim Report

This interim data report discusses accomplishments and next steps in the National On the CUSP: Stop CAUTI Project.

Progress Report 1: Eliminating CLABSI: A National Patient Safety Imperative

This report summarizes progress made in the first 2 years of the 'On the CUSP: Stop BSI' project that has recruited more than 700 hospitals' participation.

Progress Report 2: Areas for Continued Improvement

This second report summarizes progress made in the first 2 years of the On the CUSP: Stop BSI project.

Eliminating CLABSI, A National Patient Safety Imperative

The Agency for Healthcare Research and Quality funded a national effort to prevent central line-associated bloodstream infections (BSIs) in U.S. hospitals by implementing a Comprehensive Unit-based Safety Program (CUSP). This final report summarizes the progress that was made during the On the CUSP: Stop BSI project, a unique partnership with the Health Research & Educational Trust, the Johns Hopkins University Quality and Safety Research Group, and the Michigan Health & Hospital Association's Keystone Center for Patient Safety & Quality.

Eliminating CLABSI, Companion Guide

The Agency for Healthcare Research and Quality funded a national effort to prevent central line-associated bloodstream infections (BSIs) in U.S. hospitals by implementing a Comprehensive Unit-based Safety Program (CUSP). The final report summarizes the progress that was made during the On the CUSP: Stop BSI project, a unique partnership with the Health Research & Educational Trust, the Johns Hopkins University Quality and Safety Research Group, and the Michigan Health & Hospital Association's Keystone Center for Patient Safety & Quality. This companion guide provides supporting documentation for the final report.

Eliminating CLABSI, Neonatal CLABSI Prevention

Since August 2011, 100 neonatal intensive care units in nine States have participated in a national, neonatal central line-associated bloodstream infection (NCLABSI) reduction project as part of the Agency for Healthcare Research and Quality-funded national effort to prevent central line-associated bloodstream infections in U.S. hospitals by implementing a Comprehensive Unit-based Safety Program (CUSP). CLABSI is a significant contributor to morbidity and mortality for infants in NICUs because of these patients have immature immune systems. This Progress Report on the National On the CUSP: Stop BSI Project, Neonatal CLABSI Prevention provides an overview of the project's accomplishments to date and discusses the project's next steps.

High-Performance Work Practices in CLABSI Prevention Interventions

This analysis of case studies developed from participants in AHRQ’s Comprehensive Unit-based Safety Program (CUSP) national implementation project describes specific practices and “success factors” for reducing and eliminating central line-associated bloodstream infections (CLABSIs) in health care facilities.

CUSP Success Stories

This action guide contains the stories of four hospitals that have applied a patient safety model called the Comprehensive Unit-based Safety Program, or CUSP, to dramatically reduce central line-associated bloodstream infections (CLABSIs) and other health care-associated infections (HAIs).

Internet Citation: Comprehensive Unit-based Safety Program (CUSP). August 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/cusp/index.html