Ending Healthcare-Associated Infections
AHRQ - The Agency for Healthcare Research and Quality announced in October 2009 that a program called the Comprehensive Unit-based Safety Program (CUSP), which successfully reduced central line-associated blood stream infections in intensive care units, will expand to all 50 States and additional hospitals in States already participating in the CUSP, extend to other settings in addition to intensive care units, and broaden its focus to address other types of healthcare-associated infections. This fact sheet provides an overview of projects that AHRQ has supported since 2001 that involve CUSP, which is based on a system that the Johns Hopkins University Quality and Safety Research Group developed.
AHRQ—Agency for Healthcare Research and Quality
BSI—blood stream infection < br> CAUTI—catheter-associated urinary tract infection
CDC—Centers for Disease Control and Prevention
CLABSI—central line-associated blood stream infection
CUSP—Comprehensive Unit-based Safety Program
ICU—intensive care unit
Ending Healthcare-Associated Infections Healthcare-associated infections (HAIs) are the most common complication of hospital care, resulting in 1.7 million infections and 99,000 deaths each year. The added financial burden attributable to HAIs is estimated to be between $28 billion to $33 billion each year. To address this growing problem, the Agency for Healthcare Research and Quality (AHRQ) has funded numerous projects that target HAI prevention. Link to Full Text
This fact sheet provides an overview of many projects that AHRQ has supported since 2001 that have led to the successful reduction of central line-associated blood stream infections (CLABSIs) in hospital intensive care units (ICUs). Often referred to as a central venous catheter, a central line is a tube placed in a large vein in a patient's neck, chest, or groin to administer medication or fluids or to collect blood samples. According to the Centers for Disease Control and Prevention (CDC), each year, an estimated 250,000 cases of CLABSI occur in U.S. hospitals, and an estimated 30,000 to 62,000 infected patients die. The AHRQ-funded projects involve the implementation of a Comprehensive Unit-based Safety Program (CUSP), which is based on an Intensive Care Unit Safety Reporting System developed by the Johns Hopkins University Quality and Safety Research Group, Baltimore, MD.
In October 2009, AHRQ announced that the CUSP will expand to all 50 States and additional hospitals in States already participating in the program, extend to other settings in addition to ICUs, and broaden the focus to address other types of infections, such as catheter-associated urinary tractinfections (CAUTIs).
Information on the infection reduction program and brief descriptions of AHRQ's projects that use the CUSP is below.<
The CUSP integrates communication, teamwork, and leadership to create and support a "harm-free" patient care culture. It provides a structured strategic framework for safety improvement, yet it is flexible enough to tap into staff wisdom and encourage them to fix hazards that they perceive pose the greatest risks. CUSP is implemented at the unit level and provides a scalable program that can be implemented throughout an organization. The program draws from frontline providers who have the most knowledge about safety hazards and the means to lessen the severity of those hazards, and provides a mechanism to help defend against hazards.
CUSP is comprised of five steps, and the program is a continuous process designed to incorporate an ongoing evidence-based patient
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