On The CUSP: Stop BSI

Healthcare-Associated Infections (HAIs) are one of the most common complications of hospital care. Nearly 2 million patients develop HAIs annually, which contribute to 99,000 deaths each year and $28 billion to $33 billion in healthcare costs. Given the importance of HAIs in reducing costs and improving patient safety, in October 2009, the US Secretary of Health and Human Services announced an award of $17 million to fund projects to fight costly and dangerous HAIs.

This national initiative, called the Comprehensive Unit-based Safety Program (CUSP) was designed to improve safety culture by integrating safety practices into the daily work of a clinical area or "unit." CUSP is implemented at the unit level, and provides a calable program that can be implemented throughout a hospital or health system.

In January 2011, the Arizona Hospital and Healthcare Association joined Cohort 6 of this national initiative to implement the CUSP: Stop BSI program. Currently nine hospitals in Arizona are implementing the CUSP tools within their hospital units.

CUSP comprises five steps, and is a continous process designed to incorporate an ongoing evidence-based patient safety infrastructure into a unit. The steps are briefly described below:

1. Educate Staff on the Science of Safety
2. Identify Defects
3. Engage Executives
4. Learn from Defects
5. Implement Teamwork Tools

A variety of resources are available on the CUSP: Stop BSI website at www.onthecuspstopbsi.org. For more information about the program, please contact Sandy Severson at sseverson@azhha.org or (602) 445-4303.