Eliminating CLABSI, A National Patient Safety Imperative: Final Report

Final Report on the National On the CUSP: Stop BSI Project

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.

Select for the first and second reports.

A project of:

Health Research & Educational Trust
Johns Hopkins University Quality and Safety Research Group
Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality

Contents

Executive Summary
Report Organization
Project Background
Program Implementation
   National Project Team
   Project Stakeholders
   Education Program
   Coaching
Program Impact
   Project Participation
   Project Results
What We Learned: Five Key Lessons
   1. Have Well-Defined, Evidence-Based Interventions
   2. Build a Solid Implementation Structure and Project Plan
   3. Collect and Use Timely, Accurate, and Actionable Data to Improve Performance
   4. Tailor National Program for Local and Unit Audiences
   5. Evolve Project Strategies and Emphases Over Time
Lessons on How To Improve Future National Collaboratives
   Implementation Challenges
   Key Success Factors
   Improvement Opportunities for Future National Collaboratives
   Sustainment
Conclusion
Appendix A: Interview Questions

Disclaimer: This report was developed with data collected and analyzed under contract with the Agency for Healthcare Research and Quality (AHRQ). The information and opinions expressed herein reflect solely the position of the authors. Nothing herein should be construed to indicate AHRQ support or endorsement of its contents.