A group of 100 hospital neonatal intensive-care units participating in a government-funded quality initiative made big strides in reducing rates of central line-associated bloodstream infections, according to data from HHS' Agency for Healthcare Research and Quality.
The NICUs, located in nine states, were part of an AHRQ-funded initiative known as On the CUSP: Stop BSI, which relies on the Comprehensive Unit-Based Safety Protocol, or CUSP.
CUSP is a multipronged strategy that emphasizes teamwork, culture change and the use of a simple checklist of evidence-based practices. Developed by Dr. Peter Pronovost, now the head of the Armstrong Institute for Patient Safety at Johns Hopkins University, Baltimore, and used in a well-known project that virtually eliminated central line infections in 100 Michigan ICUs, the CUSP program has been used by hospitals across the country to drive improvement. In 2009, AHRQ funded a 50-state roll-out of CUSP.