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About the CUSP Method  | Agency for Healthcare Research and Quality

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Once you’ve learned the basics, additional toolkits can help you target certain safety issues in specific settings of care." /> <meta name="keywords" content="cusp, Clostridium difficile Infections, Comprehensive Unit-based Safety Program (CUSP), Patient Safety, Tools &amp; Toolkits, Clostridium difficile Infections" /> <link rel="canonical" href="https://www.ahrq.gov/hai/cusp/index.html" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" /> <meta http-equiv="x-ua-compatible" content="ie=edge" /> <link rel="icon" href="/themes/custom/ahrq_bootstrap_barrio/favicon-swoosh.ico" type="image/vnd.microsoft.icon" /> <link rel="alternate" hreflang="en" href="https://www.ahrq.gov/hai/cusp/index.html" /> 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data-drupal-link-system-path="node/193699">How to Use CUSP</a> </li> <li class="dropdown-item sbf-level-two"> <a href="/hai/cusp/toolkit/content-calls/index.html" data-drupal-link-system-path="node/193678">Content Calls</a> </li> <li class="dropdown-item menu-item--collapsed sbf-level-two"> <a href="/hai/cusp/modules/index.html" title="" data-drupal-link-system-path="node/183887">Modules</a> </li> <li class="dropdown-item sbf-level-two"> <a href="/hai/cusp/national/index.html" data-drupal-link-system-path="node/193705">National Implementation Project Reports</a> </li> <li class="dropdown-item sbf-level-two"> <a href="/hai/cusp/videos/index.html" data-drupal-link-system-path="node/230908">Videos</a> </li> </ul> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/hai/decolonization/index.html" class="nav-link" data-drupal-link-system-path="node/241237">Decolonization – Universal and Targeted</a> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/hai/tools.html" class="nav-link" data-drupal-link-system-path="node/215384">Tools</a> </li> </ul> </div> </div> <div class="subnav-2-cols col-sm-8 col-md-9"> <div id="main-content"></div> <article about="/hai/cusp/index.html" typeof="schema:WebPage" class="node node--type-page node--view-mode-full clearfix"> <div class="node__content clearfix"> <div class="main-content-with-sb2"> <h1 class="node__title"> <span property="schema:name" class="field field--name-title field--type-string field--label-hidden">About the CUSP Method </span> </h1> <div class="pager-wrap"> </div> <div class="field field--name-field-description field--type-string-long field--label-hidden field__item">The Comprehensive Unit-based Safety Program (CUSP) is a method that can help clinical teams make care safer by combining improved teamwork, clinical best practices, and the science of safety. The Core CUSP toolkit gives clinical teams the training resources and tools to apply the CUSP method and build their capacity to address safety issues.</div> <div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/hai/cusp/toolkit/index.html">How To Use the CUSP Method</a></h2><p>A number of toolkits are available to help clinical teams adopt the CUSP method to make care safer. Most teams will want to start with the Core CUSP Toolkit to learn key principles of the CUSP method. Once you’ve learned the basics, additional toolkits can help you target certain safety issues in specific settings of care.</p><h2><a href="/hai/cusp/modules/index.html"><strong>Core CUSP Toolkit</strong></a></h2><p>Created for clinicians by clinicians, the Core CUSP toolkit is modular and modifiable to meet individual unit needs. Each module includes teaching tools and resources to support change at the unit level, presented through facilitator notes that take you step by step through the module, presentation slides, tools, and videos.</p><ul><li><a href="/hai/cusp/modules/learn/index.html">Learn about CUSP</a></li><li><a href="/hai/cusp/modules/assemble/index.html">Assemble the Team</a></li><li><a href="/hai/cusp/modules/engage/index.html">Engage the Senior Executive</a></li><li><a href="/hai/cusp/modules/understand/index.html">Understand the Science of Safety</a></li><li><a href="/hai/cusp/modules/identify/identify.html">Identify Defects Through Sensemaking</a></li><li><a href="/hai/cusp/modules/implement/index.html">Implement Teamwork and Communication</a></li><li><a href="/hai/cusp/modules/apply/index.html">Apply CUSP</a></li><li><a href="/hai/cusp/modules/nursing/index.html">The Role of the Nurse Manager</a></li><li><a href="/hai/cusp/modules/spread/index.html">Spread</a></li><li><a href="/hai/cusp/modules/patient-family-engagement/index.html">Patient and Family Engagement</a></li></ul><!-- <div id="sections-3-col"> <p> The Comprehensive Unit-based Safety Program (CUSP) is a proven method to enhance patient safety by integrating improved teamwork, clinical best practices, and the science of safety. Its principles were developed and tested around infection prevention but it can be applied to any safety issue. </p> <h2> Core CUSP Toolkit: A Proven Method </h2> <p> The Core CUSP Toolkit equips clinical teams with training resources and tools to seamlessly apply the CUSP method and builds their capacity to address safety issues effectively. The toolkit is modular and modifiable to support unit-level change. Facilitator notes guide you step by step, complemented by presentation slides, tools, videos, and more. </p> <p> We encourage teams to explore the Core CUSP Toolkit to become familiar with the CUSP method and how it fosters a culture of patient safety and continuous improvement. </p> <p> Core CUSP Toolkit Modules Include: </p> <ul> <li> <a href="/hai/cusp/modules/learn/index.html">Learn about CUSP</a> </li> <li> <a href="/hai/cusp/modules/assemble/index.html">Assemble the Team</a> </li> <li> <a href="/hai/cusp/modules/engage/index.html">Engage the Senior Executive</a> </li> <li> <a href="/hai/cusp/modules/understand/index.html">Understand the Science of Safety</a> </li> <li> <a href="/hai/cusp/modules/identify/identify.html">Identify Defects Through Sensemaking</a> </li> <li> <a href="/hai/cusp/modules/implement/index.html">Implement Teamwork and Communication</a> </li> <li> <a href="/hai/cusp/modules/apply/index.html">Apply CUSP</a> </li> <li> <a href="/hai/cusp/modules/nursing/index.html">The Role of the Nurse Manager</a> </li> <li> <a href="/hai/cusp/modules/spread/index.html">Spread</a> </li> <li> <a href="/hai/cusp/modules/patient-family-engagement/index.html">Patient and Family Engagement</a> </li> </ul> <p> Using A Proven Method to Prevent HAIs and Antimicrobial Resistance: </p> <p> Start with the Core CUSP Toolkit to learn the key principles of CUSP or jump into one of AHRQ’s many CUSP-based toolkits. &nbsp;Each toolkit will help clinical teams adopt the CUSP method to address a specific safety issue and make care safer. </p> <ul> <li> <a href="/hai/tools/enhanced-recovery/index.html"><strong>Toolkit for Improving Surgical Care and Recovery</strong></a><strong>:</strong> Includes service-line specific pathways and patient booklets in Spanish and English </li> <li> <a href="/antibiotic-use/index.html"><strong>Toolkits To Improve Antibiotic Use</strong></a><strong>:</strong> Get resources for Acute Care, Long-term Care, or Ambulatory Settings </li> <li> <a href="/hai/tools/ambulatory-surgery/index.html"><strong>Toolkit to Improve Safety in Ambulatory Surgery Center</strong></a><strong>:</strong> Improve safety culture while preventing SSI and other complications in ambulatory surgery centers. </li> <li> <a href="/hai/tools/mvp/index.html"><strong>Toolkit To Improve Safety for Mechanically Ventilated Patients</strong></a><strong>:</strong> Reduce complications from mechanical ventilation, such as ventilator-associated pneumonia.&nbsp; </li> <li> <a href="/hai/tools/clabsi-cauti-icu/index.html"><strong>Toolkit for Preventing CLABSI and CAUTI in ICUs</strong></a><strong>:</strong> Get practical resources to assess the problem, implement solutions, and overcome barriers in ICUs. </li> <li> <a href="/hai/tools/surgery/index.html"><strong>Toolkit To Promote Safe Surgery</strong></a><strong>:</strong> Support change at the perioperative and surgical unit level and prevent surgical site infections.&nbsp; </li> <li> <a href="/hai/quality/tools/cauti-ltc/index.html"><strong>Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities</strong></a><strong>:</strong> Practical guidance to support engagement, teamwork, and safety culture to facilitate consistent use of evidence-based practices. </li> <li> <a href="/hai/tools/cauti-hospitals/index.html"><strong>Toolkit for Reducing CAUTI in Hospitals</strong></a><strong>:</strong> Unit-based guidance for making care safer by following clinical best practices and creating a culture of safety. </li> <li> <a href="/hai/clabsi-tools/index.html"><strong>Toolkit for Reducing CLABSI in Hospitals</strong></a><strong>: </strong>Specialized tools for CLABSI prevention that complement the Core CUSP Toolkit. </li> </ul> <p> In development: </p> <ul> <li> <a href="/hai/mrsa-prevention/index.html"><strong>AHRQ Safety Program for MRSA Prevention</strong></a><strong>:</strong> New toolkit expected in 2024. </li> <li> <a href="/hai/telemedicine/index.html"><strong>AHRQ Safety Program for Telemedicine: Improving Antibiotic Use</strong></a><strong>: </strong>Now recruiting primary care practices. </li> </ul> <p> &nbsp; </p> </div> --></div> <div class="pager-wrap"> </div> </div> <div class="sb2-layout"> <aside class="sidebar-second-wrapper"> <div class="sb2-content"> <div class="clearfix text-formatted field field--name-field-main-callout field--type-text-long field--label-hidden field__item"><h3>About CUSP</h3><p>Clinicians discuss using CUSP: videos:</p><ul><li><a href="/hai/cusp/videos/00-overview/index.html">What is CUSP?</a></li><li><a href="/hai/cusp/videos/00-doctor/index.html">A Doctor's Perspective</a></li><li><a href="/hai/cusp/videos/00-nurse/index.html">A Nurse's Perspective</a></li><li><a href="/hai/cusp/cusp-success/whatiscusp.html">How four hospitals applied CUSP</a></li></ul><h3>Other CUSP Toolkits</h3><p><strong>Preventing HAIs:</strong></p><p><a href="/hai/tools/mrsa-prevention/toolkit/welcome.html" target="_blank" title="Follow link" rel="nofollow noopener">Toolkit for MRSA Prevention in ICU and non-ICU Settings</a></p><p><a href="/hai/tools/enhanced-recovery/index.html" title="AHRQ Safety Program for Improving Surgical Care and Recovery">Toolkit for Improving Surgical Care and Recovery</a></p><p><a href="/antibiotic-use/index.html">Toolkits To Improve Antibiotic Use</a></p><p><a href="/hai/tools/clabsi-cauti-icu/index.html">Toolkit for Preventing CLABSI and CAUTI in ICUs</a></p><p><a href="/hai/tools/ambulatory-surgery/index.html">Toolkit To Improve Safety in Ambulatory Surgery Centers</a></p><p><a href="/hai/tools/surgery/index.html">Toolkit To Promote Safe Surgery</a></p><p><a href="/hai/tools/mvp/index.html">Toolkit To Improve Safety for Mechanically Ventilated Patients</a></p><p><a href="/hai/tools/cauti-hospitals/index.html">Toolkit for Reducing CAUTI in Hospitals</a></p><p><a href="/hai/quality/tools/cauti-ltc/index.html">Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities</a></p><p><a href="/hai/clabsi-tools/index.html">Toolkit To Reduce CLABSIs in ICUs</a></p><p><strong>Using a CUSP for other Safety Problems:</strong></p><p><a href="/hai/tools/perinatal-care/index.html">Perinatal Care</a></p><p><strong>Ongoing CUSP Projects:</strong></p><p><a href="/hai/tools/safety-hai-prevention/index.html">AHRQ Safety Program for Healthcare-Associated Infection Prevention</a></p><p><a href="/hai/mrsa-prevention/index.html">AHRQ Safety Program for MRSA Prevention</a></p><p><a href="/hai/telemedicine/index.html">AHRQ Safety Program for Telemedicine</a></p><!-- <p> Thousands of clinical teams across the nation saw results after adopting CUSP: </p> <ul> <li> <a href="/hai/cusp/clabsi-final/clabsifinalsum.html">41% reduction in CLABSIs in ICUs</a> </li> <li> 30% drop in CAUTIs in hospitals </li> <li> <a href="/sites/default/files/wysiwyg/hai/tools/surgery/final-report.pdf">25–40% decline in surgical site infections, depending on the type of surgery</a> </li> <li> 54% decrease in CAUTI in nursing homes </li> <li> Significant drops in antibiotic use for <a href="/news/newsroom/press-releases/antibiotic-stewardship-hospital.html">acute care</a>,<a href="/news/newsroom/press-releases/reduced-ltc-antibiotic-use.html"> long-term care</a>, and <a href="/news/newsroom/press-releases/antibiotic-prescribing.html">ambulatory settings</a> </li> </ul> <p> &nbsp; </p> --></div> </div> </aside> <aside class="page-sidebar-second-b"> <p><a href="https://archive.ahrq.gov/hai/cusp/cusp-success/index.html">CUSP Success Stories</a></p><p><strong>Has your organization used this tool?</strong></p><p><a href="/news/newsroom/case-studies/index.html">AHRQ’s Impact Case Studies</a> highlight healthcare improvement through use of our toolkits. Contact <a href="mailto:ImpactCaseStudies@ahrq.hhs.gov">ImpactCaseStudies@ ahrq.hhs.gov</a> and let us share your success story.</p> </aside> </div> </div> </article> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 text-right"> <section class="row region region-citation"> <div id="block-citation" class="block block-ahrq block-citation"> <div class="content"> <div id="created-reviewed-citation" class="pad-bottom-sections"> <div id="page-reviewed" class="body-copy-italic">Page last reviewed October 2024 </div> <div id="page-created" class="body-copy-italic">Page originally created December 2012</div> </div> <div id="citation"> <div class="twocolordiv"> <div class="twocolordiv-content"> <p> <span class="citation-hdr">Internet Citation:</span> About the CUSP Method . Content last reviewed October 2024. Agency for Healthcare Research and Quality, Rockville, MD.<br> <span class="citation-url">https://www.ahrq.gov/hai/cusp/index.html</span> </p></div> <div class="twocolordiv-image"> <img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/copy-regular.png" title="Click to Copy Citation" alt="Click to copy citation" class="logo-white text-right" width="25" height="25"> </div> </div> </div> <div class="pad-bottom-sections">&nbsp;</div> </div> </div> </section> </div> </div> <div class="row row-side-margins"> <div class="col-sm-12"> <div id="top-button-container"> <a href="#" id="top-button">Back to Top <img alt="Go back to top" height="25" src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/chevron-circle-up-solid.png" width="25"> </a> </div> </div> </div> </section> </div> <footer> <div id="footer1"> <div class="row"> <div class="col-md-12 side-row-margins"> <div class="f1-div-width div-float init-pad"> <h3>Connect With Us</h3> <a href="https://www.facebook.com/ahrq.gov" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/facebook-f-brands.png" height="35" alt="Facebook"></a> <a href="https://twitter.com/ahrqnews" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/twitter-brands.png" class="img-spacing" width="" height="35" alt="Twitter"></a> <a href="https://www.youtube.com/user/AHRQHealthTV" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/youtube-brands.png" class="img-spacing" width="" height="35" alt="You Tube"></a> <a href="https://www.linkedin.com/company/agency-for-healthcare-research-and-quality" target="_blank"><img src="/themes/custom/ahrq_bootstrap_barrio/pattern-lab/source/images/theme_core/linkedin-in-brands.png" class="img-spacing" width="" height="35" alt="LinkedIn"></a> </div> <div class="f1-div-width div-float"> <h3 class="header-mobile-top-spacing">Sign up for Email Updates</h3> <p class="primary-small"> To sign up for updates or to access your subscriber<br/>preferences, please enter your email address below. </p> <form id="GD-snippet-form" action="https://subscriptions.ahrq.gov/accounts/USAHRQ/subscribers/qualify" accept-charset="UTF-8" method="post"> <input name="utf8" type="hidden" value="&#x2713;"/> <input type="hidden" name="authenticity_token" value="y9/sIPG+wf/QL20R4sTfazeOp4MyAOwD9ZszmZKWH0PZjGUt2JIEhyyE6dPCNgLP+WZWUcH1NjJVivzbrc8wmg=="/> <div role="search"> <label class="usa-sr-only" for="email">Search</label> <input class="usa-input email-input" id="email" type="text" name="email" /> <input class="usa-button email-update-button" type="submit" name="commit" value="Sign Up" /> </div> </form> </div> <div class="f1-div-width div-float"> <address> <h3 class="header-mobile-top-spacing">Agency for Healthcare Research and Quality</h3> <p class="primary-regular">5600 Fishers Lane<br/> Rockville, MD 20857<br/> Telephone: (301) 427-1364<p> </address> </div> </div> </div> </div> <div id="footer2"> <div class="row"> <div class="col-md-12 row-side-margins"> <div class="left-div div-width-partial left-margin"> <ul class="clearfix"> <li class="first"> <a href="/cpi/about/careers/index.html">Careers</a> </li> <li> <a href="/contact/index.html">Contact Us</a> </li> <li> <a href="/informacion-en-espanol/index.html">Español</a> </li> <li class="last"> <a href="https://info.ahrq.gov/">FAQs</a> </li> </ul> </div> <div class="left-div div-width-partial"> <ul class="clearfix"> <li class="first"> <a href="/policy/electronic/accessibility/index.html" >Accessibility</a> </li> <li> <a href="/policy/electronic/disclaimers/index.html" >Disclaimers</a> </li> <li> <a href="/policy/eeo/index.html" >EEO</a> </li> <li> <a href="/policy/electronic/about/policyix.html" >Electronic Policies</a> </li> </ul> </div> <div class="left-div div-width-partial"> <ul> <li> <a href="/policy/foia/index.html" >FOIA</a> </li> <li> <a href="https://www.hhs.gov/web/governance/digital-strategy/index.html" >HHS Digital Strategy</a> </li> <li> <a href="https://www.hhs.gov/civil-rights/for-individuals/nondiscrimination/index.html" >HHS Nondiscrimination Notice</a> </li> <li> <a href="https://oig.hhs.gov" >Inspector General</a> </li> </ul> </div> <div class="left-div div-width-partial"> <ul> <li> <a href="/policy/electronic/plain-writing/index.html" >Plain Writing Act</a> </li> <li> <a href="/policy/electronic/privacy/index.html" >Privacy Policy</a> </li> <li class="last"> <a href="https://www.hhs.gov/plugins.html" >Viewers &amp; 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