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Armstrong Institute for Patient Safety and Quality

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CUSP Tools and Resources

The Comprehensive Unit-based Safety Program aims to improve the culture of safety while providing frontline caregivers with the tools and support that they need to identify and tackle the hazards that threaten their patients at the unit or clinic level.

Developed by Johns Hopkins safety and quality researchers, the five-step program  has been used to target a wide range of hazards, including patient falls, hospital-acquired infections, medication administration errors, specimen labeling errors and teamwork and communication breakdowns. Notably, CUSP has been used in national and international quality improvement projects that have drastically reduced hospital-acquired infections. One such project, called On the CUSP: Stop BSI , reduced central line-associated bloodstream infections in 44 U.S. states by 40 percent while saving an estimated 500 lives.

Whether your hospital has participated in such projects or is seeking to adopt CUSP, the Armstrong Institute provides resources to help you run a successful program.


We have assembled the following to help you learn more about CUSP. 

CUSP Toolkit

Take advantage of revised and updated tools, now in an editable, savable PDF format

CUSP Guides

CUSP Coaching Sessions

Institute experts have led several interactive coaching sessions on topics related to implementing, sustaining and spreading CUSP. Requires free Microsoft Silverlight download.

Introductory Video


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