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Management research to provide operational advice on improving quality, reducing costs and eliminating disparities.

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On the CUSP: Stop CAUTI

Catheter-associated urinary tract infections (CAUTIs) are a common type of health care-associated infection. Complications associated with CAUTI result in increased length of stay, patient discomfort, excess health care costs, and sometime mortality. However, many cases of CAUTIs are preventable. As many as one-fourth of all hospital inpatients may have a short-term, indwelling urinary catheter placed during their stay; a significant portion of these catheters are placed without appropriate indications.

To address this problem, the Health Research & Educational Trust (HRET), through a contract with the Agency for Healthcare Research and Quality (AHRQ), led a quality improvement collaborative to implement the Comprehensive Unit-based Safety Program (CUSP) and CAUTI prevention practices in hospital units. On the CUSP: Stop CAUTI was a four-year initiative that worked with state/regional organizations and health systems. The project was conducted through a national partnership that brought together subject matter experts, providers and researchers in the field.

Partners included:

  • Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality
  • Michigan Health & Hospital Association Keystone Center for Patient Safety & Quality
  • St. John Hospital and Medical Center
  • University of Michigan Health System

Faculty organizations included:

  • Association for Professionals in Infection Control and Epidemiology
  • Emergency Nurses Association
  • Society for Critical Care Medicine
  • Society for Healthcare Epidemiology of America
  • Society of Hospital Medicine

Agency partner:

  • Centers for Disease Control and Prevention

For more information on this project and to access the AHRQ Toolkit for Reducing CAUTI in Hospitals, visit

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