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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 the most common type of health care-associated infection in U.S. hospitals and account for 35 percent of all such infections. The estimated cost per year for CAUTIs is $565 million, and the estimated number of deaths per year is 8,205. Yet, the vast majority of CAUTIs are preventable.

The goals of the national On the CUSP: Stop CAUTI project are to:

  1. Reduce mean CAUTI rates in participating clinical units by 25 percent over eighteen months.
  2. Improve patient safety by disseminating the Comprehensive Unit-based Safety Program (CUSP) model and tools as evidenced by improved teamwork and communication.
  3. Promote the coordination of state-based efforts to eliminate HAIs.

The Health Research & Educational Trust (HRET), through a contract with the Agency for Healthcare Research and Quality (AHRQ), coordinates this national initiative, and Barb Edson, RN, MBA, Vice President of Clinical Quality at HRET, is the project lead. HRET's partners include the Michigan Health & Hospital Association's Keystone Center for Patient Safety & Quality, The University of Michigan Health System, St. John Hospital and Medical Center, and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality. Extended faculty support is provided by the Association for Professionals in Infection Control and Epidemiology, Emergency Nurses Association, Society for Healthcare Epidemiology of America, and Society of Hospital Medicine. State and regional hospital associations coordinate On the CUSP: Stop CAUTI in their states or regions.

For more information on how to participate in this initiative in your area, please send an email to, or visit

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