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. 

CUSP Toolkit

Performance Improvement Tools (Revised March 2024)
CUSP Phaseline Checklist (2014 version)
- A checklist to make sure your CUSP team is ready to go-live
CUSP Roles & Responsibilities | .pdf | .docx
- Use to understand and set expectations for team members
- Identify team members
Pre-Mortem Tool | .pdf | .docx
- Use before implementing CUSP/project to anticipate barriers and find solutions
Pre-Kickoff Meeting Checklist | .pdf | .docx
- A tool to ensure work has been done in prep for the CUSP team kickoff meeting
Monthly Meeting Agenda Template .pdf | .docx
Staff Safety Assessment & Results – Click “duplicate it” at the top of the form to ensure responses are directly sent to you and you can then share Staff Safety Results with staff.
- Use to identify defects locally
- Use at the beginning of CUSP and annually thereafter
- Use to present the results to staff
Safety Rounds (Coming soon)
- Use to identify risk and address problem areas before they become bigger patient safety and employee issues
Learning from Defects (2014 version)
- Tool to understand factors contributing to the problem you are trying to solve
Status of Safety Issues | .pdf | .docx
- Use this to track and share progress of CUSP teamwork
Case Summary | .pdf | .docx
- Use to describe what happened, why did it happen, and what we did to fix it?
A3 | .pdf | .ppt
- Use to collaborate on the purpose, goals, and strategy of a project
Shadowing Healthcare Roles | .pdf | .docx
- Use to better understand the work we each do that contributes to safe patient care, as well as challenges that come with it

CUSP Guides

Questions?

Please e-mail us.

Download archived tools (.zip)