On the CUSP: Stop BSI

In late 2010, Maryland’s hospitals joined a nationwide initiative to eliminate serious bloodstream infections. The volunteer effort, On the CUSP: Stop BSI, was developed by Dr. Peter Pronovost of Johns Hopkins Medicine and is coordinated by the Maryland Hospital Association and Maryland Patient Safety Center. It uses a combination of safety checklists, staff education, and ongoing expert consultation to reduce the number of central line-associated bloodstream infections occurring in hospitals.

These infections are a leading cause of health care-associated infections in acute care hospitals, with an estimated 250,000 occurring each year nationwide. CLABSIs are usually serious and typically cause a prolonged hospital stay. They can be prevented through proper insertion techniques and management of intravenous catheters in the body’s large veins in the neck, chest or groin. These catheters, or hollow tubes, are used to administer medicine, fluids, or blood, and perform medical tests quickly.

Maryland’s program to reduce these infections, which concluded in July 2012, had among the highest participation rates of any state in the nation at 90 percent (the rest of the country was at 24 percent). The focus now is on sustaining the improvements and spreading the practices that brought them about through webinars and data sharing.

Since the program launched, Maryland’s rate of infections has decreased by 52 percent, saving an estimated $1.9 million in health care costs, sparing 27 patients the trauma of infection, and saving an estimated three lives.

Track and compare your hospital's CLABSI rates and your NICU-only CLABSI rates to the Maryland rates using the templates below.

Hospitals that Participated in the On the CUSP: Stop BSI Initiative

  • Adventist Rehabilitation Hospital of Maryland
  • Anne Arundel Medical Center
  • Atlantic General Hospital
  • Calvert Memorial Hospital
  • Carroll Hospital Center
  • Doctors Community Hospital
  • Fort Washington Medical Center
  • Frederick Regional Health System
  • Greater Baltimore Medical Center
  • Holy Cross Hospital
  • Howard County General Hospital
  • Johns Hopkins Bayview Medical Center
  • Johns Hopkins Hospital
  • MedStar Franklin Square Medical Center
  • MedStar Good Samaritan Hospital
  • MedStar Harbor Hospital
  • MedStar Montgomery Medical Center
  • MedStar Southern Maryland Hospital Center
  • MedStar St. Mary's Hospital
  • MedStar Union Memorial Hospital
  • Mercy Medical Center
  • Meritus Medical Center
  • Northwest Hospital Center
  • Peninsula Regional Medical Center
  • Prince George's Hospital Center
  • Saint Agnes Hospital
  • Shady Grove Adventist Hospital
  • Sinai Hospital of Baltimore
  • Suburban Hospital
  • Union Hospital of Cecil County
  • University of Maryland Baltimore Washington Medical Center
  • University of Maryland Charles Regional Medical Center
  • University of Maryland Harford Memorial Hospital
  • University of Maryland Medical Center
  • University of Maryland Medical Center Midtown Campus
  • University of Maryland Rehabilitation & Orthopaedic Institute
  • University of Maryland Shore Medical Center at Chestertown
  • University of Maryland Shore Medical Center at Dorchester
  • University of Maryland Shore Medical Center at Easton
  • University of Maryland St. Joseph Medical Center
  • University of Maryland Upper Chesapeake Medical Center
  • University Specialty Hospital
  • Washington Adventist Hospital
  • Western Maryland Regional Medical Center

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