A medical article securement system comprising a bracket and a flap for securing a medical article. The bracket can include a base, and an arm coupled to the base and extending generally parallel to the first major surface of the base. The arm can be spaced a distance from the first major surface of the base to define a channel under the arm that can be dimensioned to receive at least a portion of the medical article. The flap can include a fixed end, and a free end that is movable with respect to the bracket between a first position in which the flap is not positioned over the bracket, and a second position in which at least a portion of the flap is positioned over the bracket to further inhibit movement of the medical article. The fixed end of the flap can be coupled to the bracket.