Dr. Peter Pronovost of the Johns Hopkins University presented this material at AcademyHealth's 2012 Hill briefing entitled "Health and the Deficit: Using Health Services Research to Reduce Costs and Improve Quality."
Impact of MI project on hospital mortality for Medicare Patients Lipitz: BMJ 2011 1.1 1 0.9Adjusted Odds Ratio 0.8 0.7 Pre-implementation (12 Project Initiation (5 months: Implementation (12 months: Post-implementation (12 Post-implementation (12 months: Oct 02 - Sept 03) Oct 03 - Feb 04) Mar 04 - Feb 05) months: Mar 05 - Feb 06) months: Mar 06 - Dec 06)
CLA-BSI rates from 1100Hospitals from 44 states Armstrong Institute for Patient Safety 7 and Quality
AIRPLANES Armstrong Institute for Patient Safety 8 and Quality
Hospitals in general, andespecially ICUs Current Version – Early 1980’s Worse
What Might you Do• Support Health Services Research• Fund the development, implementation and spread of safety programs• Support the development of outcomes researchers and safety leaders• Fund Learning Labs to create an ICU system10/25/2012 Armstrong Institute for Patient Safety 10 and Quality
Selected ReferencesBerenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley, JE, Milanovich S, Garrett-Mayer E, WintersBD, Rubin HR, Dorman T, Perl TM. Eliminating catheter-related bloodstream infections in the intensive care unit.Crit Care Med 2004;32:2014-2020.Pronovost PJ, Goeschel CA, Colantuoni E, Watson S, Lubomski LH, Berenholtz SM, Thompson DA, Sinopoli D,Cosgrove S, Sexton JB, Marsteller JA, Hyzy RC, Welsh R, Posa P, Schumacher K, Needham D. Sustainingreductions in catheter related bloodstream infections in Michigan intensive care units: Observational study. BritishMed J 2010;340:c309.DePalo VA, McNicoll L, Cornell M, Rocha JM, Adams L, Pronovost PJ. The Rhode Island ICU Collaborative: Amodel for reducing central line-associated bloodstream infection and ventilator-associated pneumonia statewide.Qual Saf Health Care 2010;19:555-561.Berenholtz SM, Pham JC, Thompson DA, Needham DM, Lubomski LH, Hyzy RC, Welsh R, Cosgrove SE, SextonJB, Colantuoni E, Watson S, Goeschel CA, Pronovost PJ. An intervention to reduce ventilator-associated pneumoniain the ICU: Collaborative cohort study. Infect Control Hosp Epidemiol 2011, in press.Sexton JB, Berenholtz SM, Goeschel CA, Watson S, Holzmueller CG, Thompson DA, Hyzy RC, Marsteller JA,Schumacher K, Pronovost PJ. Assessing and improving safety climate in a large cohort of intensive care units. CritCare Med Feb 2011.Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. Impact of a statewideintensive care unit quality improvement initiative on hospital mortality and length of stay: Retrospective comparativeanalysis. Brit Med J 2011;342:d219.Pronovost, PJ, Marsteller JA, Goeschell CA. Preventing Bloodstream Infections: A Measurable National SuccessStory: Health Affairs 2011;20:628-634Dixon-Woods, M, Bosk, C, Goeschel CA, Pronovost PJ. Explaining Michigan: Milbank Quarterly 2011