February 14, 2008

Health Care > Saving Lives and Reducing Healthcare Costs - with a Piece of Paper

The New Yorker - If a new drug were as effective at saving lives as Peter Pronovost’s checklist, there would be a nationwide marketing campaign urging doctors to use it:

In December, 2006, the Keystone Initiative published its findings in a landmark article in The New England Journal of Medicine. Within the first three months of the project, the infection rate in Michigan’s I.C.U.s decreased by sixty-six per cent. The typical I.C.U.—including the ones at Sinai-Grace Hospital—cut its quarterly infection rate to zero. Michigan’s infection rates fell so low that its average I.C.U. outperformed ninety per cent of I.C.U.s nationwide. In the Keystone Initiative’s first eighteen months, the hospitals saved an estimated hundred and seventy-five million dollars in costs and more than fifteen hundred lives. The successes have been sustained for almost four years—all because of a stupid little checklist.

Via Andrew Tobias.

See also:
- History of Obstetrics and the Apgar Score

Posted by lesjones | TrackBack



Comments

The art is in the implementation. Typically admnistration will push hand washing to decrease infections. They will hire a "educationl nurse" to hold mandatory hand washing classes for all clinical staff, buy motivational posters for the hallways and elevators touting "Your good health is in your hands", and hold seminars to show how infetion rates decrease. Then you find out that in the bathrooms the liquid soap dispenser is'nt full 25 per cent of the time and the paper towel rack is empty 50 per cent of the time because the ancillary work force has been cut to "save costs".

Posted by: Mike at February 15, 2008

And the Fed Gov just shut this program down saying it was a medical study and informed consent was not obtained from each patient.

Posted by: ParatrooperJJ at February 26, 2008
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