Original language | English (US) |
---|---|
Pages (from-to) | 779-785 |
Number of pages | 7 |
Journal | Anesthesiology |
Volume | 112 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2010 |
Externally published | Yes |
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
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In: Anesthesiology, Vol. 112, No. 4, 04.2010, p. 779-785.
Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - We need leaders
T2 - The 48th annual rovenstine lecture
AU - Pronovost, Peter J.
N1 - Funding Information: Ultimately, we virtually eliminated central-line infections in many ICUs in Michigan and sustained those results for 4 yr. Moreover, the culture of safety improved by approximately 50%. 11,12 The project likely saved an estimated 2,000 lives and more than 200 million dollars a year. The mortality of all Medicare patients admitted to an ICU in Michigan, compared with similar patients in 11 surrounding states, was reduced to approximately 20%. As you may imagine, these results grabbed the attention of consumers and the Congress. A survey by Congressman Waxman revealed that all states said they were using the checklist, but only 11 measured infection rates, and few were anywhere near as low as Michigan. The Secretary of Health and Human Services subsequently called for a 75% reduction in these infections within 3 yr after implementing this program throughout the United States. This will not be easy. It will require unprecedented collaboration in health care. With funding from the Agency for Healthcare Research and Quality and Philanthropy, my team is working with doctors, nurses, intensivists, infection preventionists, state hospital associations, and health departments, The Joint Commission, the Leapfrog Group, consumers, insurers, the Centers for Disease Control and Prevention, and Centers for Medicare and Medicaid Services to replicate the Michigan project state by state. We are also working with the World Health Organization, ministers of health, and professional societies to implement the program in Spain, the United Kingdom, and Peru. If we can replicate the Michigan results elsewhere, this intervention will save more lives than any other medical intervention in the past half century. It could be the Polio Campaign of our generation. We need one. The progress we have made to improve patient safety in the past decade is unacceptable.
PY - 2010/4
Y1 - 2010/4
UR - http://www.scopus.com/inward/record.url?scp=77950861531&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77950861531&partnerID=8YFLogxK
U2 - 10.1097/ALN.0b013e3181d32047
DO - 10.1097/ALN.0b013e3181d32047
M3 - Article
C2 - 20216391
AN - SCOPUS:77950861531
SN - 0003-3022
VL - 112
SP - 779
EP - 785
JO - Anesthesiology
JF - Anesthesiology
IS - 4
ER -