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3 years out, safety checklist continues to keep hospital infections in check
Date:2/4/2010

t Michigan ICUs reported none of these bloodstream infections. The new research shows that after three years, the same was true a "breathtaking" result, Pronovost says.

Pronovost and his team from the Hopkins Quality and Safety Research Group are taking the checklist system across the globe, with rollouts in the United Kingdom, Spain, parts of Peru and even Pakistan. They are also bringing the program to all 50 states. Last summer U.S. Health and Human Services Secretary Kathleen Sebelius called for a 75 percent reduction in these catheter infections over the next three years. Pronovost and his colleagues are partnering with state health departments and hospital associations across the country to make sure there is buy-in from the many stakeholders involved in preventing these bloodstream infections.

The key to success is not just following standardized checklist steps, he says. To change culture, what's more important is that hospitals also search for errors on a continuing basis, know their infection rates and monitor them after implementing safety innovations. Doctors and nurses need to know the measures they are taking are working, to realize that the science behind the checklist is valid, he says.

"The use of checklists is not the endgame. Reduced infection rates are," Pronovost says. "The public wants to know: Am I going to get infected? If hospitals had to make these rates public, these infections would end."


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Contact: Stephanie Desmon
sdesmon1@jhmi.edu
410-955-8665
Johns Hopkins Medical Institutions
Source:Eurekalert

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