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OSF Healthcare System Leads National Effort To Save 5 Million
Lives
 Prior
to continuing with IHI's "5 Million Lives" campaign, OSF Healthcare
System participated in the Institute for Healthcare Improvement’s
100,000 Lives Campaign, the first-ever national campaign to save 100,000
lives by implementing proven healthcare improvement techniques.
The campaign was
formally unveiled on December 14, 2004, and was endorsed by such
distinguished healthcare organizations as the American Medical
Association, the American Nurses Association, the Centers for Medicare &
Medicaid Services and the Joint Commission on Accreditation of
Healthcare Organizations. A theme, "Some is not a number and soon is not
a time," was established to give the campaign definite numeric and time
frame goals. When the campaign ended in June, 2006, more than 100,000
lives had been saved.
"OSF was a full
participant in the IHI's 18-month Saving 100,000 Lives campaign because
it is the right thing to do," said Michael Youssi, MD, OSF Clinical
Effectiveness Officer. "It is the right thing to do for our patients,
our staff members and the communities we serve. We are dedicated to
providing consistent, high quality care. We have programs in place that
address the six recommendations made by the IHI campaign (listed below).
However, we are continually seeking ways to raise the bar and improve
care."
OSF was one of
the five healthcare systems in the United States that worked with the
IHI to shape the Campaign’s six recommendations for improving patient
care. Those six recommendations are:
Deploy Rapid Response Teams—by
allowing any staff member, regardless of position in the chain of
command, to call upon a specialty team to examine a patient at the
first sign of decline instead of waiting for a code situation.
Deliver Reliable Evidence-Based Care for
Acute Myocardial Infarction (heart attack)—by
consistently delivering key measures - including early administration
of aspirin and beta-blockers – that prevent patient deaths from heart
attack.
Prevent Adverse Drug Events—by
implementing medication reconciliation, which requires that a list of
all of a patient’s medications (even for unrelated illnesses) be
compiled and reconciled to ensure that the patient is given (or
prescribed) the right medications at the correct dosages—at admission,
discharge and before transferring to another care unit.
For the past three years, OSF Saint Francis has been reconciling
patient medications upon admission and when transferring to a new unit
and at discharge. Work is continuing on the implementation of a direct
order system that will further increase the reliability of medication
systems at the medical center.
Prevent Central Line Infections—by
consistently delivering five interdependent, scientifically grounded
steps collectively called the “Central Line Bundle.”
Site Infections—by reliably
delivering the correct antibiotics before, during and after surgery,
as well as maintaining glucose levels and avoiding shaving hair at the
surgical site.
Prevent Ventilator-Associated Pneumonia—by
implementing five interdependent, scientifically grounded steps
collectively called the “Ventilator Bundle” – such as elevating the
head of the hospital bed by 30 degrees – thereby dramatically reducing
mortality and length of stay in the Intensive Care Unit.
A multi-disciplinary team is in place at OSF Saint Francis to monitor
delivery of these interventions. OSF Saint Francis Medical Center
ventilator associated pneumonia rate has consistently been very low.
"We are
organizing a world-class campaign to elect quality,” said Dr. Donald
Berwick, President and CEO of the Institute for Healthcare Improvement (IHI).
“The health care organizations that join this campaign are not only
demonstrating their commitment to improvement but their determination to
put proven, life-saving improvement techniques into action.”
To learn more
about the successful 100,000 Lives Campaign, go to
www.ihi.org.
The Institute for
Healthcare Improvement (IHI) is a not-for-profit organization leading
the improvement of health care throughout the world. Founded in 1991 and
based in Cambridge, MA, IHI is a catalyst for change, cultivating
innovative concepts for improving patient care and implementing programs
for putting those ideas into action. Thousands of health care providers,
including many of the finest hospitals in the world, participate in
IHI’s groundbreaking work. Overview of the 5 Million Lives Campaign
Do
No Harm. It is a
fundamental principle for health care providers: primum non nocere
– first, do no harm. It is our duty, our responsibility. Patients ask
and assume that the health care that intends to help them should, at the
very least, not injure them.
Despite the extraordinary hard work and best
intentions of caregivers, thousands of patients are harmed in US
hospitals every day. Hospital-acquired infections, adverse drug events,
surgical errors, pressure sores, and other complications are
commonplace.
Based on data collected over several years from
multiple partner institutions, IHI estimates that nearly 15 million
instances of medical harm occur in the US each year – a rate of over
40,000 per day. This is a burden larger than most patients and
professionals, and even some health care researchers, realize.
It is time to declare this toll unacceptable; time
to end it. You can help.
An Impressive Start
When IHI and its partner organizations came
together to launch the 100,000 Lives Campaign, a national effort to
reduce preventable deaths in US hospitals, no one could have imagined
the strength of the response. What happened was truly exhilarating: an
extraordinary resurgence of spirit and an unprecedented commitment to
change and collaboration across the health
care industry.
The 3,100 hospitals that participated in this
initiative achieved a remarkable goal. Through their work on the
Campaign’s interventions, combined with other national and local
improvement efforts, these facilities saved an estimated 122,000 lives
in 18 months. Along the way, nothing less than new standards of care
began to emerge. Health care will never be the same – and the work
continues.
An Expanded Focus
Avoidable deaths are the most extreme consequence
of defects in health care, but harm is another important foe – and one
that tragically affects many more lives. Many harm events have lasting
effects on the lives of patients and their loved ones.
For this reason, IHI and its partner organizations
are going to tackle medically-induced injuries in health care. We will
expand our focus in a new campaign designed to dramatically accelerate
efforts to reduce non-fatal harm, while continuing to fight needless
deaths.
There are many other patient safety initiatives
underway that align with these objectives. As
IHI launches this next Campaign, we intend to coordinate and collaborate
with these other superb efforts to amplify all programs and achieve
unprecedented national results.
Five Million Lives
IHI believes the time is right to establish
another bold objective – a seemingly impossible goal – for US health
care:
Protect patients from five million incidents of
medical harm over the next two years (December 2006 – December 2008)
To achieve this, we aim to enlist at least 4,000
US hospitals in a renewed national commitment to improve patient safety
faster than ever before.
Proven Interventions
The 5 Million Lives Campaign challenges American
hospitals to adopt 12 changes in care that save lives and reduce patient
injuries:
The six interventions from the 100,000 Lives
Campaign:
Deploy Rapid
Response Teams…at the first sign of patient decline
Deliver Reliable, Evidence-Based
Care for Acute Myocardial Infarction…to prevent deaths from heart
attack
Prevent Adverse Drug Events (ADEs)…by
implementing medication reconciliation
Prevent Central Line Infections…by
implementing a series of interdependent, scientifically grounded steps
Prevent Surgical Site Infections…by
reliably delivering the correct perioperative antibiotics at the
proper time
Prevent Ventilator-Associated
Pneumonia…by implementing a series of interdependent,
scientifically grounded steps
New interventions targeted at harm:
- Prevent Harm from
High-Alert Medications... starting with a focus on anticoagulants,
sedatives, narcotics, and insulin
- Reduce Surgical
Complications... by reliably implementing all of the changes in
care recommended by SCIP, the Surgical Care Improvement Project (www.medqic.org/scip)
- Prevent Pressure Ulcers... by reliably using science-based
guidelines for their prevention
- Reduce Methicillin-Resistant Staphylococcus aureus (MRSA)
infection…by reliably implementing scientifically proven infection
control practices
- Deliver Reliable, Evidence-Based Care for Congestive Heart
Failure... to avoid readmissions
- Get Boards on Board … by defining and spreading the
best-known leveraged processes for hospital Boards of Directors, so
that they can become far more effective in accelerating organizational
progress toward safe care
For more information about the Campaign
interventions, including How-to Guides for each, see the Materials area
of IHI.org at:
http://www.ihi.org/IHI/Programs/Campaign/Campaign.htm?TabId=2.
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