Dr. Peter Pronovost, Johns Hopkins University, provides three video commentaries on CDC’s recent Vital Signs report on central line-associated bloodstream infections in hospitals and dialysis facilities. Dr. Pronovost’s commentary is provided below. Click on the video to watch
Transcript: Why was success possible?
Success was possible because many groups partnered and worked collaboratively.
At the state level, state hospital associations, state health departments and quality improvement organizations united forces.
And within hospitals, ICU clinicians, infection preventionists, and hospital managers worked together.
Within our communities, consumer groups, legislators and the media sought to make infections transparent, creating social pressure to improve. Insurers sought to create economic incentives. And the Joint Commission exerted regulatory pressure by creating a national patient safety goal supporting best practices.
On all levels, we finally realized that we are on the same team, the patients’ team. We applied science, and we kept score.
Yet perhaps most importantly, success was possible because clinicians changed their culture. Clinicians have always had strong individual accountability. Now we are being accountable for infection rates in our units for populations. We no longer see these infections as inevitable, as the cost of being in an ICU. We see them as preventable, as a problem that we are responsible for, and as a problem that we are able to solve, and we’ve partnered with others to do so.
More information on the CDC Vital Signs release.