Landmark Initiative to Reduce Healthcare-Associated Infections Cuts Deaths Among Medicare Patients in Michigan Intensive Care Units
Older Americans who were treated in Michigan intensive care units (ICUs) saw larger decreases in their likelihood of dying while hospitalized than similar ICU patients in other Midwestern hospitals, according to a new study evaluating an innovative quality improvement initiative funded by AHRQ. Previous research has shown that targeted quality improvement programs can reduce rates of healthcare-associated infections (HAIs). Researchers led by Allison Lipitz-Snyderman, Ph.D., of the Johns Hopkins Bloomberg School of Public Health, Baltimore, and Peter J. Pronovost, M.D., Ph.D., the Johns Hopkins University Quality and Safety Research Group, Baltimore, analyzed Medicare data for ICU patients in Michigan hospitals and 364 hospitals in 11 other Midwestern states. They looked at data before the project was initiated, while it was being phased in, and up to 22 months after implementation. The researchers found that overall a person's chance of dying decreased by about 24 percent in Michigan after the program was implemented compared with only 16 percent in surrounding Midwestern states where the program was not implemented. This study, "Impact of a Statewide Intensive Care Unit Quality Improvement Initiative on Hospital Mortality and Length of Stay: Retrospective Comparative Analysis," was published in the January 31 issue of British Medical Journal. Select to access AHRQ’s press release and the abstract.
Impact of a statewide intensive care unit quality ... [BMJ. 2011] - PubMed result
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis
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Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis
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