Michigan squashes infections, saves thousands of lives
January 31st, 2011
07:30 PM ET

Michigan squashes infections, saves thousands of lives

By using an intensive system of training and safety reminders, hospitals in Michigan have eliminated about one in five patient deaths, according to a study in the British Medical Journal.

The pilot program in Michigan started in 2003, an effort to reduce infections among elderly patients in intensive care. In 95 participating hospitals, doctors and staff took part in regular safety meetings and held consultations with infection-prevention experts at Johns Hopkins University. The hospitals also followed formal, five-point checklists of infection control measures – some as simple as remembering to wash hands before a procedure. Other checklist items include frequent adjustments to the position of patients on respirators, and removing catheters that are not absolutely necessary.

“We wanted it to be simple,” said Dr. Allison Lipitz-Snyderman of the Johns Hopkins Bloomberg School of Public Health, the study’s lead author. “These aren’t new ideas. They were already proven to work. They just weren’t disseminated as widely as you’d think.”

Previous studies found the program did reduce infections, but the new analysis goes further, showing it cut the number of actual deaths. While death rates fell in surrounding states as well, the difference was larger in Michigan. There’s no way to calculate the precise number of lives saved, but Dr. Peter Pronovost, the Hopkins physician who led the project, says it’s likely a few thousand Michigan deaths were prevented each year.

Intriguingly, the death rate for elderly ICU patients started to fall during the study period in hospitals throughout the Midwest, not just the Michigan hospitals that implemented the program. After the end of the study period, the death rate continued to drop – even faster than before – in the Michigan hospitals, only.

To Pronovost, this suggests that a shift in hospital culture, rather than specific infection-control measures, was the crucial factor. “I’m convinced that changing the mindset, from thinking these infections were inevitable, to seeing them as preventable, is what made the big difference,” Pronovost told CNN. “Culture takes a while to change.”

Infections acquired in hospitals and other medical settings cause 1.7 million infections and 99,000 deaths each year, according to federal statistics. The Hopkins researchers, the Michigan Health and Hospital Association and the American Hospital Association are now overseeing a project to expand the infection-control program to all 50 states. So far all but three have signed on, with California the big holdout.

« Previous entry
soundoff (17 Responses)
  1. Elizabeth

    There are some procedures that are hard to keep clean, such as a bowel re-section. However, simple measures can prevent many of the infections that take place. As a woman, I've always wondered why the design of toilet seats is so filthy, and hospital visitors all have to deal with that.

    February 1, 2011 at 09:55 | Report abuse | Reply
  2. Anonymous

    It's "Michigan Health and Hospital Association" (www.MHA.org) ... not "Michigan Health and Hospitals Corporation".

    February 1, 2011 at 10:06 | Report abuse | Reply
  3. Eric Trouillot

    Interesting article. After showcasing an innovative Patient Gown called The ECT Gown at the APIC show last July in New Orleans, we had many Infection Control Nurses recognize the features as ones that can help minimize the risk of HAIs. The features of the ECT Gown permit various lines and tubes to be exposed outside of the gown rather then under the gown. This alone will reduce the amount of manipulation of the Patient that the bedside care provider will have. The ECT Gown acts as a "Barrier" as per some of the Infection Control Nurses thus similar to that of a glove. The un-used lumen from a central line would rest on the dry gown rather then on the moist skin of the Patient. the slits on the ECT Gown also helps anchor the lumen so it reduces the amount of times the providers need to change the dressing. Aside from the clinical value of the ECT Gown, it has shown through various clinical evaluations in SICU, ICU, Telemetry and Step Down Trauma Units that it Elevated the Patients Satisfaction due to its Overlap Design and weight. A study is being conducted and we should have white paper soon. For more details on the value and benefits of the ECT Gown, please visit http://www.ectsolutions.info. This is NOT a solicitation to sell but an attempt to showcase a Patient Gown that will satisfy Patients, Nurses and hospital with respect to cost.

    February 1, 2011 at 12:12 | Report abuse | Reply
  4. CLS88

    Raising circulating vitamin D leve;s to a range of 50-80 ng/ml, pre-op, will do more to reduce patient infection than all other preventive measures, combined.

    Look at recent data/research and get on it!

    February 1, 2011 at 12:25 | Report abuse | Reply
    • Luis

      Hallo!Nur mal ne Frage wie viele Leute spielen engeitlich noch TO:C?Ich habe es frfcher gespielt und geliebt. Wollte es mal wieder zocken, hatte aber mein UT2004 verlegt. Hab mir heute mal wieder die UT Anthology bestellt^^Wfcrd mich eben mal interessieren Und ein Lob an die Entwickler! Ich sehe es gab einige (Content)Updates, toll!

      April 9, 2012 at 14:38 | Report abuse |
  5. Danette Kleppen

    check this site


    September 22, 2016 at 11:21 | Report abuse | Reply
  6. Jacinda Startz


    January 28, 2021 at 21:59 | Report abuse | Reply
  7. zortilonrel

    fantastic points altogether, you just gained a brand new reader. What would you suggest about your post that you made a few days ago? Any positive?


    February 7, 2021 at 20:21 | Report abuse | Reply
  8. Dr. Gőz Péter ügyvéd Debrecen

    I believe other website proprietors should take this web site as an model, very clean and wonderful user friendly layout.


    February 9, 2021 at 04:56 | Report abuse | Reply
  9. Cardiff House Clearance

    I went over this website and I conceive you have a lot of fantastic information, saved to favorites (:.


    February 9, 2021 at 08:21 | Report abuse | Reply
  10. remote pc assistance

    Hi there, You have done an incredible job. I will definitely digg it and in my view suggest to my friends. I am confident they'll be benefited from this site.


    February 21, 2021 at 05:30 | Report abuse | Reply
  11. vreyro linomit

    A formidable share, I simply given this onto a colleague who was doing a little evaluation on this. And he in reality purchased me breakfast as a result of I found it for him.. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to discuss this, I really feel strongly about it and love reading more on this topic. If doable, as you grow to be experience, would you thoughts updating your weblog with more particulars? It is highly useful for me. Massive thumb up for this weblog post!


    February 26, 2021 at 04:07 | Report abuse | Reply
  12. ValeraDruzhininBuh

    Заказать элитные памятники на могилу – https://xn--90ahp.xn--7sbncac3aodlamf.xn--p1ai/elitnyie-pamiatniki

    Смерть близких для нас – всегда огромная потеря. Испытывая моральные страдания и горечь утраты близких нам людей, нам не просто заниматься коммерческими вопросами по организации захоронения, и почти всегда, мы наблюдаем такую картину, когда нам навязывают услуги, которые мы не в состоянии оценить объективно! Кто-то заказывает крест или обычный памятник, кто-то – памятник с сердцем, укладывает тротуарную плитку, облагораживая могилу, заказывают различные ритуальные товары; такие как цветы, свечи, ленточки…
    Всё это, без сомнения, невыносимые моральные страдания, которые, мы дополнительно испытываем в тот момент, когда мы скорбим по усопшим. И это очень горько! Я говорю о том, что было бы неплохо, если бы на этапе, когда мы ещё молоды и можем зарабатывать, мы могли бы точно так же, как и при оформлении страховки на жизнь или здоровье, формировать некий фонд для того, чтобы в случае нашей смерти, наши похороны проходили без нашего участия, и в тоже время, все эти душевные страдания не соприкасались с маркетингом. И этим мог бы заняться фонд, в котором мы откладывали средства на такой непредвиденный случай!
    Здесь сразу несколько вопросов, которые могли бы встать после нашей смерти: это большое количество разных услуг, которые связаны с этим бизнесом: это либо памятники с аркой на могиле, либо какой-то определенный мрамор, это могут быть памятники с сердцами (семейные памятники). Мы также вынуждены облагораживать могилу, используя тротуарную плитку, в частности нам приходится докупать очень множество товаров, которые так или иначе, связаны с ритуальными товарами и или услугами: и это может быть просто крест на могилу, это могут и какие-то фигурные памятники из гранита, резные памятники, двойные памятники, если речь о несчастном случае и гибели нескольких близких нам людей! Одновременно памятники также бывает разных видов они бывают как вертикальные, так и горизонтальные, и в целом — это множество вопросов, которые в данный момент, когда это происходит, нам не хочется решать!
    Решение на мой взгляд в ритуальных ФОНДАХ! И эту проблему можно было бы решить.

    С большим удовольствием ответим на все интересующие вопросы по теме:

    March 26, 2021 at 12:11 | Report abuse | Reply
  13. Davidglg

    2011 results 1

    so what does my husband and my ex guy aim? you considering associated with nowadays as you're can't entirely his late carry out. dumping the man you cherish is easier said than done, at what time he opens behaving in a.

    Read the complete ArticleHow to cause him to be thank you all over again Stunting properly Help woo your boyfriend lumbar

    You need to get your ex to eager all over again. you two broken every thing has become just recently or even split up took place months in and you are clearly just now starting a career as cognizant to tips about how unique he in reality had been.

    Read the full ArticleWhy hopefully won't my very own ex husband label my eyes upper back? see how to Get Your Ex to talk with You when again

    You are considering steps to make him accept you repeatedly. in case you split up with the man you're dating, for you sensed numbing. the future ideas decided towards in substance you now dreamed of what can grow into people. how should.

    Montans Meka

    getting to know the sought after dodge quinton jackson

    motor vehicles subject material might possibly 8, 2011

    A avoid quinton jackson is often a subcompact (lesser as compared with normal chinese dating compact an automobile), Monocoque, Coupe resource manufactured around 1982 with regard to 1984 based on the L working with regards to Chrysler. our own rampage was seen as ini.

    May 10, 2021 at 22:19 | Report abuse | Reply
  14. stornobrzinol

    I have been absent for a while, but now I remember why I used to love this site. Thanks , I will try and check back more frequently. How frequently you update your website?


    May 13, 2021 at 02:51 | Report abuse | Reply
  15. khách sạn cho thuê phòng hội nghị

    Hi there, just changed into aware of your weblog thru Google, and found that it is really informative. I’m gonna be careful for brussels. I will appreciate in the event you proceed this in future. Numerous other people will be benefited out of your writing. Cheers!


    May 25, 2021 at 02:06 | Report abuse | Reply
  16. thuê địa điểm tổ chức sự kiện

    Together with everything that seems to be developing within this area, many of your viewpoints are actually somewhat refreshing. Having said that, I beg your pardon, but I can not subscribe to your entire idea, all be it refreshing none the less. It appears to everybody that your remarks are generally not totally justified and in simple fact you are yourself not even fully confident of the point. In any event I did take pleasure in reading it.


    May 26, 2021 at 07:18 | Report abuse | Reply

Post a comment


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

« Previous entry
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.