ATLANTA, Jun. 14, 2006(AP) A campaign to reduce lethal errors and unnecessary deaths in
U.S. hospitals has saved an estimated 122,300 lives in the last 18 months, the
campaign's leader said Wednesday.
"I think this campaign signals no less
than a new standard of health care in America," said Dr. Donald Berwick, a
Harvard professor who organized the campaign.
About 3,100 hospitals
participated in the project, sharing mortality data and carrying out
study-tested procedures that prevent infections and mistakes. Experts say the
cooperative effort was unusual for a competitive industry that traditionally
doesn't like to publicly focus on patient-killing problems.
"We in health
care have never seen or experienced anything like this," said Dr. Dennis
O'Leary, president of the Joint Commission on Accreditation of Healthcare
Organizations.
Berwick announced the campaign's results Wednesday morning
at a hospital conference in Atlanta. O'Leary was one of hundreds of industry
dignitaries and representatives in attendance.
Medical mistakes were the
focus of a widely noted 1999 national report that estimated 44,000 to 98,000
Americans die each year as a result of errors and low-quality care.
That
year, Berwick _ president of the Institute for Healthcare Improvement, a
Massachusetts-based nonprofit organization _ challenged health care leaders to
improve care quality and prevent mistakes.
In December 2004, he stepped
up the challenge by announcing a "100,000 Lives Campaign." He set a June 14,
2006, deadline to sign up at least 2,000 U.S. hospitals in the effort and
implement six types of changes.
Perhaps the best known of the six changes
was to deploy rapid response teams for emergency care of patients whose vital
signs suddenly deteriorate.
Hospitals generally have teams that respond
when patients develop sudden heart or breathing problems. That work is common in
emergency departments. The measure was designed to make sure the service is
available around-the-clock to other units, and to encourage lower-ranking
medical staff members not to be intimidated about calling for
help.
Another urged checks and rechecks of patient medications to protect
against drug errors. A third focused on preventing surgical site infections by
following certain guidelines, including giving patients antibiotics before their
operations.
The hospitals also were asked to contribute monthly mortality
data to Berwick's organization, which attempted to track the impact.
The
effort was endorsed by federal health officials, health insurers, hospital
industry leaders, the American Medical Association and others. About 3,100
hospitals signed up, representing about 75 percent of the nation's acute care
beds.
About 86 percent sent in mortality data. Roughly a third said they
were implementing all six measures, and more than half committed to at least
three, Berwick said.
Campaign workers examined 2004 data for the
participating hospitals to determine how many people were expected to die during
the 18 months of the campaign.
They then checked the count of actual
deaths reported. They also made mathematical adjustments for severity of
illnesses and for volume of cases, to make a more fair comparison of the two
time periods more fair. They also made estimates for participating hospitals
that did not report data, Berwick said.
"This is estimation _ it isn't
counting," he said.
Various estimates placed the number of saved lives at
between 115,000 and 149,000, but the best guess was 122,342, he
said.
Berwick challenged the hundreds of hospital representatives at the
conference to continue to improve. He also proposed another goal _ all hospitals
should implement all six changes by the beginning of 2007.