Peter Pronovost noticed a problem. He was a doctor at Johns Hopkins Hospital in 2001. He found that arterial line infections occurred at a higher rate than expected, which led to illness and, in some cases, death in patients. Pronovost aimed to change that.
He started with a simple checklist. Just five steps to reduce the chance of infection:
- Doctors wash their hands with soap.
- Clean the patient’s skin with chlorhexidine antiseptic.
- Cover the patient with sterile drapes.
- Doctors should wear a mask, hat, gown, and gloves.
- Place a sterile dressing over the catheter site after the line is inserted.
5 simple steps doctors have known since medical school. It was almost too simple. Pronovost found, through a month of observation, that at least one step was skipped in over a third of patients.
Pronovost then pushed hospital administrators to add a verification process. Nurses were asked to stop doctors anytime they skipped a step in the checklist. Then he sat back and observed for a year. Continue Reading…