Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project

摘要: In October 2003, the Quality and Safety Research Group of Johns Hopkins University School Medicine, Michigan Health Hospital Association, 108 intensive care units (ICUs) from 77 hospitals began a collaborative improvement project. Goals to improve included creating culture safety, reducing central line-associated bloodstream infections (CLABSI) ventilator associated pneumonias (VAP), improving compliance with evidence-based practices for care. Improvement teams were assembled in each ICU do work, chief executive officer hospital partnered support project efforts. The achieved 50 percent safety climate, attained median CLABSI rate zero, reported 99 practices. Understanding how why this succeeded may expedite progress other article we present some lessons learned while leading Keystone