Healthcare Associated Infection Case Studies

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Healthcare Associated Infection Case Studies

Case Study: The Michagan Keystone ICU Project

In March 2003, the Michigan Health and Hospital Association (MHA) created the Keystone Center for Patient Safety and Quality, in partnership with patient safety experts at Johns Hopkins University, with additional funding from the Agency for Healthcare Research and Quality (AHRQ).

Led by Chris Goeschel, RN MPA MPS, who serves as Keystone’s Executive Director, and Peter Pronovost, MD PhD, an anesthesiologist, critical care physician and internationally known patient safety researcher from Johns Hopkins University, the MHA Keystone brings together hospitals, national experts and best practice evidence to improve patient safety by addressing the quality of healthcare delivery at the bedside.

One of Keystone's most ambitious projects, the two-year Keystone ICU (KICU), involved 127 Michigan ICUs and 70 Michigan hospitals. Hospitals participating in the Keystone project reduced central IV line infections in the ICU by nearly 50%. Prior to the Keystone project, Michigan’s rate of central line infections ranked average in the nation.

Today, Michigan’s performance ranks among the best in the U.S. Of the 127 participating ICUs, 68 reported zero bloodstream infections or ventilator-associated pneumonias for six months or more.

Following the success of the Keystone ICU Project, the MHA Keystone Center is exploring more ways to improve safety and reduce errors in
other healthcare delivery settings, along with the Johns Hopkins Quality and Safety Research Group.

Using data collected from project participants, the following savings were reported between March 2004 and June 2005:

Patient lives saved: 1,578
Hospital days saved: 81,020
Healthcare dollars saved: $165,534,736