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About the IHI 5 Million lives Campaign
Last Updated: 2/9/2007
When the
Institute for Healthcare Improvement (IHI)
and its partner organizations launched the 100k lives Campaign, a national effort to reduce preventable deaths in U.S. hospitals, no one could have imagined the strength of the response. The 3,100 hospitals that participated in the initiative saved an estimated 122,000 lives in 18 months. Along the way, new standards of care began to emerge—and the work continues. Avoidable deaths are the most extreme consequence of defects in health care, but harm is another important foe—one that affects many more lives. For this reason, IHI and its partner organizations are tackling medically-induced injuries in health care in a new campaign, the
5 Million lives Campaign
, to accelerate efforts to reduce non-fatal harm, while continuing to fight needless deaths. There are many patient safety initiatives underway that align with these objectives. HAP, the Pennsylvania Node Partners, and IHI intend to coordinate and collaborate these efforts to amplify all programs and achieve unprecedented state and national results. The 5 Million lives Campaign challenges American hospitals to adopt 12 changes in care, which include the original six interventions from the 100k lives Campaign and six new interventions targeted at harm.
The Six Interventions from the 100k lives Campaign:
- Deploy rapid response teams…at the first sign of patient decline.
- Deliver reliable, evidence-based care for acute myocardial infarction…to prevent deaths from heart attack.
- Prevent adverse drug events (ADEs)…by implementing medication reconciliation.
- Prevent central line infections…by implementing a series of interdependent, scientifically grounded steps.
- Prevent surgical site infections…by reliably delivering the correct perioperative antibiotics at the proper time.
- Prevent ventilator-associated pneumonia…by implementing a series of interdependent, scientifically grounded steps.
The Six New Interventions Targeted at Harm:
- Prevent harm from high-alert medications...starting with a focus on anticoagulants, sedatives, narcotics, and insulin.
- Reduce surgical complications...by reliably implementing all of the changes in care recommended by the
Surgical Care Improvement Project
.
- Prevent pressure ulcers...by reliably using science-based guidelines for their prevention.
- Reduce methicillin-resistant Staphylococcus Aureus (MRSA) infection…by reliably implementing scientifically proven infection control practices.
- Deliver reliable, evidence-based care for congestive heart failure...to avoid readmissions.
- Get boards on board…by defining and spreading the best-known leveraged processes for hospital boards of directors, so that they can become far more effective in accelerating organizational progress toward safe care.
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