Hospitals beat "100,000 Lives" goal by 22,300

Infrastructure created during the campaign could be useful in pursuing other patient-safety improvements.

By Kevin B. O’Reilly — Posted July 3, 2006

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

It was "with some trepidation" that Donald M. Berwick, MD, called John C. Nelson, MD, MPH, then AMA president, to ask for the Association's aid with a plan to help hospitals prevent 100,000 avoidable patient deaths.

"I didn't know how the organization would respond," Dr. Berwick, president and CEO of the Institute for Healthcare Improvement, told the House of Delegates at its Annual Meeting last month. "But they have been right there with us all along."

In the end, the IHI-led 100,000 Lives Campaign wound up enrolling more than 3,000 hospitals, accounting for 75% of U.S. hospital beds. The 18-month-long initiative to help hospitals implement six different evidence-based, life-saving interventions surpassed its goal by 22,300 lives.

The campaign came to its lives-saved figure by using pre-campaign mortality figures for each hospital for an expected number of deaths. The raw mortality figures were adjusted for severity and case mix by three outside firms, with lives-saved estimates ranging from 115,000 to 149,000.

"This campaign brought much-needed energy and attention to patient safety," said Modena Wilson, MD, MPH, AMA senior vice president of professional standards.

In the effort to save lives, participating hospitals committed to activating rapid-response teams at the first sign of patient deterioration; giving aspirin and beta-blockers to heart attack patients; and preventing medication errors, surgical infections, ventilator-associated pneumonia and central-line infections. The AMA created and distributed thousands of tool kits designed to help physicians implement changes in their hospitals.

Lessons learned during the 18-month initiative could help as other patient-safety campaigns are waged. The 100,000 Lives Campaign fostered a system of 50 health care nodes to help hospitals implement changes, representing a "reusable infrastructure" to pursue other patient-safety improvements, Dr. Berwick said. Possible targets include hospital-acquired sepsis, pain management and chronic illness care. IHI expects to announce plans at its national forum in December.

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn