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From Research to Reward The Hospital Checklist: How Social Science Insights Improve Health Care Outcomes (2016) / Chapter Skim
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The Hospital Checklist: How Social Science Insights Improve Health Care Outcomes
Pages 1-4

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From page 1...
... Peter Pronovost, a critical-care specialist at the Johns Hopkins University School of Medicine in Baltimore, thought of central line infections not as an inevitable risk but as a problem to be solved. In the early 2000s it occurred to him that if just a few steps were followed every time a central line was inserted, the prevailing narrative about central line infections could be changed from "these infections are inevitable" to "they can and must be prevented." Changing the prevailing narrative, though, would mean sparking a cultural shift in the ICU.
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From page 2...
... Checklist pilot program in the Johns Hopkins Hospital surgical ICU; a nurse unpacks a central venous catheter kit.
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From page 3...
... kits in place, hospital Social scientists can "help hunches mature into theories and can challenge administration assumptions." When Dixon-Woods and other social scientists took a serious look at the offering back-up Michigan checklist experience, they saw that what really made the difference support -- the central in infection rates was not just ticking off items on a checklist, but changing the culture. One of the ways this happened was through "isomorphism," line infection rate at the tendency of organizations in the same field to resemble one another.
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From page 4...
... For more than 150 years, it has provided independent, objective scientific advice to the nation. © 2016 by the National Academy of Sciences Photo and Illustration Credits: B-17 pilots: Military Images/Alamy Stock Photo • Data terminal: Johns Hopkins Medicine • Central venous catheter kit: Johns Hopkins Medicine • Peter Pronovost: Johns Hopkins Medicine • Labor Ward staff: WHO-Nigeria/R.
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Key Terms

  • central venous
  • venous catheter
  • social scientists
  • line infection
  • prevailing narrative

  • central lines
  • line insertion
  • hopkins dropped
  • hopkins medicine
  • line infections

  • checklist program
  • infection rate
  • catheter kit
  • intensive care
  • infection rates

  • care costs
  • labor ward
  • peter pronovost
  • inevitable risk
  • safe central

  • observe central
  • hopkins checklist
  • hopkins hospital
  • hospital social
  • hopkins colleagues

  • checklist pilot
  • michigan checklist
  • safety checklist
  • surgical safety
  • hospital meet


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