New Hospital Safety Effort To Link ICU Machines
Peter Pronovost鈥檚 was built on his success in getting doctors and nurses to think more systematically about avoiding hospital infections from catheters by using checklists. Now to see if the machines in hospital intensive care units can be taught to communicate with each other to avoid errors that hurt or kill patients.

The on Tuesday announced it has awarded $8.9 million to the , which Pronovost heads. Pronovost aims to develop ways that ICUs can avoid the most common harms that befall patients, things like pneumonia, delirium and medication errors.
Pronovost says his team will develop standardized protocols that will help not just clinicians but also family members keep a lookout for problems with the patient or the care. A big part of the project, he says, will be to develop computer software that will allow the key pieces of technology in the intensive care unit鈥攊nfusion pumps, ventilators, blood pressure and pulse monitors鈥攖o 鈥渢alk to each other鈥 and to the electronic health record containing details of the patient and the treatments. 鈥淩ight now, these devices don鈥檛 even know the others exist,鈥 he said in an interview.
For example, he cited the case of a 12-year-old who died from respiratory arrest when pain medication she was being given slowed her breathing to a standstill.聽 If infusion pumps that drip narcotics were connected to the monitors that count the breaths, an alarm could sound or the machines could even automatically stop the drugs.
In the program Pronovost is developing at Johns Hopkins, families and patients will be given digital e-tablets that show all the interventions patients are supposed to get every day 鈥 about 250 鈥 as well as identifying the risks they are vulnerable to. That will create a 鈥渞uthless transparency鈥 where families can understand and participate in the patient鈥檚 care.
The grant is part of the Moore Foundation鈥檚 new foray into patient safety, which has become the foundation鈥檚 third program area, said Steven McCormick, president of the foundation. Moore, based in Palo Alto, Calif.,聽has in assets, making it the in the country. (Gordon Moore is a co-founder of Intel Corp.)聽The foundation has committed to spending $500 million over 10 years for its with the goal to 鈥渆liminate all patient deaths and harms in acute care settings,鈥 said Dr. George Bo-Linn, the program鈥檚 chief program officer.