Thursday, April 3, 2008

The Checklist

In the December 10th issue of the New Yorker, Atul Gawande wrote a fantastic article on how intensive care units are trying to improve survival rates. I worked with Life Sciences companies before Kellogg and even interned at Becton Dickinson, a company that makes and sells a lot of hospital products. Those experiences taught me how deeply care providers and really anyone in the Life Sciences industry cares about patients. Folks, they care about their jobs and the good they do on a daily basis more than many of us could ever imagine.

You would expect an article on improving survival rates to be centered on a new miracle drug or a new medical device that allows doctors and nurses to do their job better. Well guess what, the innovation in question is a checklist. It turns out that the checklist helps standardize the incredibly complex care an Intensive Care patient must receive. One stat jumped out at me:

“A study of forty-one thousand trauma patients found that they had 1,224 different injury related diagnoses in 32,261 different injury related combinations for teams to attend to.”

Talk about complexity! Gawande compares this to the complexity an airplane pilot faces and says that would be like a pilot knowing how to fly 32,000 different airplanes. Wow.

The subject of the article, Peter Pronovost a critical care specialist at John Hopkins Hospital who designed the checklist, and his innovation saved the state of Michigan over $175M and fifteen hundred lives in just over 18 months. As the article points out,

“[Pronovost] work has already saved more lives than that of any laboratory scientist in the past decade.”

The article talks about how difficult it has been to roll out the checklist nationally. If it was a new drug, there would be reps pounding down the doors of physicians, and company execs calling on insurance companies and hospital administrators. There isn't a huge profit incentive with something like a checklist so getting people's attention is a little more difficult. The patient survival numbers are pretty amazing though.

I'd love to hear the thoughts of Kenny Kellogg readers, especially those in Healthcare.