| 词条 | Peter Pronovost |
| 释义 |
|name=Peter J. Pronovost |image= File:Peter Pronovost.png |caption= |birth_date={{Birth date and age|1965|2|22}}[1] |birth_place=Waterbury, Connecticut |death_date= |death_place= |residence=Baltimore, Maryland |citizenship={{flagicon|USA}} United States |nationality= |ethnicity= |field=Anesthesiology Critical Care Medicine |work_institution=Johns Hopkins Hospital |alma_mater=Fairfield, B.A., Sc.D. (hon)[2] Johns Hopkins, M.D., Ph.D |doctoral_advisor= |doctoral_students= |known_for=Intensive care checklist protocol |author_abbreviation_bot= |author_abbreviation_zoo= |prizes=2008 Time 100 2008 MacArthur Fellow |footnotes=}} Peter J. Pronovost[3] is Chief Clinical Transformation Officer at University Hospitals (UH) health system in Northeast Ohio. At UH, Pronovost is responsible for improving value across the health system, helping people stay well, get well and manage their most acute medical conditions. He is the clinical lead for population health and the lead for high-reliability medicine, with direct responsibility for the UH employee accountable care organization. He is also responsible for telehealth and virtual health programs serving patient and provider communities. He previously served as an intensive care specialist physician at Johns Hopkins Hospital in Baltimore, Maryland.[4] He is a Professor at the Johns Hopkins School of Medicine in the Departments of Anesthesiology and Critical Care Medicine, and Surgery, Professor of Healthcare Management at the Carey Business School, Professor of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health, and is Medical Director for the Center for Innovation in Quality Patient Care. He introduced an intensive care checklist protocol that during an 18-month period saved 1500 lives and $100 million in the State of Michigan.[5] According to Atul Gawande in The New Yorker, Pronovost's "work has already saved more lives than that of any laboratory scientist in the past decade".[6] In 2008 Time named Pronovost one of the 100 most influential people in the world.[7] That same year, Pronovost was awarded a MacArthur Fellowship.[1] Pronovost's book Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out was released in February 2010.[8] Early life and educationPronovost grew up in Waterbury, Connecticut. His parents were an elementary school teacher and a math professor. He received his B.S. from Fairfield University, M.D. from the Johns Hopkins School of Medicine, and Ph.D. from the Johns Hopkins Bloomberg School of Public Health.[6] In his Ph.D. thesis at Johns Hopkins Bloomberg School of Public Health, he documented that in intensive-care units in Maryland, an intensive care specialist on the staff reduced death rates by a third. Work{{external media | width = 210px | align = right | headerimage =| video1 = [https://www.youtube.com/watch?v=Y5kSoOPAe24 2008 MacArthur Fellow: Peter Pronovost], MacArthur Foundation on YouTube, 2:14[9] | video2 = [https://www.youtube.com/watch?v=963Mg7TYMH0 Believing and Belonging - Peter Pronovost - TEDx Beacon Street Salon], TEDx on YouTube, 14:01[10] | video3 = [https://www.youtube.com/watch?v=S2x2yofovCM Pronovost checklist], CurrentMedicine.TV on YouTube, 11:40[11] | video4 = [https://www.youtube.com/watch?v=OtogOqmtGLc The Patient Promise, Peter Pronovost], 7:31, Johns Hopkins Medicine In 2003 he founded the Quality and Safety Research Group. He has published over 200 articles and chapters on patient safety and advises the World Health Organization on improving patient safety measurement through WHO's World Alliance for Patient Safety.[12] He started studying hospital-acquired infections in 2001, concluding that a simple 5 item check-list protocol would greatly reduce infections when inserting a central venous catheter;[13] Doctors should:
In the Keystone Initiative, a 2003 study by a collection of Michigan hospitals and health organizations, the median rate of infections at a typical ICU dropped from 2.7 per 1,000 patients to zero after three months.[14] The Keystone Initiative published its results in the December, 2006 New England Journal of Medicine.[15] In the first three months of the project, the infection rate in Michigan’s ICUs decreased by sixty-six per cent. In the Initiative’s first eighteen months, they estimated that 1500 lives and $100 million were saved. These results were sustained for almost four years.[6] Several reasons may explain why a simple checklist protocol is not more widely adapted:[16]
According to Pronovost,[6] The fundamental problem with the quality of American medicine is that we’ve failed to view delivery of health care as a science. The tasks of medical science fall into three buckets. One is understanding disease biology. One is finding effective therapies. And one is ensuring those therapies are delivered effectively. That third bucket has been almost totally ignored by research funders, government, and academia. It’s viewed as the art of medicine. That’s a mistake, a huge mistake. And from a taxpayer’s perspective it’s outrageous. Recent workIn 2013, Pronovost co-founded Doctella, a startup that provides surgical checklists for patients to improve patient engagement, patient safety, and lead to better health outcomes.[17] Also in 2013, Pronovost advocated for a system of alcohol and drug testing for doctors in a Journal of the American Medical Association article.[18][19] He has participated in an online course, or MOOC, from Johns Hopkins provided via Coursera.[20] In January 2018, he announced that he would be taking a position at United HealthCare. Shortly after taking the position he was promoted to Chief Medical Officer. Within weeks of taking this position, his departure from the position and the company was confirmed, although no reason was given. In October 2018, he joined University Hospitals as Chief Clinical Transformation Officer.[21] HonorsIn 2008, he was named in Time magazine's 100 most influential people in the world, and was also named a MacArthur Fellow.[6] In 2011, Pronovost was recognized for his outstanding professional achievement and commitment to service with election to membership in the Institute of Medicine, one of the highest honors in the fields of health and medicine.[22] On March 28, 2013, he was named a Gilman Scholar at Johns Hopkins University.[23] Personal lifePronovost has two children. His wife, Marlene, is a pediatrician at Johns Hopkins.{{cn|date=April 2019}} See also
References1. ^1 {{cite web |title=2008 MacArthur Fellow: Peter Pronovost |publisher=John D. and Catherine T. MacArthur Foundation |url=http://www.macfound.org/fellows/808/}} 2. ^Peter J. Pronovost, MD, PhD, ScD (hon), FCCM {{webarchive|url=https://web.archive.org/web/20101123133001/http://haponline.org/downloads/CUSP_CLABSI_Faculty_Bios.pdf |date=2010-11-23 }} 3. ^{{Cite news|last=Dreifus|first=Claudia|title=Doctor Leads Quest for Safer Ways to Care for Patient|url=https://www.nytimes.com/2010/03/09/science/09conv.html|newspaper=The New York Times|page=D2|date=2010-03-09|accessdate=2010-03-09}} 4. ^{{cite web|title=Peter Pronovost, MD, PhD, FCCM|publisher=Center for Innovation for Quality in Patient Care|url=http://www.hopkinsquality.com/CFI/inside/experts/CFI_IH_Pronovost.asp|accessdate=2008-05-14}} 5. ^{{cite web | title = Doctor Saved Michigan $100 Million | work = All Things Considered | publisher = National Public Radio | date = December 9, 2007 |url = https://www.npr.org/templates/story/story.php?storyId=17060374 | accessdate = 2008-05-14}} 6. ^1 2 3 4 {{cite news | last = Gawande |first = Atul |title = The Checklist, If something so simple can transform intensive care, what else can it do? |work = New Yorker Magazine |page=86 | date=December 2007 |url = http://www.newyorker.com/reporting/2007/12/10/071210fa_fact_gawande|accessdate=2008-05-14}} 7. ^{{cite news | last = Kingsbury | first = Kathleen | title = The 2008 TIME 100 | work = TIME Magazine | publisher = Time Warner | date = May 2008 | url=http://www.time.com/time/specials/2007/article/0,28804,1733748_1733754_1735344,00.html|accessdate = 2008-05-14}} 8. ^{{Cite news | last = O'Reilly | first = Kevin B. | title = Infection rates drop as Michigan hospitals turn to checklists | url = http://www.ama-assn.org/amednews/2010/03/01/prsa0301.htm | newspaper = American Medical News | date = 2010-03-08|accessdate=2010-03-09}} 9. ^{{cite web | title =2008 MacArthur Fellow: Peter Pronovost | work = | publisher =MacArthur Foundation | date = September 22, 2008 | url =https://www.youtube.com/watch?v=Y5kSoOPAe24 | accessdate =January 26, 2015 }} 10. ^{{cite web | title =TEDxBeaconStreetSalon | work = | publisher =TED (conference) | date = March 17, 2016 | url =https://www.ted.com/tedx/events/16436 | accessdate =October 5, 2016 }} 11. ^{{cite web | title =Pronovost checklist | work = | publisher =CurrentMedicine.TV | date = July 24, 2011 | url =https://www.youtube.com/watch?v=S2x2yofovCM | accessdate =January 26, 2015 }} 12. ^{{cite web | title = Peter Pronovost recognised by Time Magazine | work = World Health Organization | publisher = World Health Organization | date = | url = http://www.who.int/patientsafety/news/pronovost_time_100_list/en/index.html | accessdate = 2008-05-14}} 13. ^{{cite news | last = Brody | first = Jane E. | title = A Basic Hospital To-Do List Saves Lives | work =The New York Times | date = 2008-01-22 | url = https://www.nytimes.com/2008/01/22/health/22brod.html?pagewanted=print | accessdate = 2009-01-08 }} 14. ^{{citation | title = Keystone Initiavites | url = http://www.beaumont.edu/quality/keystone-initiatives | accessdate = 2013-04-15}} 15. ^{{cite journal |vauthors=Pronovost P, Needham D, Berenholtz S, etal | title = An intervention to decrease catheter-related bloodstream infections in the ICU | journal = N. Engl. J. Med. | volume = 355 | issue = 26 | pages = 2725–32 |date=December 2006 | pmid = 17192537 | doi = 10.1056/NEJMoa061115 | url = http://content.nejm.org/cgi/content/full/355/26/2725}} 16. ^{{cite news | last = Goldsmith | first = Marshall | title = Preparing Your Professional Checklist | work = Business Week | publisher = | date = 2008-01-15 | url = http://www.businessweek.com/stories/2008-01-15/preparing-your-professional-checklistbusinessweek-business-news-stock-market-and-financial-advice | accessdate = 2013-06-12}} 17. ^Doctella.com 18. ^{{cite journal|last1=Cuong Pham|first1=Julius|last2=Pronovost|first2=Peter J.|last3=Skipper|first3=Gregory E|title=Identification of Physician Impairment|journal=Journal of the American Medical Association|date=May 22, 2013|volume=309|issue=20|doi=10.1001/jama.2013.4635}} 19. ^{{cite web|last1=Gantz|first1=Sarah|title=Johns Hopkins researchers say drug testing needed for doctors|url=http://www.bizjournals.com/baltimore/news/2013/05/07/johns-hopkins-researchers-say-drug.html|publisher=Baltimore Business Journal|accessdate=April 9, 2016|date=May 7, 2013}} 20. ^{{cite web|title=The Science of Safety in Healthcare|url=https://www.coursera.org/course/healthcaresafety|website=Coursera|publisher=Johns Hopkins School of Nursing|accessdate=April 8, 2016}} 21. ^{{cite web|title=University Hospitals names Dr. Peter J. Pronovost chief clinical transformation officer|url=https://www.crainscleveland.com/health-care/university-hospitals-names-dr-peter-j-pronovost-chief-clinical-transformation-officer|website=Crain's Cleveland|accessdate=October 29, 2018}} 22. ^"Johns Hopkins Scientists Elected Into Institute of Medicine". Newswise, accessed October 17, 2011. 23. ^{{cite web|title=School of Medicine's Nathans, Pronovost named Gilman Scholars|url=http://hub.jhu.edu/2013/03/28/gilman-scholars-nathans-pronovost|work=HUB|publisher=Johns Hopkins University|accessdate=March 29, 2014|date=March 28, 2013}} External links
| last =Dreifus | first =Claudia | title =A Conversation with Dr. Peter J. Pronovost: Doctor Leads Quest for Safer Ways to Care for Patients | work =New York Times | date =March 8, 2010 | url =https://www.nytimes.com/2010/03/09/science/09conv.html?partner=rss&emc=rss | accessdate =March 24, 2010 }}
13 : American anesthesiologists|Johns Hopkins University faculty|1965 births|Living people|Fairfield University alumni|Johns Hopkins School of Medicine alumni|Johns Hopkins Hospital physicians|Patient safety|People in evidence-based medicine|Healthcare quality|MacArthur Fellows|Johns Hopkins Bloomberg School of Public Health alumni|Johns Hopkins Bloomberg School of Public Health |
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