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Eliminating preventable harms in the ICU

Libretto Consortium

We envision a health care environment free from medical harms and interactions that harm patients and their families.

Despite spending trillions of dollars on health care, people in the U.S. suffer every day from preventable medical harms, such as delirium and infections. They also suffer from a loss of dignity and respect when interacting with the health care delivery system, especially when it fails to provide care consistent with their wishes and values. These harms shouldn’t happen, and they don’t have to happen.

The Libretto Consortium, consisting of four academic medical centers, is working to make sure of it. Beth Israel Deaconess Medical Center in Boston, Brigham and Women’s in Boston, Johns Hopkins Medicine in Baltimore and the University of California, San Francisco are working to eliminate preventable harms by redesigning how care is delivered, beginning in the ICU.

The ICU is one of the most complex and costly settings in health care. It is also where patients and their families are at significant risk of experiencing preventable harms. Yet the ICU and other hospital settings aren’t optimally designed to prevent them. A lot of data is collected on patients but isn't converted into knowledge that can help clinicians make better care decisions, communication gaps occur across the clinical care team, hospital rooms and processes are not engineered well, and patients don’t always receive the care they need or want.

During the next two years, Libretto will be designing and testing care innovations to enable people and technologies to work together to eliminate preventable harms. They will develop smarter technologies and systems to alert providers to potential harms before they occur. They will create tools and protocols that restructure how clinical care teams work together. And, they will develop tools that promote communication and collaboration with patients and families in their care.

The goal of Libretto is to demonstrate how these innovations can significantly reduce preventable harms, and then take them to other ICUs, and eventually other hospital settings, across the country – ultimately reducing health care costs and making care safer and more compassionate.

Recent Grants

$5,381,260.00 Nov 2013 Optimizing ICU Safety through Patient Engagement, System Science and Information Technology Beth Israel Deaconess Medical Center
$1,985,875.00 Jul 2013 Transforming the Acute Care and Oncology Environment Brigham and Women’s Hospital, Center for Patient Safety Research and Practice
More Grants

Team

Paul R. Gray, Ph.D., Interim President and Interim Chief Program Officer, Patient Care Program

In addition to his roles as interim president and interim chief program officer for the foundation's Patient Care Program, Paul serves as vice chair of the foundation's Board of Trustees.   Paul …

Loren Pogir, Managing Director, Patient Care Program

Loren is the managing director for the foundation's Patient Care Program. Prior to joining the foundation, she was the chief operating officer of the BlackRock Investment Institute at BlackRock, the w…