Center for Patient Safety at the End of Life

临终患者安全中心

• 批准号: 6528293
• 负责人: DORCAS JOANNE LYNN
• 金额: $ 5万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6528293
• 关键词: aging; chronic obstructive pulmonary disease; clinical research; disease /disorder prevention /control; extended care; health care quality; health science research; heart failure; human data; iatrogenic disease; information dissemination; information systems; patient care management

The RAND Center to Improve Care of the Dying will generate a new Developmental Center for Evaluation and Research in Patient Safety: the Center for Patient Safety at the End of Life. The Center will be led by Dr. Joanne Lynn and will build on experts from RAND Health, the Institute for Healthcare Improvement, The Veterans Health Administration, Kaiser Permanente, and other organizations. These leaders in health services research and quality improvement are committed to making care safe and reliable for persons with serious eventually fatal chronic illness, staring with those with advanced chronic heart or lung failure. Although they have the potential to affect the health care provided to all Americans, medical errors and other lapses in patient safety disproportionately affect the oldest and sickest of patients, both in their incidence and in the severity of the consequences. Serious, long-term illness occurs mostly at the end of life-leading to more errors, adverse effects, and erratic and unsafe treatment patients in a population that is most in need of safe, reliable, coordinated care. Seriously ill patients are often subjected to a repeated series of mistakes, including: non-treatment of pain, delirium, and other symptoms; routine discontinuity within and among provider programs; location of care for provider convenience, rather than efficiency or family support; and a lack of focus on advance care planning. The Center aims to help improve the reliability of health care dramatically, by building capacity for improvement through effective change methods and knowledge about safe and correct care of individuals with chronic heart failure of chronic obstructive pulmonary disease. During Phase I, the Center will build a strong team, develop ties to health delivery systems, produce educational materials, and develop a proposal for at least one pilot study that it will carry out during Years 2 and 3. In Phase II, the Center will implement the pilot study(ies), present educational materials, and develop a dissemination for pilot study findings.

改善垂死护理的兰德中心将为患者安全评估和研究建立一个新的发展中心：生命即将结束的患者安全中心。该中心将由乔安妮·林恩（Joanne Lynn）博士领导，并将建立兰德·卫生（Rand Health），医疗保健改善研究所，退伍军人健康管理局，凯撒（Kaiser Permanente）和其他组织的专家。这些领域的卫生服务研究和质量改善领导者致力于使患有严重致命慢性病的人的安全和可靠，并与患有晚期慢性心脏或肺部衰竭的人凝视。尽管他们有可能影响为所有美国人提供的医疗保健，但患者安全的医疗错误和其他失误不成比例地影响患者最古老和最病的患者，无论是在其发病率还是在后果的严重性上。 严重的长期疾病主要发生在生命结束时，在人群中最需要安全，可靠，协调的护理中的人群中出现更多的错误，不良反应以及不稳定的治疗患者。病重的患者通常会遭受一系列重复的错误，包括：不治疗疼痛，ir妄和其他症状；提供商计划内部和之间的常规不连续性；提供者便利的护理位置，而不是效率或家庭支持；缺乏专注于预先护理计划。该中心旨在通过有效的变化方法以及有关慢性阻塞性肺部疾病慢性心力衰竭的人的安全和正确护理来建立改善的能力来大大提高医疗保健的可靠性。在第一阶段，该中心将建立一个强大的团队，与卫生交付系统建立联系，生产教育材料，并为至少进行一项试点研究的建议，该研究将在2年和3年内进行。在第二阶段，该中心中心将实施试点研究（IES），介绍教育材料，并为试点研究结果开发传播。