Quality Care and Error Reduction in Rural Hospitals

乡村医院的优质护理和减少差错

• 批准号: 6593188
• 负责人: Ann Freeman Cook
• 金额: $ 2.27万
• 依托单位: UNIVERSITY OF MONTANA
• 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/6593188
• 关键词: Internet; clinical research; disease /disorder prevention /control; health care personnel; health care personnel education; health care personnel performance; health services research tag; hospital analysis; hospital patient care; human subject; iatrogenic disease; patient care management; rural area

DESCRIPTION (APPLICATION ABSTRACT): The executive summary of the National Health Care Quality report states that the quality of healthcare offered in the United States "falls far short of what it should be." The report noted the gap between the services that should be provided and those that should be received. This proposal responds to that chasm and seeks support for a project that will examine the relationship between working conditions and the quality of care provided in rural hospitals. This proposal is closely aligned with two other federal initiatives, the Institute of Medicine's Report To Err is Human and Envisioning National Health Care Quality Report. We propose a three year multi-method, intervention study that would specifically improve patient safety and encourage the disclosure and reduction of error in rural health care settings by: * exploring the relationship between the organizational factors that directly influence the rural healthcare provider, the delivery of patient care, and the identification, discussion and disclosure of medical errors, near misses, and adverse events; * using the data from all research studies to increase patient safety by developing and implementing a web based intervention in the form of a curriculum that is accessible to healthcare providers in rural hospitals and designed to raise awareness, encourage reporting, and build skills to address adverse events; *assessing the impact of interventions on the safety and quality of patient care in rural hospitals. This project is designed to respond to rural needs and improve the quality and safety of rural healthcare. In addition, it will provide data that identifies best practices for error reduction in rural healthcare settings. The intervention will target interdisciplinary teams of rural healthcare providers, and hospital staff across 30 hospital settings in an area of the rural west.

描述（应用摘要）：国家申请的执行摘要 医疗保健质量报告指出，以下地区提供的医疗保健质量 美国“远远没有达到应有的水平”。报告指出 应提供的服务与应提供的服务之间的差距 已收到。该提案回应了这一鸿沟并寻求对项目的支持 这将检查工作条件和质量之间的关系 乡村医院提供的护理。该提案与以下两个建议紧密结合 其他联邦倡议，医学研究所的报告《人类犯错误》 以及展望国家医疗保健质量报告。我们建议三年 多方法、干预研究，专门改善患者 安全并鼓励农村卫生的披露和减少错误 护理设置： *探索直接影响组织因素之间的关系 影响农村医疗保健提供者、患者护理的提供以及 识别、讨论和披露医疗错误、未遂事件以及 不良事件； * 使用所有研究的数据来提高患者安全 开发和实施基于网络的干预措施 农村医院的医疗保健提供者可以使用的课程 旨在提高认识、鼓励报告并培养解决问题的技能 不良事件； *评估干预措施对患者安全和质量的影响 乡村医院的护理。 该项目旨在满足农村需求，提高质量和 农村医疗安全。此外，它将提供识别数据 农村医疗机构减少错误的最佳实践。这 干预措施将针对农村医疗保健的跨学科团队 该地区 30 家医院的提供者和医院工作人员 西部农村。