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: 6528440
• 负责人: Ann Freeman Cook
• 金额: $ 34.29万
• 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/6528440
• 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）：国家执行摘要 医疗保健质量报告指出，提供的医疗保健质量 美国“远远远远不如应有的。”该报告指出了 应该提供的服务与应该是的服务之间的差距 已收到。该提案应对这种鸿沟，并寻求对项目的支持 这将检查工作条件与质量之间的关系 农村医院提供的护理。该提议与两个 其他联邦计划，医学研究所的ERR报告是人类 并设想国家卫生保健质量报告。我们建议三年 多方法，干预研究将专门改善患者 安全并鼓励披露和减少农村健康错误 护理设置： *探索直接的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，近乎错过，以及 不利事件； *使用所有研究的数据来提高患者安全性 以一种形式开发和实施基于Web的干预 乡村医院和 旨在提高认识，鼓励报告和建立技能以解决 不利事件； *评估干预措施对患者安全性和质量的影响 在农村医院的护理。 该项目旨在满足农村需求并提高质量和 农村医疗保健的安全。此外，它将提供标识的数据 降低农村医疗机构错误的最佳实践。这 干预将针对农村医疗保健的跨学科团队 提供者和医院工作人员在30个医院环境中 西部农村。