CPOE Implementation in ICU's

CPOE 在 ICU 中的实施

• 批准号: 6890553
• 负责人: PASCALE CARAYON
• 金额: $ 47.19万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6890553
• 关键词: automated medical record system; clinical research; computer assisted medical decision making; computer assisted patient care; computer human interaction; computer program /software; computer system design /evaluation; health care cost /financing; health care quality; health care service evaluation; health services research tag; human subject; intensive care; patient safety /medical error; questionnaires

DESCRIPTION: (PROVIDED BY APPLICANT): Healthcare technologies can be used to decrease medication errors throughout the medication process. However, the implementation of technology has not always been without troubles. This application builds on an existing interdisciplinary research network, and proposes to examine the value of CPOE technology in various domains (patient safety, quality of care, and end users) and at various levels (unit, patient, end user) in 6 intensive care units of an academic hospital, the University of Wisconsin Hospital and Clinics (UWHC). The application also aims at using prospective human factors analysis methods for improving the design and implementation of CPOE, and at examining the impact of CPOE on end users. The human factors engineering approach to CPOE implementation in ICUs is unique, and, because of its theoretical basis, can provide important information on concepts and methods for improving the design and usage of CPOE in healthcare institutions. A pre-post design will be used to examine the impact of CPOE implementation in 6 ICUs at the UWHC: (1) Trauma Life Support Center, (2) neuro-surgery ICU, (3) cardio-thoracic surgery ICU, (4) cardiac ICU, (5) burn unit, and (6) pediatric ICU. We propose to evaluate value and outcomes in the following domains: (1) patient safety-medication errors (evaluation of ADEs), (2) quality of care (length of stay, mortality, complications and use of prophylaxis), (3) end users' job tasks and perceptions and attitudes (questionnaire survey and observations of job tasks), and (4) financial impact (data derived from the hospital accounting system). The information learned will advance the scientific knowledge in patient safety in two ways: (1) there will be a better understanding of medication errors and the impact of CPOE technology on number and severity of these errors in ICUs, and (2) the human factors approach to technology implementation in health care and the effects on the end users will be shared concerning a new technology that is likely to be widely adopted in the next few years, namely CPOE technology.

描述：（由申请人提供）：可以使用医疗技术来减少整个药物过程中的药物错误。但是，技术的实施并非总是没有麻烦。该应用程序建立在现有的跨学科研究网络上，并建议检查CPOE技术在各个领域（患者安全，护理质量和最终用户）中的价值，以及在学术医院，威斯康星大学医院和诊所（AUWHC）的6个重症监护病房中的不同级别（单位，患者，最终用户）。 该应用程序还旨在使用前瞻性人为因素分析方法来改善CPOE的设计和实施，并检查CPOE对最终用户的影响。 ICU中CPOE实施的人为因素工程方法是独一无二的，并且由于其理论基础，可以提供有关改善医疗机构中CPOE的概念和方法的重要信息。将使用验证前设计来检查UWHC上6个ICU中CPOE实施的影响：（1）创伤生命支持中心，（2）神经性手术ICU，（3）心脏 - 胸外科手术ICU，（4）心脏ICU，（4）心脏ICU，（5）（5）燃烧单位，以及（6）儿童ICU。我们建议评估以下领域中的价值和结果：（1）患者安全措施错误（ADE评估），（2）护理质量（住院时间长度，死亡率，并发症和预防的使用），（3）最终用户的工作任务，看法和观念和态度（问卷调查和工作范围）和（4）财务影响（4）和（4）财务影响（4）。所学的信息将通过两种方式推进患者安全方面的科学知识：（1）将对药物错误以及CPOE技术对ICU中这些错误的数量和严重性的影响有更好的了解，以及（2）人为在医疗保健中实施的人为因素的方法，以及对最终用户的影响，将在下一年内广泛地使用了对最终用户的影响。