ACGME duty hour compliance--Medical resident scheduling

ACGME值班时间合规--住院医师排班

• 批准号: 6998521
• 负责人: Harry Jerome Smolen
• 金额: $ 12.77万
• 依托单位: MEDICAL DECISION MODELING, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6998521
• 关键词: behavioral /social science research tag; bioperiodicity; computer simulation; computer system design /evaluation; fatigue; health care model; health care personnel performance; health care policy; health care quality; health care service; health services research tag; medical education; patient care; patient safety /medical error; physicians

DESCRIPTION (provided by applicant): The goal of this study is to create easy-to-use interactive computer simulation software that analyzes residency scheduling alternatives that comply with the requirements of the Accreditation Council for Graduate Medical Education. The new guidelines constrain the number of days and hours that residents are available to work in teaching hospitals. Therefore residency directors need to evaluate schedule outcomes in multiple dimensions including cost, continuity of care, treatment quality, and quality of resident education. A desktop simulation software package that performs medical residency scheduling analysis will aid residency directors in their efforts to comply with ACGME criteria while maintaining quality physician education, quality of care, and patient safety. It will give medical residency directors the ability to analyze the potential pitfalls of a schedule in regards to resident educational experiences, staffing levels and costs, and the quality of patient care before implementation in the field. The Phase I specific aims are to: 1. Create a generalized Java-based simulation that replicates a validated residency scheduling model published in Management Science. 2. Incorporate new ACGME residency rules into the Java-based simulation model. 3. Simulate a current real system by calculating patient transition data and estimating physician activity time distributions. 4. Develop an intuitively understandable, platform-independent user interface that is designed to run on the desktop computers of residency directors. 5. Test and validate the updated simulation software using data collected from a real system. Better patient safety due to less care by tired residents has obvious immediate benefit, while maintaining or improving the quality of resident education affects patient care for the next half century. The interactive scheduling and desktop simulation technology resulting from the project will be extensible to other areas of healthcare process modeling. Ultimately, the Java-based software tool set will link models of a hospital's operational issues with disease state models to incorporate the local burden of disease.

描述（由申请人提供）： 本研究的目标是创建易于使用的交互式计算机模拟软件，用于分析符合研究生医学教育认证委员会要求的住院时间安排替代方案。新的指导方针限制了住院医师可以在教学医院工作的天数和小时数。因此，住院医师主任需要从多个维度评估日程结果，包括成本、护理的连续性、治疗质量和住院医师教育质量。执行住院医师安排分析的桌面模拟软件包将帮助住院医师遵守 ACGME 标准，同时保持高质量的医师教育、护理质量和患者安全。它将使住院医师主任能够在现场实施之前分析计划在住院医师教育经历、人员配备水平和成本以及患者护理质量方面的潜在缺陷。第一阶段的具体目标是： 1. 创建一个基于 Java 的通用模拟，复制管理科学中发布的经过验证的住院时间安排模型。 2. 将新的 ACGME 驻留规则纳入基于 Java 的模拟模型中。 3. 通过计算患者转换数据并估计医生活动时间分布来模拟当前的真实系统。 4. 开发直观易懂、独立于平台的用户界面，旨在在驻场主任的台式计算机上运行。 5. 使用从真实系统收集的数据测试和验证更新的模拟软件。 由于减少了疲倦的住院医师的护理而提高了患者的安全性，这具有明显的直接好处，而维持或提高住院医师教育的质量会影响未来半个世纪的患者护理。该项目产生的交互式调度和桌面模拟技术将可扩展到医疗保健流程建模的其他领域。最终，基于 Java 的软件工具集将把医院运营问题的模型与疾病状态模型联系起来，以纳入当地的疾病负担。