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）： 这项研究的目的是创建易于使用的交互式计算机仿真软件，该软件分析居住时间安排替代方案，符合认证委员会的研究生医学教育要求。新指南限制了居民可用于教学医院的天数。因此，居住总监需要在多个维度上评估时间表的成果，包括成本，护理连续性，治疗质量和居民教育质量。执行医疗居住时间安排分析的桌面仿真软件包将帮助居住总监努力遵守ACGME标准，同时维护优质的医师教育，护理质量和患者安全。它将使医疗居民主管能够分析时间表的潜在陷阱，以了解居民教育经验，人员配备水平和成本以及在实地实施之前的患者护理质量。第一阶段的特定目的是： 1。创建基于Java的广义模拟，该模拟复制了在管理科学上发表的经过验证的居住计划模型。 2。将新的ACGME居住规则纳入基于Java的仿真模型中。 3。通过计算患者过渡数据并估计医师活动时间分布来模拟当前的实际系统。 4。开发一个易于理解的，独立于平台的用户界面，该界面旨在在居住导演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仿真软件。 由于疲倦的居民的护理减少而导致的患者安全具有明显的直接收益，同时维持或改善居民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仿真技术将对医疗保健过程建模的其他领域进行扩展。最终，基于Java的软件工具集将将医院的操作问题模型与疾病状态模型联系起来，以纳入局部疾病负担。