Prescribing Errors in Ambulatory Pediatric Care

儿科门诊护理中的处方错误

• 批准号: 7100048
• 负责人: WILLIAM T BASCO
• 金额: $ 12.97万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7100048
• 关键词: Medicare /Medicaid; age difference; automated medical record system; behavioral /social science research tag; child health care personnel; clinical research; data collection methodology /evaluation; dosage; gender difference; health care personnel performance; health care quality; health services research tag; human data; mathematical model; medically underserved population; outpatient care; patient care personnel relations; patient safety /medical error; pediatric pharmacology; pediatrics; pharmacy; toxicology

DESCRIPTION (provided by the applicant): Summary: The candidate is a successful medical education researcher who seeks to gain additional research training in pediatric health services research (HSR) in order to build on his past work of measuring trainee performance. The proposed training plan incorporates a Master's of Science in Clinical Research, completing advanced courses in biostatistics; data management; regression; and courses in outcomes research, focusing on archival clinical data, billing data, and qualitative research methods. His institution, Department, and Division have strong track records of supporting generalist researchers. The proposal has the overall aim of the candidate gaining pediatric HSR skills by evaluating the frequencies, types, and patterns of ambulatory medication prescribing errors in children. The first aim is a validation of an algorhythmic approach to assigning weights to pediatric patients - a crucial competent of research that seeks to determine medication dosing errors. Aim 2 constitutes a comprehensive evaluation of one state's Medicaid data to define and determine the frequency of prescribing errors for children. Aim 3 determines provider and patient characteristics associated with prescribing errors, allowing determination of potential "at risk" patients or provider profiles and laying the groundwork for future interventions to reduce prescribing errors. Aim 4 will determine the potential for ambulatory electronic medical record systems that contain prescribing modules to reduce prescribing errors. Aim 5 is an in-depth evaluation of one clinic's prescribing errors in order to determine the relative contributions of providers and pharmacies to erroneous prescriptions received by patients. The investigator has proposed a training program and research plan that will allow him to become an independent pediatric health services researcher while completing research that will lead to improved quality of medical care for vulnerable populations (low-income children and minority children). The immediate goal is to produce 8 manuscripts from the proposal. Long-term, the candidate will become one of the few researchers trained in both medical education and pediatric health services research. Relevance: This project meets the goals of improving patient safety set forth by the Institute of Medicine and is directly applicable to the Agency for Healthcare Research and Quality's mission "to improve the quality, safety, efficiency, and effectiveness of health care for all Americans."

描述（由申请人提供）：摘要：候选人是一名成功的医学教育研究人员，他试图在儿科健康服务研究（HSR）中获得其他研究培训，以便基于他过去衡量受训者表现的工作。拟议的培训计划纳入了临床研究中的科学硕士学位，完成了生物统计学的高级课程；数据管理；回归；以及结果研究的课程，重点介绍档案临床数据，计费数据和定性研究方法。他的机构，部门和部门具有支持通才研究人员的良好记录。该提案的总体目的是通过评估儿童处方错误的卧床药物的频率，类型和模式来获得小儿HSR技能。第一个目的是验证一种算法方法，以将体重分配给儿科患者 - 一种关键的研究能力，旨在确定药物给药错误。 AIM 2构成了对一个州的医疗补助数据的全面评估，以定义和确定儿童处方错误的频率。 AIM 3确定提供者和与处方错误相关的患者特征，从而确定潜在的“ risk" patients or provider profiles and laying the groundwork for future interventions to reduce prescribing errors. Aim 4 will determine the potential for ambulatory electronic medical record systems that contain prescribing modules to reduce prescribing errors. Aim 5 is an in-depth evaluation of one clinic's prescribing errors in order to determine the relative contributions of providers and pharmacies to erroneous prescriptions received by patients. The investigator has proposed a training program and research plan that将使他成为一名独立的儿科健康服务研究人员，同时完成了弱势群体的医疗质量（低收入的儿童和少数群体）。适用于医疗保健研究机构和质量的使命“提高所有美国人医疗保健的质量，安全性，效率和有效性”。