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：候选人是一位成功的医学教育研究员，他寻求获得儿科健康服务研究 (HSR) 方面的额外研究培训，以便在他过去衡量学员表现的工作基础上继续努力。拟议的培训计划包括临床研究理学硕士学位，完成生物统计学高级课程；数据管理；回归；以及结果研究课程，重点关注档案临床数据、计费数据和定性研究方法。他的机构、系和部门在支持通才研究人员方面有着良好的记录。该提案的总体目标是让候选人通过评估儿童门诊药物处方错误的频率、类型和模式来获得儿科 HSR 技能。第一个目标是验证为儿科患者分配权重的算法方法——这是一项旨在确定药物剂量错误的重要研究能力。目标 2 对一个州的医疗补助数据进行综合评估，以定义和确定儿童处方错误的频率。目标 3 确定与处方错误相关的提供者和患者特征，从而确定潜在的“在 目标 4 将确定包含处方模块的动态电子病历系统的潜力，以减少处方错误。目标 5 是对一家诊所的深入评估处方错误，以确定提供者和药房对患者收到的错误处方的相对贡献。研究者提出了一项培训计划和研究计划，使他能够成为一名独立的医生。儿科卫生服务研究员，同时完成研究，将提高弱势群体（低收入儿童和少数民族儿童）的医疗保健质量。近期目标是从该提案中产生 8 份手稿。长期来看，候选人将成为其中之一。相关性：该项目符合医学研究所提出的改善患者安全的目标，并且直接适用于医疗保健研究和质量机构的“改善患者安全”的使命。健康的质量、安全、效率和效果关心所有美国人。”