Improving Patient Safety/Quality with HIT Implementation

通过 HIT 实施提高患者安全/质量

• 批准号: 6951193
• 负责人: JOHN G REILING
• 金额: $ 50万
• 依托单位: ST. JOSEPH'S COMMUNITY HOSP (WEST BEND)
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6951193
• 关键词: behavioral /social science research tag; biomedical automation; clinical research; computer assisted patient care; computer network; cooperative study; health care cost /financing; health care facility; health care facility information system; health care quality; health services research tag; hospices; hospital length of stay; hospitals; human subject; interdisciplinary collaboration; patient care management; patient safety /medical error; pharmacy; satisfaction

DESCRIPTION (provided by the applicant): In an effort to improve patient safety and quality of care within our own facility, and to contribute to overall improvement of patient safety and quality of care in the healthcare industry, St. Joseph's primary goal is to implement an Epic system, in a clearly developed and documented manner that will be of benefit to other small hospitals. This project will build on research and discussion around patient safety and quality of care at our national Learning Lab held in Milwaukee in 2002. This Learning Lab was attended by nationally recognized patient safety leadership representing leaders from organizations active in patent safety. Community-wide diffusion of the Epic system will begin at our current small hospital as the lead partners and transfer to our new facility upon completion of construction and extend to multiple clinic sites, a community retail pharmacy, a new residential hospice facility and an 18-bed skilled nursing sub-acute care facility. We will document our safety-driven design principles and discuss the role Epic has in meeting these design principles, either directly or indirectly. Further, we will design around precarious events, specifically medication errors, by identifying the prevalence of medication errors, near misses and preventable adverse drug events in our current manual patient record and with our community partners systems and then again after Epic is implemented. We will measure the length of stay, cost per case-mixed adjusted DRG and customer satisfaction in our current system and then again after Epic is implemented. Finally, we will develop and document a clear HIT implementation report that can be utilized by AHRQ, other small community hospitals and research organizations.

描述（由申请人提供）：为了提高我们自己设施内的患者安全性和护理质量，并为医疗保健行业的患者安全和护理质量的总体改善做出贡献，圣约瑟夫的主要目标是以明确的开发和记录的方式实施史诗般的系统，对其他小型医院有利。该项目将基于2002年在密尔沃基举行的我们的国家学习实验室的患者安全和护理质量的研究和讨论。该学习实验室由全国认可的患者安全领导参与，代表活跃于专利安全组织的组织的领导者。 EPIC系统的整个社区范围扩散将在我们目前的小型医院开始，作为主要合作伙伴，并在建设完成后转移到我们的新设施，并扩展到多个诊所，社区零售药房，新的住宅临终关怀设施以及一个18张床位的熟练护理护理副业医疗机构。我们将记录我们以安全驱动的设计原则，并讨论Epic在符合这些设计原则（直接或间接符合这些设计原理）中所具有的作用。此外，我们将通过确定当前的手动患者记录和我们的社区合作伙伴系统，然后在EPIC实施之后，通过确定药物错误的患病率，近乎错过和可预防的不良药物事件来设计围绕不稳定的事件，特别是用药错误。我们将衡量住院时间，每个案例混合调整后的DRG的成本以及当前系统中的客户满意度，然后在实施EPIC之后再次。最后，我们将开发并记录一份清晰的HIT实施报告，该报告可以由AHRQ，其他小型社区医院和研究组织使用。