Improving Quality via Information Technology

通过信息技术提高质量

• 批准号: 7123069
• 负责人: AVIS C HAYDEN
• 金额: $ 49.31万
• 依托单位: SOUTHWESTERN VERMONT HEALTH CARE CORP
• 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 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7123069
• 关键词: automated medical record system; behavioral /social science research tag; biomedical automation; computer assisted medical decision making; computer assisted patient care; computer program /software; cooperative study; extended care facility; health care facility; health care quality; health services research tag; home health care; interdisciplinary collaboration; patient care management; patient safety /medical error; physicians; rural area

DESCRIPTION (provided by the applicant): Southwestern Vermont Health Care (SVHC) and five private physician practices serving a rural area propose to reduce medical errors and adverse events through the implementation of an integrated electronic health record. The comprehensive record will be accessible at all participating care delivery sites and to the patient/resident from home. This will include implementation of an electronic patient medical record, electronic medication administration record, computerized physician order entry, and clinical decision support software in physician practices, the medical center, a home health agency and a long-term care facility. SVHC will institute a new Safety Division under the leadership of the project director, who will serve as Chief Medical Safety Officer. By project end it is expected that all partners will use common access to an EHR to ensure high quality care. Key barriers are the cultural changes required for a proactive rather than reactive safety culture, and alignment of goals across and within providers regarding technology implementation. The project goals are: 1) SVHC will demonstrate an increased culture of safety that encourages and supports the reporting of errors and adverse events, near misses and good catches, and feed information back to improve systems safety; 2) Physicians and other health care providers will use a secure, confidential, integrated electronic health record that is accessible from any location and includes all episodes of care from all locations of care among grant partners; and 3) Improve patient safety and quality of care for patients served by partners. A summative evaluation will report on attainment of each of the outcomes listed in the goals and objectives. A formative evaluation will record changes in the safety climate, effectiveness of the e-MAR system; and the framing of key issues among the partners over time. The proposed safety and EHR project is part of a much larger strategic plan at SVHC to implement a wide range of IT tools throughout the health care system.

描述（由申请人提供）：西南佛蒙特州卫生保健（SVHC）和五种私人医师实践，他们为农村地区提供服务，建议通过实施集成的电子健康记录来减少医疗错误和不良事件。全面的记录将在所有参与的护理服务网站以及来自家中的患者/居民中访问。这将包括实施电子患者病历，电子药物管理记录，计算机医师订单输入以及医师实践中的临床决策支持软件，医疗中心，家庭健康机构和长期护理机构。 SVHC将在项目主管的领导下设立一个新的安全部门，该部门将担任首席医疗安全官。预计所有合作伙伴都将使用对EHR的共同访问来确保高质量的护理。关键障碍是主动而不是反应性安全文化所需的文化变化，以及提供者在技术实施方面和内部目标的一致性。项目目标是：1）SVHC将展示一种安全的安全文化，鼓励并支持报告错误和不良事件的报告，近乎错过和良好的捕获，并返回信息以提高系统安全； 2）医师和其他医疗保健提供者将使用安全，机密，集成的电子健康记录，该记录可从任何位置访问，并包括来自赠款合作伙伴中所有护理人员的所有护理情节； 3）提高伴侣服务的患者的患者安全和护理质量。总结性评估将报告有关目标和目标中列出的每个结果的实现。形成性评估将记录安全气候的变化，电子-MAR系统的有效性；随着时间的流逝，合作伙伴之间关键问题的框架。拟议的安全和EHR项目是SVHC更大的战略计划的一部分，以在整个医疗保健系统中实施广泛的IT工具。