Improving the Safety and Quality of Pediatric Health Care

提高儿科医疗保健的安全和质量

• 批准号: 8085832
• 负责人: ERIC J THOMAS
• 金额: $ 14.28万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-14 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8085832
• 关键词: Attention; Aviation; Award; Behavior; Boat; Breathing; Caregivers; Caring; Cessation of life; Chest; Child; Childhood; Commit; Communication; Competence; Critical Illness; Delivery Rooms; Diagnostic Errors; Disease; Educational Curriculum; Educational Intervention; Educational process of instructing; Environment; Environmental air flow; Funding; Future; Grant; Healthcare; Healthcare Systems; Home environment; Hospitals; Human; Individual; Industry; Infant; Injury; International; Intervention; Knowledge; Leadership; Life; Low Birth Weight Infant; Measures; Medical; Medical Errors; Mentors; Methods; Neonatal; Outpatients; Patients; Pediatric Research; Perinatal; Pharmaceutical Preparations; Pilot Projects; Plant Roots; Principal Investigator; Provider; Quality of Care; Recruitment Activity; Reporting; Research; Research Training; Resources; Resuscitation; Role; Safety; Testing; Texas; Time; Training; Training Programs; United States; United States Agency for Healthcare Research and Quality; United States National Institutes of Health; Universities; base; career; experience; health care quality; improved; injured; medical schools; meetings; member; neonatal resuscitation; prevent; programs; public health relevance; simulation; skills

DESCRIPTION (provided by applicant): At least 44,000 patients die each year in the U.S. and numerous more are injured as a result of medical errors. Research by Dr. Thomas and one of his mentees shows that children comprise a significant proportion of these deaths and that 70,000 children are injured by care in hospitals each year. In addition to errors, pediatric healthcare is fraught with under use of effective care and over use of ineffective care. As Tom Boat notes in two important articles, research training in healthcare quality and safety should be central components ofthe pediatric research agenda in the United States. For 14 years Dr. Thomas has committed the majority of his time to research on healthcare quality and safety. He now has the experience and institutional environment to successfully mentor individuals who will dedicate their careers to conducting research to improve pediatric quality and safety. Dr. Thomas has a track record of mentoring, a national and international research reputation, and he holds key research training leadership roles at The University of Texas Medical School at Houston. Furthermore, UT Houston has an outstanding reseach training program fnded by a NIH CTSA grant, an AHRQ training grant for quality and safety, and Dr. Thomas directs the UT-Memorial Hermann Center for Healthcare Quality and Safety. Dr. Thomas expects to recruit two mentees per year for the first 2-3 years then mentor no more than 5 or 6 six mentees at a time. He will devote 25% effort to mentoring and 25% effort to the research plan outlined in this application. The research proposed for this award will test team training interventions to improve teamwork and the technical quality of neonatal resuscitation. Initial studies will be conducted in a simulator, followed by a two-center pilot study to assess the effect on the resuscitation of low birthweight infants. In addional, research wil be conducted on diagnostic errors, improving compliance with isolation of children with contagious diseases, developing quality measures for neonatal ICUs, measuring and improving safety culture, and improving care transitions fr-om the NICU to home and outpatient medical care. PUBLIC HEALTH RELEVANCE: In the United States healthcare system children often suffer from medical errors, the overuse of Ineffective care, and underuse of effective care. This application seeks funding to support Dr. Thomas' time to serve as mentor for future leaders in the field of pediatric healthcare quality and safety. The studies proposed here, and those subsequently performed by Dr. Thomas' mentees, will generate new knowledge to improve tiediatric healthcare.

描述（由申请人提供）：在美国，每年至少有44,000名患者死亡，并且由于医疗错误而受伤。托马斯（Thomas）博士和他的一名受训者的研究表明，儿童中有很大一部分死亡，并且每年医院的护理受伤70,000名。除错误外，小儿医疗保健充满了有效护理和过度使用无效护理的困扰。正如汤姆·船（Tom Boat）在两篇重要文章中指出的那样，医疗保健质量和安全的研究培训应是美国儿科研究议程的中心组成部分。 14年来，托马斯博士将大部分时间用于研究医疗保健质量和安全性。现在，他拥有经验和机构环境，可以成功指导他们将职业生涯奉献研究以提高儿科质量和安全性。托马斯博士拥有指导的记录，是国家和国际研究声誉，他在休斯敦的德克萨斯大学医学院担任重要的研究培训领导职务。此外，UT休斯顿拥有NIH CTSA赠款，AHRQ质量和安全培训补助金的出色改进培训计划，Thomas博士指导UTMEMERIAL HERMANN医疗保健质量和安全中心。托马斯（Thomas）博士预计，在最初的2 - 3年中，每年将招募两名受训者，然后一次指导者一次不超过5或6个六个受训者。他将向本申请中概述的研究计划投入25％的努力和25％的努力。该奖项提出的研究将测试团队培训干预措施，以提高团队合作和新生儿复苏的技术质量。最初的研究将在模拟器中进行，然后进行两中心的初步研究，以评估对低出生体重婴儿复苏的影响。另外，将对诊断错误进行研究，改善隔离感染疾病的儿童，为新生儿ICU制定质量措施，测量和改善安全文化，并改善NICU过渡到HICU到家庭和门诊医疗。 公共卫生相关性：在美国，在美国的医疗保健系统中，儿童经常遭受医疗错误，过度使用无效的护理以及无法进行有效护理。该申请寻求资金来支持托马斯博士的时间，以作为儿科医疗保健质量和安全领域的未来领导者的导师。这里提出的研究以及随后由托马斯（Thomas）的受训者进行的研究将产生新的知识，以改善病理医疗保健。