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）：佛蒙特州西南部医疗保健 (SVHC) 和为农村地区提供服务的五家私人医生诊所建议通过实施综合电子健康记录来减少医疗错误和不良事件。所有参与的护理服务地点以及患者/居民都可以在家中访问综合记录。这将包括在医生诊所、医疗中心、家庭健康机构和长期护理机构中实施电子患者病历、电子用药管理记录、计算机化医嘱输入和临床决策支持软件。 SVHC将成立一个新的安全部门，由项目总监领导，项目总监将担任首席医疗安全官。到项目结束时，预计所有合作伙伴将共同使用 EHR，以确保高质量的护理。主要障碍是主动而非被动安全文化所需的文化变革，以及提供商之间和提供商内部关于技术实施的目标的一致性。项目目标是： 1) SVHC 将展示一种增强的安全文化，鼓励和支持报告错误和不良事件、未遂事件和良好捕获，并反馈信息以提高系统安全性； 2) 医生和其他医疗保健提供者将使用安全、保密、集成的电子健康记录，该记录可从任何地点访问，并包括资助伙伴之间所有护理地点的所有护理事件； 3) 提高合作伙伴服务的患者的患者安全和护理质量。总结性评估将报告目标和目的中列出的每项成果的实现情况。形成性评估将记录安全氛围、e-MAR 系统有效性的变化；以及随着时间的推移，合作伙伴之间关键问题的框架。拟议的安全和 EHR 项目是 SVHC 更大战略计划的一部分，该计划旨在在整个医疗保健系统中实施广泛的 IT 工具。