Virtual Continuity and its Impact on Complex Hospitalized Patients' Care

虚拟连续性及其对复杂住院患者护理的影响

基本信息

批准号：
8111671
负责人：
KENNETH J SMITH
金额：
$ 40.93万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2013-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8111671
关键词：
Virtual Continuity its Impact Complex

项目摘要

DESCRIPTION (provided by applicant): Communication between physicians caring for hospitalized patients and those patients' primary care providers (PCPs) is often suboptimal. Hospital-based information systems can improve communication by automating information exchange between hospital physicians and PCPs, and perhaps, as a result, improve the quality and safety of health care. MedTrak, the University of Pittsburgh Medical Center (UPMC) electronic physician communication tool, has proven successful and is poised to move forward with an initiative we call virtual continuity, allowing PCPs to follow their patients electronically if they cannot do so physically. Virtual continuity will include: emails to PCPs triggered by clinical events with embedded links to electronic medical record data and communication portals, medication lists electronically delivered to PCPs at admission and discharge, and immediate PCP notification of discharge with pertinent clinical details. To evaluate virtual continuity, we will examine the frequency of discharge medication errors in complex medical patients using a cluster randomized study design of virtual continuity compared to usual communication. Medication errors will be ascertained using accepted methods. We will also investigate differences in rehospitalization, post discharge emergency department visit and PCP follow up rates, as well as patient and PCP satisfaction with hospital communication. The IT cost of implementing and maintaining the virtual continuity intervention will also be assessed. Virtual continuity will allow PCPs to participate more directly in the care of their hospitalized patients. Improved communication could lead to higher-quality patient care and greater patient care safety for hospitalized patients with complex medical problems.

描述（由申请人提供）：照顾住院患者的医生与这些患者的初级保健提供者 (PCP) 之间的沟通通常不理想。基于医院的信息系统可以通过医院医生和 PCP 之间的自动化信息交换来改善沟通，从而可能提高医疗保健的质量和安全性。 MedTrak 是匹兹堡大学医学中心 (UPMC) 的电子医师沟通工具，已被证明是成功的，并准备推进一项我们称为虚拟连续性的举措，允许 PCP 在无法亲自跟踪患者的情况下以电子方式跟踪患者。虚拟连续性将包括：由临床事件触发的发送给 PCP 的电子邮件，其中嵌入了电子病历数据的链接和通信门户网站、入院和出院时以电子方式发送给 PCP 的药物清单，以及立即向 PCP 发出出院通知以及相关临床详细信息。为了评估虚拟连续性，我们将使用虚拟连续性的集群随机研究设计与常规沟通相比，检查复杂医疗患者出院用药错误的频率。将使用公认的方法来确定用药错误。我们还将调查再住院、出院后急诊科就诊和 PCP 随访率的差异，以及患者和 PCP 对医院沟通的满意度。还将评估实施和维护虚拟连续性干预的 IT 成本。虚拟连续性将使 PCP 能够更直接地参与住院患者的护理。改善沟通可以为患有复杂医疗问题的住院患者带来更高质量的患者护理和更高的患者护理安全性。