Inpatient Psychiatric Safety at the VA

退伍军人管理局住院精神科安全

基本信息

批准号：
8278355
负责人：
STEVEN C MARCUS
金额：
--
依托单位：
PHILADELPHIA VA MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-01 至 2015-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8278355
关键词：
Acute Address Adverse event Caring Characteristics Clinical Colorado Data Development Ensure Environment Epidemiologic Studies Epidemiology Event Foundations Funding Goals Health Care Costs Healthcare Healthcare Systems Hospital Records Hospitalization Hospitals Incidence Individual Information Systems Inpatients Intervention Interview Knowledge Medical Medical Records Medical center Medicine Mental Health Mental Health Services Mental disorders Methods Modeling Morbidity - disease rate National Institute of Mental Health Nature Operative Surgical Procedures Outcome Patient Care Patients Persons Policies Population Preventive Protocols documentation Provider Psychiatric therapeutic procedure Psychiatry Public Health Qualitative Methods Reporting Research Research Personnel Safety Sampling Seminal Suicide System Therapeutic Utah Work base clinical care evidence base high risk improved informant mortality patient population patient safety prevent severe mental illness

项目摘要

DESCRIPTION (provided by applicant): Impact: Advancing an epidemiological approach to patient safety for inpatient mental health care at the VA is integral to an agenda that uses empirical evidence to ensure that patients with serious mental illness receive care in a safe and therapeutic environment. Background: Reducing adverse events has become a central focus of the health care system over the last two decades both within and outside of the VA. However, patients with mental disorders have been excluded from the major research in this field. Objectives: The current application seeks to 1) Assess the incidence and nature of adverse events that occur within VA medical center inpatient psychiatric units and identify patient characteristics associated with these events; 2) Compare events detected through an epidemiologic record review with those reported to the VHA's adverse event reporting system, to assess the completeness of the information currently available through this system; and 3) Use qualitative methods to understand the mechanisms by which patient, provider, and organizational factors improve or impede patient safety in the VHA system, in order to refine a conceptual model of patient safety in psychiatry. Methods: The study will draw from a national sample of 40 VA psychiatric units and examine 12,000 hospitalizations, with the goal of addressing the objectives of the study by gathering and understanding representative data to inform VA practice and policy.

描述（由申请人提供）：影响：在退伍军人管理局，推进住院精神卫生保健患者安全的流行病学方法是利用经验证据确保患有严重精神疾病的患者在安全和治疗环境中接受护理的议程的一部分。背景：过去二十年来，减少不良事件已成为退伍军人事务部内外医疗保健系统的焦点。然而，精神障碍患者却被排除在该领域的主要研究之外。目标：当前应用程序旨在 1) 评估 VA 医疗中心住院精神科病房内发生的不良事件的发生率和性质，并确定与这些事件相关的患者特征； 2) 将通过流行病学记录审查发现的事件与向 VHA 不良事件报告系统报告的事件进行比较，以评估当前通过该系统获得的信息的完整性； 3) 使用定性方法了解患者、提供者和组织因素改善或阻碍 VHA 系统中患者安全的机制，以完善精神病学中患者安全的概念模型。方法：该研究将从 40 个 VA 精神科单位的全国样本中抽取，并检查 12,000 例住院治疗，目的是通过收集和理解代表性数据来为 VA 实践和政策提供信息，从而实现研究目标。