Failure to Rescure-Patient Safety Learning Lab (FTR-PSLL)

未能营救患者安全学习实验室 (FTR-PSLL)

• 批准号: 9354439
• 负责人: GEORGE T BLIKE
• 金额: $ 95.32万
• 依托单位: DARTMOUTH-HITCHCOCK
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9354439
• 关键词: Failure; Rescure; Patient; Safety; Learning

 DESCRIPTION (provided by applicant): Despite over a decade of safety work in healthcare, injury and death due to preventable events remain the third leading cause of death in the U.S. [1] Wide variation in mortality rates across hospitals suggest substantial opportunities for improvement. Several decades of patient safety work have been focused on preventing complications in an effort to ultimately reduce mortality. However, these efforts have not had a significant impact and there is growing recognition that high mortality and low mortality hospitals are distinguished less by their complication rates than by how successfully they recognize and manage complications once they occur during the early period of clinical deterioration. Thus, minimizing "failure to rescue" (i.e., death following a major complication) FTR) is critical to reducing mortality in hospitalized patients. Successful rescue hinges on early recognition and timely management of serious complications once they occur, which requires understanding all of the factors involved and which are most important. We propose to establish a FTR Patient Safety Learning Lab that is focused on creating the ideal hospital rescue system. The focus will be on early "upstream" recognition and management of non-preventable complications. Studies will target gaps in understanding the technology factors behind ideal risk assessment/surveillance supporting early detection of complications and the human factor that support the ideal individual and team response in effectively managing these complications. A novel translation approach will be used to rapidly support reliable "early" rescue. Ultimately, the ideal Integrated Rescue System will have tremendous potential to reduce both the mortality and harm currently associated with FTR.

 描述（由申请人提供）：尽管在医疗保健领域开展了十多年的安全工作，但可预防事件造成的伤害和死亡仍然是美国第三大死因 [1] 各医院死亡率的巨大差异表明有很大的改进机会。几十年来，患者安全工作一直致力于预防并发症，以最终降低死亡率。然而，这些努力并没有产生重大影响，人们越来越认识到高死亡率和低死亡率医院。 不同疾病的区别与其说是并发症发生率，不如说是它们在临床恶化早期发生并发症时如何成功地识别和处理并发症，因此，最大限度地减少“未能挽救死亡”（即发生重大并发症后的 FTR）对于减少并发症至关重要。住院患者的死亡率。 成功的救援取决于严重并发症发生后的早期识别和及时处理，这需要了解所有涉及的因素，以及哪些因素是最重要的。我们建议建立一个 FTR 患者安全学习实验室，专注于创建理想的医院救援系统。重点将放在对不可预防并发症的早期“上游”识别和管理上，研究将针对支持早期发现并发症的理想风险评估/监测背后的技术因素以及支持理想个人和团队的人为因素的理解差距。有效管理这些并发症的反应。一种新颖的翻译方法将用于快速支持可靠的“早期”救援，最终，理想的综合救援系统将具有降低目前与 FTR 相关的死亡率和伤害的巨大潜力。