Medication Safety in Primary Care Practice - Translating Research into Practice (

初级保健实践中的用药安全 - 将研究转化为实践（

• 批准号: 7675960
• 负责人: STEVEN Mark ORNSTEIN
• 金额: $ 41.11万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7675960
• 关键词: Medication; Safety; Primary; Care; Practice

Medication errors in primary care practice are an important cause of morbidity but the extent of these errors is largely unknown and effective interventions for reducing these errors need to be developed and tested. The Practice Partner Research Network (PPRNet), a practice-based research network among primary health care providers practicing in 38 States who use a common electronic medical record (EMR), has developed a quality improvement model for successfully translating research into primary care practice termed PPRNet-TRIP. PPRNet- TRIP incorporates prioritization of evidence-based quality philosophies, involving all staff (teamwork), delivery system redesign, patient activation, and EMR tools for individualized and population-based medicine. PPRNet-TRIP is implemented in practice settings through a combination of practice performance reports, practice site visits, network meetings, and webbased tools. The purpose of the activities proposed in the application is to conduct a demonstration project among 20 PPRNet practices. The project is intended to develop a set of medication safety measures relevant for primary care, incorporate these measures in practice performance reports sent quarterly to participating practices, and assess the impact of PPRNet- TRIP on the incidence of these errors. The project will be 3 years in duration. During the first 9 months, a preliminary set of medication safety indicators developed by the research team will be refined, using a consensus development process among the participating practices. Programs will be developed to add these medication safety measures to the quarterly PPRNet practice reports. A two year intervention will then be conducted, including the performance reports, network meetings, and practice site visits, to help practices systematize their use of the medication safety clinical decision support features in their EMR system. These features include warnings for drug allergies, drug-drug interactions, drug-disease interactions, incorrect dosages, and drug ineffectiveness; and prompts for therapeutic monitoring to prevent adverse drug events. After two years the impact of the intervention on the incidence of medication errors will be assessed. A mixed-method process evaluation will also be conducted to assess project. The findings will then be disseminated to other PPRNet practices and more broadly through presentations and publications.

初级保健实践中的药物错误是发病率的重要原因 这些错误在很大程度上是未知的，有效的干预措施需要减少这些错误 开发和测试。实践合作伙伴研究网络（PPRNET），一个基于实践的 在38个州执业的初级卫生保健提供者之间的研究网络 普通电子病历（EMR）已开发了一个质量改进模型 成功地将研究转化为原始保健实践，称为PPRNet-Trip。 pprnet- Trip纳入了基于证据的质量理念的优先级，涉及所有员工 （团队合作），交付系统重新设计，患者激活和EMR工具，用于个性化和 基于人群的药物。 PPRNET-TRIP通过A在实践设置中实现 练习绩效报告，实践访问，网络会议和网络的结合 工具。申请中提出的活动的目的是进行 20种PPRNET实践中的示范项目。该项目旨在开发一套 与初级保健相关的药物安全措施，将这些措施纳入实践 绩效报告每季度发送给参与实践，并评估PPRNET-的影响 这些错误的发生率。该项目的持续时间为3年。在前9个 几个月，研究团队制定的一套初步的药物安全指标将是 精致，使用参与实践之间的共识发展过程。程序 将开发以将这些药物安全措施添加到季度PPRNET实践中 报告。然后将进行两年的干预，包括绩效报告， 网络会议和练习现场访问，以帮助实践系统化他们对 药物安全临床决策支持其EMR系统中的功能。这些功能 包括警告药物过敏，药物相互作用，药物疾病相互作用，不正确 剂量和药物无效；并提示治疗监测以防止不良 毒品事件。两年后，干预对药物错误发生率的影响 将被评估。还将进行混合方法评估以评估项目。 然后，这些发现将被传播到其他PPRNET实践，并更广泛地通过 演讲和出版物。

项目成果

Improving medication safety in primary care using electronic health records.

使用电子健康记录提高初级保健的用药安全。

• DOI: 10.1097/pts.0b013e3181fe401f
• 发表时间: 2010
• 期刊: Journal of patient safety
• 影响因子: 2.2
• 作者: Nemeth,LynneS;Wessell,AndreaM
• 通讯作者: Wessell,AndreaM

Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention.

初级保健实践中的用药安全：PPRNet 质量改进干预措施的结果。

• DOI: 10.1177/1062860612445070
• 发表时间: 2013
• 期刊: American journal of medical quality : the official journal of the American College of Medical Quality
• 作者: Wessell,AndreaM;Ornstein,StevenM;Jenkins,RuthG;Nemeth,LynneS;Litvin,CaraB;Nietert,PaulJ
• 通讯作者: Nietert,PaulJ