Learning From Primary Care EHR Exemplars About HIT Safety

向初级保健 EHR 范例学习 HIT 安全

基本信息

批准号：
9017036
负责人：
STEVEN Mark ORNSTEIN
金额：
$ 20万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-01 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9017036
关键词：
Learning Primary Care EHR Exemplars

项目摘要

DESCRIPTION (provided by applicant): In response to AHRQ Special Emphasis Notice (SEN NOT-HS-15-005) and in recognition of the need for new evidence on safe health information technology (HIT) practices, the goal of the proposed project is to identify pragmatic approaches to safe electronic health record (EHR) use in primary care. This issue is particularly salient in small primary care practices with minimal resources devoted to HIT. In this application we propose such exploration among exemplar practices in the Primary Care Practices Research Network (PPRNet), an AHRQ-sponsored Center for Primary Care Practice-Based Research and Learning. Exemplar practices are defined as those achieving high performance on a broad set of clinical quality measures. The project aims to: 1) conduct focus group interviews with primary care clinicians from 20 small exemplar practices to identify their perspectives on recommended practices from the Office of the National Coordinator for HIT SAFER guides, their adoption of these practices, and their impact on EHR safety; 2) conduct key informant interviews with EHR vendor experts to provide additional perspectives on strategies associated with safe HIT; and, 3) use qualitative transcript- based analyses to develop a taxonomy of pragmatic key strategies and best practices for safe EHR use in small primary care practices. Findings from this study should help tens of thousands of small primary care practices in the United States prevent patient safety issues resulting from their adoption of EHRs.

描述（由适用提供）：响应AHRQ特别强调通知（SEN NOT-HS-15-005），并认识到需要有关安全健康信息技术（HIT）实践的新证据的必要性，该项目的目的是确定在初级保健中使用安全电子健康记录（EHR）的务实方法。这个问题在小型初级保健实践中尤为明显，而这些问题的资源最少。在本应用程序中，我们在初级保健实践研究网络（PPRNET）中提出了这种探索，这是AHRQ赞助的基于初级保健实践的研究和学习中心。示例练习被定义为那些在广泛的临床质量指标上实现高性能的实践。该项目的目的是：1）从20个小型示例实践中与初级保健临床医生进行焦点小组访谈，以确定他们对国家协调员办公室的推荐做法的观点，以进行命中率更安全的指南，采用这些实践以及对EHR安全的影响； 2）与EHR供应商专家进行关键的线人访谈，以提供与安全命中相关的策略的其他观点； 3）使用基于定性笔录的分析来制定务实的关键策略和最佳实践的分类法，以在小型初级保健实践中安全使用。这项研究的结果应有助于美国成千上万的小型初级保健实践，以防止患者安全问题，从而导致他们采用EHR。