Resilient Communication Systems: A Pediatric Patient Safety Learning Lab

弹性通信系统：儿科患者安全学习实验室

• 批准号: 10713856
• 负责人: Halley Ruppel
• 金额: $ 49.98万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10713856
• 关键词: Resilient; Communication; Systems; Pediatric; Patient

PROJECT SUMMARY/ABSTRACT Estimates suggest that nearly 1 in 10 hospitalized children may experience a safety or harm event, and communication breakdown is a leading contributor to patient safety and harm events. A 2010 study estimated that inefficient clinical communication cost US hospitals an estimated $12 billion annually in wasted clinician time and increased lengths of stay. The introduction of technologies such as smartphones and secure text messaging are transforming how, when, and what acute care clinicians communicate among each other. Developing an infrastructure to proactively evaluate these systems, and build their resilience, is critical. The goal of this project is to create a novel, nurse-led Pediatric Patient Safety Learning Lab with the objective of reengineering interprofessional (e.g., nurse-physician) communication work systems for pediatric acute care settings. The Learning Lab will consist of a multidisciplinary team of clinician-researchers, human factors engineers, human-centered design experts, and operational safety experts from Children's Hospital of Philadelphia and the University of Pennsylvania. We will also engage stakeholders, including bedside clinicians and families of hospitalized children, whose experience of care may be altered by changes to how clinicians communicate. We will use a systems engineering approach (Problem Analysis, Design, Development, Implement, and Evaluate) to proactively assess the interprofessional communication work system, processes, and outcomes, to identify opportunities for improvement before safety events occur. The Specific Aims of this project are to (1) Conduct a problem analysis of the interprofessional communication work system and work processes used in the care of hospitalized children; (2) Design and develop interventions to engineer a safer, more effective, and more resilient interprofessional communication work system; (3) Implement and evaluate the interventions in the clinical environment to gauge real-world impact. Our Learning Lab will be guided by two frameworks, the Systems Engineering Initiative for Patient Safety model and the Integrated Resilience Attributes Framework. The product of this Learning Lab will be a resilient system for interprofessional communication, one that can positively adapt in the face of anticipated and unanticipated changes and maintain the safety of care provided during the estimated 2.5 million pediatric hospitalizations each year.

项目概要/摘要 据估计，近十分之一的住院儿童可能会经历安全或伤害事件，并且 沟通故障是导致患者安全和伤害事件的主要原因。 2010 年的一项研究估计 临床沟通效率低下，美国医院每年因浪费临床医生而损失约 120 亿美元 时间和停留时间增加。智能手机和安全文本等技术的引入 消息传递正在改变急症护理临床医生之间相互沟通的方式、时间和内容。 开发基础设施来主动评估这些系统并增强其弹性至关重要。这 该项目的目标是创建一个由护士主导的新颖的儿科患者安全学习实验室，其目标是 重新设计儿科急症护理的跨专业（例如护士-医生）沟通工作系统 设置。学习实验室将由临床医生研究人员、人为因素组成的多学科团队组成 来自儿童医院的工程师、人性化设计专家、操作安全专家 费城和宾夕法尼亚大学。我们还将让利益相关者参与其中，包括床边临床医生 以及住院儿童的家庭，他们的护理经历可能会因临床医生方式的改变而改变 交流。我们将使用系统工程方法（问题分析、设计、开发、 实施和评估）主动评估跨专业沟通工作系统、流程、 和结果，以便在安全事件发生之前确定改进的机会。本次活动的具体目标 项目内容是（1）对跨专业沟通工作体系和工作进行问题分析 用于护理住院儿童的流程； (2) 设计和开发干预措施，以设计一个更安全、 更有效、更有弹性的跨专业沟通工作体系； （三）实施与评估 在临床环境中进行干预以衡量现实世界的影响。我们的学习实验室将由两名 框架、患者安全系统工程倡议模型和综合弹性 属性框架。该学习实验室的产品将是一个跨专业的弹性系统 沟通，一种能够积极适应预期和意外变化的沟通方式， 维持每年估计 250 万名儿童住院期间提供的护理安全。