Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Sy

提高整个连续体紧急护理的质量和效率：系统

• 批准号: 7714469
• 负责人: Jesse Mireth Pines
• 金额: $ 2.06万
• 依托单位: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7714469
• 关键词: Improving; Quality; Efficiency; Emergency; Care

DESCRIPTION (provided by applicant): Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Systems Approach American College of Emergency Physicians Abstract In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the United States Health System released three reports that outline a pathway to improved emergency medical care for U.S. citizens. A key area of focus in the reports is the need to improve our emergency care research infrastructure and productivity. In response to the IOM recommendations, the American College of Emergency Physicians (ACEP) proposes a one-day conference titled Improving the Quality and Efficiency of Emergency Care Across the Continuum: A Systems Approach that will bring together a diverse group of healthcare stakeholders for a one-day consensus conference to be held in Boston, MA on October 4, 2009. The goal of this conference is to determine how the processes of care delivery in the emergency care system can be designed and used more effectively to provide solutions to quality and efficiency problems present in the United States healthcare system. Conference participants will come together to critically examine the interface between the emergency department (ED) and other core components of the health care delivery system, to explore the role of the ED in improving patient care, and to look 'downstream' at ways to improve the quality, safety, efficiency and effectiveness of care across the healthcare continuum. Research priorities will be set so that interactions between the ED, hospital, and outpatient settings are optimized, especially where value is added and waste is minimized. In looking expansively and creatively, this conference will help clarify how patient flow, information management, communication and transitions can be improved in ways that will be beneficial to patients, caregivers, and payers. The conference will seek to better understand the core competencies of the current emergency care system, to identify how these can be leveraged to improve healthcare in general, and to prioritize research questions that require further study and intervention. The timing is right for this conference, as new technology is being implemented in the healthcare system and imperatives to optimize value are a priority. In considering the entire continuum of care, and not just focusing on ED treatment in isolation, much opportunity exists to identify high impact, creative solutions to the nation's healthcare problems. A white paper delineating the conference recommendations will be issued to AHRQ and submitted to a peer-review journal to help design and prioritize research funding programs that will ultimately improve patient care in this country. American College of Emergency Physicians

描述（由申请人提供）：提高整个连续性急诊疗法的质量和效率：2006年6月，美国急诊医师学院摘要的系统方法，美国卫生系统急诊室未来委员会（IOM）委员会发布了三个报告，概述了改善美国公民紧急医疗保健的途径。报告中重点的关键领域是需要提高我们的紧急护理研究基础设施和生产力。为了回应IOM建议，美国急诊医师学院（ACEP）提出了一个为期一天的会议，称提高连续性急诊室的质量和效率：一种系统方法：一种系统方法，将一组多样化的医疗保健利益相关者聚集在一起，以进行一日共识会议，以在2009年10月4日的启发下进行，以确定该系统的临时活动。有效地为美国医疗保健系统中存在的质量和效率问题提供解决方案。会议参与者将聚集在一起，批判性地研究急诊室（ED）与医疗保健提供系统的其他核心组成部分之间的界面，探索ED在改善患者护理方面的作用，并以提高医疗保健范围内护理的质量，安全性，安全性，安全性，效率和有效性来“下游”。将设定研究优先级，以便优化ED，医院和门诊环境之间的相互作用，尤其是在增加价值并降至浪费的情况下。在广泛和创造性的过程中，这次会议将有助于阐明患者流动，信息管理，沟通和过渡如何以对患者，护理人员和付款人有益的方式改善。该会议将寻求更好地了解当前急诊系统的核心能力，以确定如何利用这些能力来改善医疗保健，并优先考虑需要进一步研究和干预的研究问题。这次会议的时机是正确的，因为在医疗保健系统中正在实施新技术，并且要优化价值的必要性是优先事项。在考虑整个护理的连续体，而不仅仅是孤立地关注ED治疗，还存在许多机会，以确定对国家医疗保健问题的高影响力，创造性的解决方案。一份划定会议建议的白皮书将向AHRQ发出，并提交给同行评审杂志，以帮助设计和优先考虑研究资金计划，以最终改善该国的患者护理。美国急诊医师学院

项目成果

Enhancing systems to improve the management of acute, unscheduled care.

• DOI: 10.1111/j.1553-2712.2011.01080.x
• 发表时间: 2011-06-01
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: Braithwaite, Sabina A;Pines, Jesse M;Epstein, Stephen K
• 通讯作者: Epstein, Stephen K

Using information technology to improve the quality and safety of emergency care.

利用信息技术提高急救质量和安全性。

• DOI: 10.1111/j.1553-2712.2011.01070.x
• 发表时间: 2011
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: Handel,DanielA;Wears,RobertL;Nathanson,LarryA;Pines,JesseM
• 通讯作者: Pines,JesseM

Frequent users of emergency department services: gaps in knowledge and a proposed research agenda.

• DOI: 10.1111/j.1553-2712.2011.01086.x
• 发表时间: 2011-06-01
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: Pines, Jesse M;Asplin, Brent R;Yealy, Donald M
• 通讯作者: Yealy, Donald M