Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network

患者安全学习实验室旨在提高区域护理网络中新生儿设施间转移的价值和安全性

• 批准号: 10006783
• 负责人: Rachel A Umoren
• 金额: $ 60.9万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-06 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10006783
• 关键词: Patient; Safety; Learning; Laboratory; Enhance

Project Summary/Abstract The overall goal of this project is to establish a Patient Safety Learning Laboratory to advance patient safety for critically ill newborns during medical ground or air transport from one hospital to another within a regional network. The project will use a five-stage innovation cycle, including: problem analysis, design, development, implementation, and evaluation to identify and address the salient issues and risks of regional neonatal transportation for which new and innovative approaches are needed. In collaboration with transport providers and other stakeholders, we will analyze current workflow processes, transport records (local and statewide databases), and facilities at referral and receiving facilities to develop a complete understanding of system issues and to define the current and ideal states. This detailed problem analysis phase will enable the redesign of clinical workflow processes to optimize regional consultation, triage, and transport of newborns to facilities with the appropriate level of care and availability of space and staffing. With the input of clinical transport team staff and stakeholders, the project team will work with collaborators from the University of Washington Industrial and Systems Engineering Department to design and develop a novel, secure, Transport Monitoring and Communications (T-MAC) system to enhance video communication while on transport. The T-MAC system will undergo repeated testing and revision to ensure that it can functionally and efficiently facilitate information flow between the medical control physician, referring facility and transport team. In addition, we will develop robust documentation processes that can conveniently be used during the transport that includes checklists that prompt safety behaviors and provides a robust dataset for tracking adverse patient safety events. To accomplish this, we will work with transport team providers to create forms that are suitable for electronic documentation with the goal of streamlining documentation on transport and facilitating identification of transport-specific safety issues. The efficacy of the T-MAC system will be evaluated in a realistic in situ and data-driven 3D visualization models. We are confident that the lessons learned through this study will improve neonatal patient safety on medical transports and will be transferable to patient populations that undergo medical ground or air transports over large geographical regions.

项目概要/摘要 该项目的总体目标是建立患者安全学习实验室，以提高患者安全 地区内从一家医院到另一家医院的地面或空中医疗运输期间病情危重的新生儿 网络。该项目将采用五个阶段的创新周期，包括：问题分析、设计、开发、 实施和评估，以确定和解决区域新生儿的突出问题和风险 需要新的创新方法的运输。 我们将与运输提供商和其他利益相关者合作，分析当前的工作流程， 运输记录（本地和全州数据库）以及转诊和接收设施，以制定 完全理解系统问题并定义当前和理想状态。这个详细的问题 分析阶段将能够重新设计临床工作流程，以优化区域会诊、分诊、 将新生儿运送到具有适当护理水平并拥有空间和人员配备的设施。 根据临床运输团队工作人员和利益相关者的意见，项目团队将与来自以下领域的合作者合作： 华盛顿大学工业与系统工程系设计和开发了一种新颖的、 安全的传输监控和通信 (T-MAC) 系统可增强开机时的视频通信 运输。 T-MAC系统将经过反复测试和修改，以确保其功能和性能 有效促进医疗控制医生、转诊机构和运输团队之间的信息流动。 此外，我们将开发强大的文档流程，可以在运输过程中方便地使用 其中包括提示安全行为的清单，并提供用于跟踪不良患者的强大数据集 安全事件。为了实现这一目标，我们将与运输团队提供商合作创建适合的表格 电子文件，旨在简化运输文件并便利识别 运输特定的安全问题。 T-MAC 系统的功效将在真实的现场和数据驱动的 3D 可视化模型中进行评估。 我们相信，通过这项研究吸取的经验教训将提高新生儿患者的医疗安全 运输并将可转移到接受大规模地面或空中医疗运输的患者群体 地理区域。