Failure to Rescure-Patient Safety Learning Lab (FTR-PSLL)

未能营救患者安全学习实验室 (FTR-PSLL)

• 批准号: 9060608
• 负责人: John D Birkmeyer
• 金额: $ 97.6万
• 依托单位: DARTMOUTH-HITCHCOCK
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9060608
• 关键词: Failure; Rescure; Patient; Safety; Learning

 DESCRIPTION (provided by applicant): Despite over a decade of safety work in healthcare, injury and death due to preventable events remain the third leading cause of death in the U.S. [1] Wide variation in mortality rates across hospitals suggest substantial opportunities for improvement. Several decades of patient safety work have been focused on preventing complications in an effort to ultimately reduce mortality. However, these efforts have not had a significant impact and there is growing recognition that high mortality and low mortality hospitals are distinguished less by their complication rates than by how successfully they recognize and manage complications once they occur during the early period of clinical deterioration. Thus, minimizing "failure to rescue" (i.e., death following a major complication) FTR) is critical to reducing mortality in hospitalized patients. Successful rescue hinges on early recognition and timely management of serious complications once they occur, which requires understanding all of the factors involved and which are most important. We propose to establish a FTR Patient Safety Learning Lab that is focused on creating the ideal hospital rescue system. The focus will be on early "upstream" recognition and management of non-preventable complications. Studies will target gaps in understanding the technology factors behind ideal risk assessment/surveillance supporting early detection of complications and the human factor that support the ideal individual and team response in effectively managing these complications. A novel translation approach will be used to rapidly support reliable "early" rescue. Ultimately, the ideal Integrated Rescue System will have tremendous potential to reduce both the mortality and harm currently associated with FTR.

 描述（由适用提供）：尽管在医疗保健方面进行了十多年的安全工作，可预防事件引起的伤害和死亡仍然是美国第三大主要死亡原因[1]整个医院的死亡率差异很大，这表明有很大的改善机会。数十年的患者安全工作一直集中在防止并发症上，以最终降低死亡率。但是，这些努力并没有产生重大影响，并且越来越认识到高死亡率和低死亡率医院 与并发症发生率相比，它们在临床恶化的早期发生时的成功识别和管理并发症的区别要少。这最大程度地减少了“未能营救”（即，重大并发症后的死亡）FTR对于降低住院患者的死亡率至关重要。 成功地挽救了对早期认识和严重并发症发生的及时管理的取决，这需要了解所有涉及的因素和最重要的因素。我们建议建立一个FTR患者安全学习实验室，该实验室的重点是创建理想的医院救援系统。重点将放在早期的“上游”识别和对不可预防并发症的管理。研究将针对理解理想风险评估/监视的技术因素的差距，以支持并发症的早期检测以及支持理想个人和团队反应的人为因素，以有效地管理这些并发症。一种新颖的翻译方法将用于快速支持可靠的“早期”救援。最终，理想的综合救援系统将具有巨大的潜力，以减少与FTR相关的死亡率和危害。