NYU Patient Imaging Quality and Safety Laboratory (PIQS Lab

纽约大学患者影像质量与安全实验室（PIQS 实验室）

• 批准号: 9059311
• 负责人: Leora Horwitz
• 金额: $ 399.85万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 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 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9059311
• 关键词: NYU; Patient; Imaging; Quality; Safety

 DESCRIPTION (provided by applicant): Every year, 400 million radiology tests are performed in the United States (on average, 1.2 per person), at a cost of over $100 billion. Patients undergoing radiologic imaging or procedures are at risk for duplicative or inappropriate testing, radiation exposure, contrast reactions, procedural complications, delayed or missed diagnoses, and loss to follow up. The NYU Patient Imaging Quality and Safety Laboratory (PIQS Lab) will be a dynamic learning environment focused on improving safety and outcomes for these patients. The multidisciplinary PIQS Lab will connect experienced clinicians in the NYU Departments of Radiology, Emergency Medicine, Medicine, Orthopedics, Surgery and Urology with operations, human factors and management experts at NYU Langone Medical Center (NYULMC), the NYU Wagner School of Public Policy, and NYU Stern School of Business; and with design experts at the world-famous design firm IDEO. Together, we will comprehensively redesign our systems to improve the quality and safety of diagnostic and therapeutic radiology through three synergistic projects. In the first project, we will redesign the ambulatory radiology ordering process to minimize unnecessary or inappropriate studies. In the second project, we will redesign the inpatient interventional radiology consultation process to improve the safety of patients undergoing inpatient procedures. In the third project, we will redesign the follow-up process, from the radiology report itself to communication strategies with outside clinicians. All projects will examine radiology imaging failures through similar conceptual lenses of shared sensemaking (making sense of dynamic and ambiguous information without oversimplifying or ignoring discordant data) and sociotechnical systems (nature of the work, human-system interfaces , organization, environment, management). Supported by an Administrative/Operations core and an Informatics core. PIQS Lab faculty will take a design and engineering approach to clinical redesign, beginning with in-depth problem analysis, then preceding through design (brainstorming), development (prototyping), implementation and evaluation phases. PIQS Lab's impact will be enhanced by alignment with hospital priorities and connections to national organizations.

 描述（由适用提供）：每年，在美国进行4亿放射学测试（平均每人1.2），成本超过1000亿美元。接受放射成像或程序的患者有重复或不适当的测试，辐射暴露，对比反应，程序并发症，延迟或错过的诊断以及随访的损失的风险。 NYU患者成像质量和安全实验室（PIQS LAB）将是一个动态学习环境，旨在改善这些患者的安全性和结果。多学科的PIQS实验室将在纽约大学，急诊医学，医学，骨科，手术和泌尿科的纽约大学临床医生与运营，人为因素和管理专家的纽约大学医学中心（NYULMC），纽约州沃格纳沃格纳公共政策学院以及商业纽约大学的纽约州沃格纳学院；并与世界著名设计公司IDEO的设计专家一起。我们将通过三个协同项目一起全面重新设计系统，以提高诊断和治疗放射学的质量和安全性。在第一个项目中，我们将重新设计门诊放射学 订购过程以最大程度地减少不必要或不适当的研究。在第二个项目中，我们将重新设计住院介入放射学咨询过程，以提高正在接受住院程序的患者的安全性。在第三个项目中，我们将重新设计从放射学报告本身到与外部临床医生的交流策略的后续过程。所有项目都将通过共同的感官（使动态和模棱两可的信息有意义，而无需过度简化或忽略不一致的数据）和社会技术系统（工作的性质，人类系统界面，组织，组织，环境，管理）来检查放射学成像失败的失败。由行政/操作核心和信息学核心支持。 PIQS实验室教职员工将采用设计和工程方法进行临床重新设计，从深入的问题分析开始，然后是设计（头脑风暴），开发（原型），实施和评估阶段之前。 PIQS实验室的影响将通过与医院优先事项和与国家组织的联系保持一致。

项目成果

Efficacy and Impact of a Multimodal Intervention on CT Pulmonary Angiography Ordering Behavior in the Emergency Department.

多模式干预对急诊科 CT 肺血管造影订购行为的功效和影响。

• DOI: 10.1016/j.jacr.2023.02.033
• 发表时间: 2024
• 期刊: Journal of the American College of Radiology : JACR
• 作者: Gyftopoulos,Soterios;Simon,Emma;Swartz,JordanL;Smith,SilasW;Martinez,LeticiaSantos;Babb,JamesS;Horwitz,LeoraI;Makarov,DanilV
• 通讯作者: Makarov,DanilV