Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign

通过 eMAR 重新设计提高患者安全和临床医生认知支持

• 批准号: 10405456
• 负责人: Aaron Zachary Hettinger
• 金额: $ 38.79万
• 依托单位: MEDSTAR HEALTH RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10405456
• 关键词: Improving; Patient; Safety; Clinician; Cognitive

Project Summary/Abstract Written The objective of the proposed research is to reduce the patient safety hazards associated with electronic medication administration records (eMARs) by, (1) understanding current usability and safety gaps, and (2) creating design and development documents, wireframes, and prototypes to serve as the foundation for future eMARs that will eliminate these gaps. In particular, we focus on communication and information flow challenges between nurses, pharmacists, and physicians during medication administration and use of the eMAR. The proposed research is in direct response to special emphasis notice (NOT-HS-16-009). We will develop a broad understanding of usability and safety hazards associated with eMARs by analyzing a large dataset of 1.7 million patient safety event reports and detailed medication error related narratives. We will then conduct heuristic analyses of current eMARs, and interviews and observations of physicians, nurses, and pharmacists. These data will serve to inform the development of eMAR design documents, wireframes, and prototypes as the foundation for future development. This project utilizes the extensive expertise of the research team in human factors and safety science, health information technology (health IT), informatics, and data science. Our research team includes physicians, nurses, pharmacists, and human factors engineers, and experts in natural language processing. In addition, our partnerships include a patient safety organization and a health IT vendor. The proposal addresses fundamental aspects of the call for proposals by providing new insights on the safety of health IT and improves current practices by developing use cases and new prototypes for immediate use by healthIT vendors. Contributions from this research will include a fundamental understanding of the role of health IT during medication administration with a focus on communication and information flow, design, development and testing documents for vendors and providers, and eMAR wireframes and prototypes to improve development. Our research will also provide organizations like the Office of the National Coordinator with medication related test scenarios to assess current health IT systems.

项目摘要/摘要已写

项目成果

Communication through the electronic health record: frequency and implications of free text orders.

通过电子健康记录进行通信：自由文本订单的频率和影响。

• DOI: 10.1093/jamiaopen/ooaa020
• 发表时间: 2020
• 期刊: JAMIA open
• 影响因子: 2.1
• 作者: Kandaswamy,Swaminathan;Hettinger,AaronZ;Hoffman,DanielJ;Ratwani,RajM;Marquard,Jenna
• 通讯作者: Marquard,Jenna

Identifying Electronic Medication Administration Record (eMAR) Usability Issues from Patient Safety Event Reports.

从患者安全事件报告中识别电子用药管理记录 (eMAR) 可用性问题。

• DOI: 10.1016/j.jcjq.2021.09.004
• 发表时间: 2021
• 期刊: Joint Commission journal on quality and patient safety
• 影响因子: 2.3
• 作者: Iqbal,AdeelR;Parau,CodrinA;Kazi,Sadaf;Adams,KatharineT;La,Long;Hettinger,AZachary;Ratwani,RajM
• 通讯作者: Ratwani,RajM

Emergency Physician Perceptions of Electronic Health Record Usability and Safety.

急诊医生对电子健康记录可用性和安全性的看法。

• DOI: 10.1097/pts.0000000000000849
• 发表时间: 2021
• 期刊: Journal of patient safety
• 影响因子: 2.2
• 作者: Pruitt,ZoeM;Howe,JessicaL;Hettinger,AaronZ;Ratwani,RajM
• 通讯作者: Ratwani,RajM

Free-Text Computerized Provider Order Entry Orders Used as Workaround for Communicating Medication Information.

自由文本计算机化提供者订单输入订单用作传达药物信息的解决方法。

• DOI: 10.1097/pts.0000000000000948
• 发表时间: 2022
• 期刊: Journal of patient safety
• 影响因子: 2.2
• 作者: Kandaswamy,Swaminathan;Grimes,Joanna;Hoffman,Daniel;Marquard,Jenna;Ratwani,RajM;Hettinger,AaronZ
• 通讯作者: Hettinger,AaronZ