Effectiveness of Pictographs to Prevent Wrong-Patient Errors in the NICU
象形文字可有效防止 NICU 中错误的患者错误
基本信息
- 批准号:10440291
- 负责人:
- 金额:$ 64.35万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-08-08 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:Academic Medical CentersAddressAdmission activityAdoptedBirthBirth OrderCaringChildhoodCodeColorConfusionCuesEffectivenessElectronic Health RecordElementsFirst NameFrequenciesFundingFunding OpportunitiesGoalsGuidelinesHealth PersonnelHospitalsImageInfantJointsLast NameLeadLength of StayMeasuresMedical ErrorsMedical RecordsMedication ErrorsMethodsMothersMultiple Birth OffspringNamesNational Institute of Child Health and Human DevelopmentNeonatalNeonatal Intensive Care UnitsNewborn InfantOutcome MeasurePanthera leoParentsPatientsPediatric HospitalsPerceptionPerinatalPrincipal InvestigatorProceduresProcessProviderPublishingQualitative EvaluationsRandomizedRandomized Controlled TrialsResearchRiskSafetySiblingsSiteSubgroupSurveysSystemTestingTimeTwin Multiple BirthUnited States Agency for Healthcare Research and QualityVisualdesigneffectiveness analysiseffectiveness evaluationeffectiveness testingexperiencehigh riskimprovedminimally invasiveneonatal patientnovelpatient safetypreventprimary outcomesexsymposium
项目摘要
Wrong-patient errors pose a serious threat to patient safety, and newborns in the neonatal intensive
care unit (NICU) are at greatest risk. Half of infants in the NICU on any given day are estimated to be at risk of
a wrong-patient error as a result of having similar identifiers. A major contributing factor is the use of
temporary, nondistinct first names, e.g., Babyboy/Babygirl, that are assigned to newborns at birth and remain
unchanged throughout their hospital stay. Use of a distinct newborn naming convention that incorporated the
mother’s first name (e.g., Wendysgirl) reduced the risk of wrong-patient orders in the NICU by 36%. However,
the distinct naming convention conferred benefit only for singletons—multiple births remained at high risk as a
result of siblings sharing the same name distinguished by a single character (e.g., 1Wendysgirl, 2Wendysgirl).
Displaying patient photographs in electronic health records (EHRs) is a promising strategy to improve
patient identification. However, photographs are unlikely to be an effective identifier in the NICU where an
additional identifier is urgently needed. In place of patient photographs, we propose BabySAFE Pictographs
as a “photo equivalent” for newborns in the NICU. Pictographs consist of three elements: 1) a pictorial image of
a readily identifiable, distinctive, and easy-to-remember object; 2) the infant’s given name; and 3) a color-
coded border indicating the infant’s sex. Pictographs will be displayed at the bedside and in the EHR to serve
as a visual cue when providers place orders. Parents will select a Pictograph for their infants for the duration of
their hospital stay, with no two infants having the same Pictograph at the same time in the same NICU.
We propose conducting a cluster randomized controlled trial to assess the effectiveness of Pictographs
for reducing wrong-patient orders in the NICU. We will use the automated Wrong-Patient Retract-and-Reorder
measure, developed and validated by the Principal Investigator of this proposal, as the primary outcome
measure. Our main hypothesis is that Pictographs will reduce the frequency of wrong-patient orders in the
NICU, including among siblings of multiple births. We propose the following specific aims:
Aim 1: To conduct a multi-site, cluster randomized controlled trial to compare the frequency of wrong-
patient orders in the NICU between providers randomized to view verification screens with versus without
BabySAFE Pictographs, as identified by the Wrong-Patient Retract-and-Reorder measure.
Aim 2: To conduct subgroup analyses of the effectiveness of BabySAFE Pictographs for reducing the
frequency of wrong-patient orders among siblings of multiple births in the NICU.
Aim 3: To conduct a qualitative evaluation to examine the perceptions and experiences of healthcare
providers and parents about BabySAFE Pictographs as an additional identifier for newborns in the NICU.
This proposal addresses research gaps identified by the National Institute of Child Health and Human
Development, which seeks projects to develop novel and improved methods of neonatal patient identification.
错诊误诊严重威胁患者安全,新生儿重症监护
重症监护病房(NICU)的风险最大。据估计,NICU中任何一天都有一半的婴儿有患上
由于具有相似的标识符而导致的患者错误。一个主要的贡献因素是使用
临时的、不明确的名字,例如,BabyBoy/BabyGirl,出生时分配给新生儿并一直保留下来
在他们住院期间没有变化。使用独特的新生儿命名约定,该约定结合了
母亲的名字(例如,WendysGirl)将NICU中误开病人医嘱的风险降低了36%。然而,
独特的命名惯例只对独生子女有利--多胎生育仍然是一种高风险
由单个字符区分的同名兄弟姐妹的结果(例如,1WendysGirl,2WendysGirl)。
在电子健康记录(EHR)中显示患者照片是一种很有前途的改进策略
病人身份证明。然而,在NICU中,照片不太可能成为有效的标识,因为
迫切需要额外的识别符。代替病人照片,我们建议使用BabySafe象形文字
作为新生儿在NICU的“照相工具”。象形文字由三个要素组成:1)象形文字
易辨认的、独特的、易记的物体;2)婴儿的名字;3)颜色--
编码边框指示婴儿的性别。床边和电子病历内将展示象形图,以提供服务
作为供应商下单时的视觉提示。父母将为他们的婴儿选择一个象形文字
他们住在医院,没有两个婴儿在同一个NICU的同一时间有相同的象形文字。
我们建议进行一项整群随机对照试验来评估象形文字的有效性
以减少NICU中错误的病人订单。我们将使用自动错误患者退回和重新排序
由本提案的主要调查员制定和验证的措施,作为主要成果
测量。我们的主要假设是,象形文字将减少错误的患者订单的频率
NICU,包括多胎兄弟姐妹。我们提出了以下具体目标:
目的1:进行多点、整群随机对照试验,比较错误率和误诊率。
NICU提供者之间的患者订单随机分为有无验证屏幕和无验证屏幕
BabySafe象形文字,由错误的患者收回和重新排序测量确定。
目的2:对BabySafe象形文字减少儿童死亡率的有效性进行亚组分析
新生儿重症监护室多胎兄弟姐妹错医嘱的发生频率。
目标3:进行定性评估,以检查对医疗保健的看法和体验
供应商和父母将BabySafe象形文字作为新生儿在NICU的额外标识。
这项提案解决了国家儿童健康与人类研究所确定的研究空白
开发,寻求开发新的和改进的新生儿患者识别方法的项目。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
A National Survey on the Use of Temporary Naming Conventions for Newborns: 5-Year Follow-up.
关于新生儿临时命名约定使用情况的全国调查:五年随访。
- DOI:10.1177/0009922820922534
- 发表时间:2020
- 期刊:
- 影响因子:1.6
- 作者:Besagar,Sonya;Robles,PatrickLouieA;Manzano,Wilhelmina;Applebaum,JoR;Goffman,Dena;Adelman,JasonS
- 通讯作者:Adelman,JasonS
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Jason Stuart Adelman其他文献
Jason Stuart Adelman的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Jason Stuart Adelman', 18)}}的其他基金
Simulation for Attending Obstetricians to Improve Technical Skills for Managing Postpartum Hemorrhage
模拟主治产科医生提高处理产后出血的技术技能
- 批准号:
10650709 - 财政年份:2022
- 资助金额:
$ 64.35万 - 项目类别:
Simulation for Attending Obstetricians to Improve Technical Skills for Managing Postpartum Hemorrhage
模拟主治产科医生提高处理产后出血的技术技能
- 批准号:
10346611 - 财政年份:2022
- 资助金额:
$ 64.35万 - 项目类别:
Effectiveness of Pictographs to Prevent Wrong-Patient Errors in the NICU
象形文字可有效防止 NICU 中错误的患者错误
- 批准号:
9759951 - 财政年份:2018
- 资助金额:
$ 64.35万 - 项目类别:
Columbia University Patient Safety and Health Services Research Training
哥伦比亚大学患者安全与健康服务研究培训
- 批准号:
10187649 - 财政年份:2018
- 资助金额:
$ 64.35万 - 项目类别:
Effectiveness of Pictographs to Prevent Wrong-Patient Errors in the NICU
象形文字可有效防止 NICU 中错误的患者错误
- 批准号:
9980442 - 财政年份:2018
- 资助金额:
$ 64.35万 - 项目类别:
Patient Safety and Health Services Research Training
患者安全与健康服务研究培训
- 批准号:
10747777 - 财政年份:2018
- 资助金额:
$ 64.35万 - 项目类别:
Effectiveness of Pictographs to Prevent Wrong-Patient Errors in the NICU
象形文字可有效防止 NICU 中错误的患者错误
- 批准号:
10204069 - 财政年份:2018
- 资助金额:
$ 64.35万 - 项目类别:
Columbia University Patient Safety and Health Services Research Training
哥伦比亚大学患者安全与健康服务研究培训
- 批准号:
10407968 - 财政年份:2018
- 资助金额:
$ 64.35万 - 项目类别:
Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records
提供证据并开发工具包以加速电子健康记录中患者照片的采用
- 批准号:
9750084 - 财政年份:2017
- 资助金额:
$ 64.35万 - 项目类别:
Assess Risk of Wrong Patient Errors in an EMR that Allows Multiple Records Open
评估允许打开多条记录的 EMR 中错误患者错误的风险
- 批准号:
8828955 - 财政年份:2014
- 资助金额:
$ 64.35万 - 项目类别:
相似海外基金
Rational design of rapidly translatable, highly antigenic and novel recombinant immunogens to address deficiencies of current snakebite treatments
合理设计可快速翻译、高抗原性和新型重组免疫原,以解决当前蛇咬伤治疗的缺陷
- 批准号:
MR/S03398X/2 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Fellowship
CAREER: FEAST (Food Ecosystems And circularity for Sustainable Transformation) framework to address Hidden Hunger
职业:FEAST(食品生态系统和可持续转型循环)框架解决隐性饥饿
- 批准号:
2338423 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Continuing Grant
Re-thinking drug nanocrystals as highly loaded vectors to address key unmet therapeutic challenges
重新思考药物纳米晶体作为高负载载体以解决关键的未满足的治疗挑战
- 批准号:
EP/Y001486/1 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Research Grant
Metrology to address ion suppression in multimodal mass spectrometry imaging with application in oncology
计量学解决多模态质谱成像中的离子抑制问题及其在肿瘤学中的应用
- 批准号:
MR/X03657X/1 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Fellowship
CRII: SHF: A Novel Address Translation Architecture for Virtualized Clouds
CRII:SHF:一种用于虚拟化云的新型地址转换架构
- 批准号:
2348066 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Standard Grant
The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health
丰富项目:增强文化
- 批准号:
AH/Z505481/1 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Research Grant
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10107647 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
EU-Funded
BIORETS: Convergence Research Experiences for Teachers in Synthetic and Systems Biology to Address Challenges in Food, Health, Energy, and Environment
BIORETS:合成和系统生物学教师的融合研究经验,以应对食品、健康、能源和环境方面的挑战
- 批准号:
2341402 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Standard Grant
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10106221 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
EU-Funded
Recite: Building Research by Communities to Address Inequities through Expression
背诵:社区开展研究,通过表达解决不平等问题
- 批准号:
AH/Z505341/1 - 财政年份:2024
- 资助金额:
$ 64.35万 - 项目类别:
Research Grant