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Engaging Patients in Diagnostic Error Reporting

让患者参与诊断错误报告

基本信息

批准号：
10474339
负责人：
Traber L Giardina
金额：
$ 15.34万
依托单位：
BAYLOR COLLEGE OF MEDICINE
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：
2018-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10474339
关键词：
Engaging Patients Diagnostic Error Reporting

项目摘要

Project Summary/Abstract Diagnostic errors pose a significant threat to patient safety. According to the recent Institute of Medicine report, Improving Diagnosis in Health Care, most people will likely experience at least one diagnostic error in their lifetime, some with devastating consequences. Despite increased interest in diagnostic errors and policy initiatives to increase patient engagement, patient experiences of diagnostic error are underutilized as tools for improvement. The goal of this proposal is to develop and test an electronic patient-centered diagnostic error- reporting system. The specific aims are to: 1) Determine patients' and family members' experiences of diagnostic errors and views on patient-centered best practices for error reporting; 2) Identify current work system barriers and facilitators to patient reporting of diagnostic error; and 3) Develop and test an electronic, patient-centered, diagnostic error-reporting system to capture and classify patient- and family-reported diagnostic errors. In Aim 1, in-depth interviews will be conducted with patients and family members affected by diagnostic errors. In Aim 2, key informant interviews will be conducted with patient safety officers, safety and legal staff and clinicians to identify facilitators and barriers to learning from patient reports, including how to integrate it into existing error reporting strategies. In Aim 3, a taxonomy will be developed based on the language and personal experiences of patients and family members from Aim 1, findings from Aim 2 and input from key stakeholders (e.g., patients and experts in patient safety and clinical informatics). An electronic error- reporting system will be developed using the taxonomy to inform the data structure. To refine the electronic system, iterative usability testing will be conducted with patients and family members who have experienced diagnostic error. Finally, the patient-centered electronic error-reporting system will be pilot tested to determine its feasibility and acceptability with patients who have experienced a diagnostic error. This K01 award will facilitate Dr. Traber Giardina's long-term career goal to become an independent health services researcher. The protected time will allow her training and experience in four key areas: patient safety, participatory research methods, informatics and human factors principles. Training will be accomplished through a combination of didactic coursework, seminars, conferences and mentored research projects. My mentors, Hardeep Singh, MD, MPH, an experienced mentor and internationally recognized expert in diagnostic error research, and Dean Sittig, PhD, a nationally recognized expert in the field of applied clinical informatics, will supervise training. The proposed work represents a substantive departure from previous research in the area of improving patient safety by incorporating patient experiences into the diagnostic error literature and developing a patient-centered electronic diagnostic error-reporting system to capture and utilize patient reported diagnostic errors.

项目摘要/摘要诊断错误对患者安全构成重大威胁。根据医学研究所最近的报告，改善医疗诊断，大多数人可能会经历至少一个诊断错误在他们的一生中，有些会带来毁灭性的后果。尽管对诊断错误和策略的兴趣增加增加患者参与度的举措，患者的诊断错误体验没有被充分利用为进步。该提案的目标是开发和测试以患者为中心的电子诊断错误- 报告制度。具体目的是：1)确定患者及其家属的诊断错误和对以患者为中心的错误报告最佳实践的看法；2)确定当前工作系统障碍和患者报告诊断错误的促进者；以及3)开发和测试电子、以患者为中心的诊断错误报告系统，用于捕获和分类患者和家庭报告诊断错误。在目标1中，将深入访谈受影响的患者和家属。诊断错误。在目标2中，将与患者安全官员、安全和安全官员进行关键线人面谈法律工作人员和临床医生，以确定从患者报告中学习的促进者和障碍，包括如何将其集成到现有的错误报告策略中。在目标3中，将根据目标1患者和家属的语言和个人经历、目标2的调查结果和投入来自关键利益相关者(例如，患者和患者安全和临床信息学方面的专家)。一个电子错误- 报告系统将使用分类法开发，以告知数据结构。提炼电子产品系统，迭代可用性测试将与患者和家属谁经历了诊断错误。最后，将对以患者为中心的电子差错报告系统进行试点测试，以确定它的可行性和可接受性对于经历过诊断错误的患者来说。这一K01奖项将有助于Traber Giardina博士的长期职业目标成为一名独立的卫生服务研究员。受保护的时间将允许她在四个关键领域进行培训和经验：患者安全、参与式研究方法、信息学和人的因素原则。培训将会完成通过教学课程、研讨会、会议和有指导的研究项目相结合。我的导师，医学博士，公共卫生硕士，经验丰富的导师和国际公认的诊断专家 Error Research和应用临床信息学领域的国家公认专家Dean Sittig博士，将监督培训。拟议的工作实质上偏离了以前在通过将患者经验纳入诊断错误文献来提高患者安全性的领域开发以患者为中心的电子诊断差错报告系统以捕获和利用患者已报告诊断错误。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies' Report Improving Diagnosis in Health Care.

DOI：
10.1097/pts.0000000000000999
发表时间：
2022-12-01
期刊：
JOURNAL OF PATIENT SAFETY
影响因子：
2.2
作者：
Giardina, Traber D.;Hunte, Haslyn;Hill, Mary A.;Heimlich, S. Layla;Singh, Hardeep;Smith, Kelly M.
通讯作者：
Smith, Kelly M.

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes.

DOI：
10.1093/jamia/ocac036
发表时间：
2022-05-11
期刊：
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
影响因子：
6.4
作者：
Giardina, Traber D.;Choi, Debra T.;Upadhyay, Divvy K.;Korukonda, Saritha;Scott, Taylor M.;Spitzmueller, Christiane;Schuerch, Conrad;Torretti, Dennis;Singh, Hardeep
通讯作者：
Singh, Hardeep

Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.