Leveraging Human Factors to Evaluate Quality of Neonatal Delivery Room Care

项目总结/摘要 这个指导临床科学家研究职业发展奖（K 08）的目的是准备 海蒂·M Herrick，医学博士，医学和社会科学硕士，儿童医院的临床讲师和主治医师， 费城和宾夕法尼亚大学医院为她的长期目标，成为一个 独立的卫生服务研究科学家，在人为因素（HF）及其应用方面具有专业知识， 新生儿复苏她的长期职业目标是将HF方法应用于新生儿复苏， 改善提供者复苏性能和新生儿结局。她的近期目标是获得 导师，培训和研究经验，需要成功地竞争R 01赠款，旨在 优化新生儿复苏，以减少DR实践和结果的变化。实现这些目标 和过渡到独立，赫里克博士和她的导师已经开发了一个全面的职业生涯 基于以下内容的发展计划：（1）来自一个团队的密集指导， 合作和奖学金的良好记录;（2）复杂系统、质量指标的HF高级培训 发展和定性方法;（3）指导领导职位，（4）创新研究 计划使用HF框架来定义和验证灾难恢复质量指标，并开发全面的灾难恢复 模型来评估影响质量的因素。 早产是一个主要的临床问题，具有巨大的社会负担和成本， 交付在美国。DR复苏对极早产儿的存活至关重要。 不幸的是，在美国，DR实践和结果存在显著差异。这种变化 强调需要改善和持续的护理。不幸的是，没有全面的 评估DR护理的方法，并且没有经过验证的DR质量指标来帮助解释和纠正这一点 变化量在多中心研究中利用HF方法，Herrick博士的研究提案将填补这一空白。 知识差距通过（1）执行和深入工作系统分析DR复苏，以确定 影响过程和结果变化的系统因素，（2）确定和改进DR质量指标 使用修改后的德尔菲过程;（3）测试共识质量指标的可靠性和有效性。 Herrick博士的K 08研究将解决缺乏DR质量指标的关键差距。这些研究结果 研究将直接告知未来的R 01提案，旨在减少变异，以优化新生儿 复苏术她的职业发展计划概述了获得知识，技能和经验的明确途径 作为一名健康服务研究科学家，我需要获得独立性，并成为应用领域的领导者。 新生儿复苏的人为因素。

PROJECT SUMMARY/ABSTRACT The purpose of this Mentored Clinical Scientist Research Career Development Award (K08) is to prepare Heidi M. Herrick, MD MSCE, Clinical Instructor and Attending Physician at the Children’s Hospital of Philadelphia and the Hospital of the University of Pennsylvania for her long-term goal of becoming an independent health services research scientist with expertise in Human Factors (HF) and its application to neonatal resuscitation. Her long-term career objective is to apply HF methodology to neonatal resuscitation to improve provider resuscitation performance and neonatal outcomes. Her immediate goal is to acquire the mentorship, training, and research experience needed to successfully compete for R01 grants aimed at optimizing neonatal resuscitation to decrease variation in DR practices and outcomes. To achieve these goals and transition to independence, Dr. Herrick and her mentors have developed a comprehensive career development plan based on the following: (1) intensive mentorship from a team with whom she has a proven track record of collaboration and scholarship; (2) advanced training in HF in complex systems, quality metric development, and qualitative methodology; (3) mentored leadership positions, and (4) an innovative research plan to use a HF framework to define and validate DR quality metrics and to develop comprehensive DR models to evaluate factors that impact quality. Prematurity is a major clinical problem with enormous societal burden and cost, affecting one in ten deliveries in the US. DR resuscitation is paramount to the survival of extremely premature neonates. Unfortunately, significant variation in DR practices and outcomes exist within the US. This variation emphasizes the need for improved and consistent care. Unfortunately, there are no comprehensive approaches to assess DR care, and no validated DR quality metrics exist to help explain and rectify this variation. Leveraging HF methodology in a multicenter study, Dr. Herrick’s research proposal will fill this knowledge gap by (1) performing and in-depth works systems analysis of DR resuscitation to identify systematic factors that impact process and outcome variation, (2) identifying and refining DR quality metrics using a modified Delphi Process, and (3) testing reliability and validity of consensus quality metrics. Dr. Herrick’s K08 studies will address the critical gap of lack of DR quality metrics. The findings from these studies will directly inform future R01 proposals aimed at decreasing variation to optimize neonatal resuscitation. Her career development plan outlines a clear path to gain the knowledge, skills, and experience needed to gain independence as a health services research scientist and to become a leader in the application of human factors to neonatal resuscitation.