Improved Patient Safety With Information Technology

通过信息技术提高患者安全

• 批准号: 6449846
• 负责人: Joseph Marcus Overhage
• 金额: $ 50.3万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6449846
• 关键词: asthma; clinical research; clinical trials; congestive heart failure; cooperative study; health care personnel performance; health service demonstration project; human subject; information systems; outpatient care

We propose to use a well-established clinical information system to identify "indicators" of errors in ambulatory patient care in 18 practices which are part of a practice based research network (ResNet). A clinical focus team, including a specialty physician, general internist and nurse, will analyze these indicator data using root cause and multidimensional exploratory data analysis methods to identify changes in the delivery system that can potentially reduce the "indicators". Because of the demonstrated effectiveness of clinical decision support systems (CDSS) in changing physician behavior, we propose to prospectively test this specific change in the delivery system. We will also test the value of delivering summarized indicator data to the physicians along with "academic detailing" and the synergies between this change with CDSS. The primary outcome will be the number of "indicators" identified from the clinical information system.

我们建议使用完善的临床信息系统来识别 18 个实践中门诊患者护理错误的“指标”，这些实践是基于实践的研究网络 (ResNet) 的一部分。包括专科医生、普通内科医生和护士在内的临床焦点团队将使用根本原因和多维探索性数据分析方法来分析这些指标数据，以识别可能减少“指标”的输送系统的变化。由于临床决策支持系统（CDSS）在改变医生行为方面已被证明是有效的，因此我们建议前瞻性地测试输送系统中的这一特定变化。我们还将测试向医生提供汇总指标数据以及“学术细节”的价值，以及这一变化与 CDSS 之间的协同作用。主要结果将是从临床信息系统中识别出的“指标”的数量。