Preventable Medication Use Variance in Mississippi

密西西比大学医学中心（UMNIC）建议建立一个大规模的示范项目，以评估密西西比收集和使用信息的方法的有效性，以减少医疗差错及其影响。整个密西西比的10个研究中心将参与该项目，所有这些研究中心都共享同一个用药错误报告系统，并在几个学术和行政职能方面向UMMC负责卫生事务的副校长报告。该项目的目标有三个方面：（1）确定可预防的医疗保健错误和医疗保健服务中的患者受伤的原因;（2）制定，演示和评估减少错误和提高整个密西西比患者安全的策略;（3）传播该项目的研究成果和整个医疗保健行业的战略。密西西比人口的人口统计数据，特别是那些雇用我们提案中包括的十个研究地点的服务的个人，主要集中在AHRQ的优先领域和人口上。具体而言，这些群体包括市中心地区、农村地区、低收入群体、少数群体、妇女、儿童和老年人。为了实现上述目标，确定了四个具体目标。这些是：（1）培养一个保密的、非惩罚性的环境，以报告拟议项目中收集的信息;（2）确定药物使用差异的根本原因;（3）制定战略以提高患者安全水平，包括改善管理系统、报告机制和卫生保健提供者和卫生保健服务消费者的教育计划;及（4）传播研究结果，提高医护人员及医护消费者对他们在改善病人安全方面的角色的认识，并推行有系统的改革，以达致积极的成果。

The University of Mississippi Medical Center (UMNIC) proposes to establish a large-scale demonstration project to assess the effectiveness of Mississippi's methods of collecting and using information to reduce medical errors and their impact. Ten sites throughout Mississippi, all of which share the same system for reporting of medication errors and, for several academic and administrative functions, report to UMMC's Vice Chancellor for Health Affairs, will participate in this project. The goals of this project are threefold: (1) identify the causes of preventable heath care errors and patient injury in health care delivery; (2) develop, demonstrate, and evaluate strategies for reducing errors and improving patient safety throughout Mississippi; and (3 ) disseminate the results of the project's research and the strategies developed throughout the health care industry. The demographics of Mississippi's population, and specifically those individuals who employ the services of the ten study sites included in our proposal, focus heavily on the priority areas and populations of AHRQ. Specifically, these include inner-city areas, rural areas, low- income groups, minority groups, women, children, and the elderly. In order to achieve the stated goals, four specific aims have been identified. These are: (1) fostering a confidential, non-punitive environment for reporting the information to be collected in the proposed project; (2) identifying the root causes of medication use variances; (3) developing strategies to improve levels of patient safety, including improvements in administration systems, reporting mechanisms, and education programs for both health care providers and the consumers of health care services; and (4) disseminating the results of the research, increasing the awareness of health care providers and consumers of health care of their role in improving patient safety, and implementing systematic changes to effect positive outcomes.