Preventable Medication Use Variance in Mississippi

密西西比大学医学中心(UMNIC)提议建立一个大型示范项目，以评估密西西比州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。密西西比州的10个地点将参与这一项目，所有这些地点都共享相同的用药差错报告系统，并在几个学术和行政职能上向UMMC负责卫生事务的副校长报告。该项目的目标有三个：(1)确定医疗保健提供中可预防的医疗差错和患者伤害的原因；(2)在密西西比州开发、演示和评估减少差错和改善患者安全的战略；以及(3)在整个卫生保健行业传播该项目的研究结果和制定的战略。密西西比州人口的人口结构，特别是那些使用我们提案中所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。具体地说，这些人包括市中心地区、农村地区、低收入群体、少数群体、妇女、儿童和老年人。为了实现所述目标，已经确定了四个具体目标。这些措施是：(1)建立一个保密的、非惩罚性的环境，以报告拟在拟议项目中收集的信息；(2)确定用药差异的根本原因；(3)制定战略以提高患者的安全水平，包括改进管理系统、报告机制和针对医疗服务提供者和医疗服务消费者的教育计划；以及(4)传播研究结果，提高医疗保健提供者和消费者对其在提高患者安全性方面的作用的认识，并实施系统性的改变，以产生积极的结果。

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.