SDCERPS:Standardized Encounters to Study Patient Safety

圣地亚哥患者安全教育和研究中心（SDCERPS）最初的重点将是开发、应用和评估用于医疗错误研究的“标准化遭遇”。SDCERPS将建立一个多学科团队，与加州大学圣地亚哥分校医疗保健中心、弗吉尼亚州圣地亚哥医疗保健系统、社区医生网络合作，创建一个研究和教育基础设施，以解决关键患者安全组织的问题。标准化接触是临床提供者与患者（或患者数据）或其他临床医生之间可控、可重复的模拟互动。标准化接触可能包括使用现实或虚拟刺激器，标准化患者，或标准化电话或计算机交互。据推测，标准化的遭遇是研究患者安全的有效策略，是对其他研究技术的补充。该提案的具体目标是：1)创建一个多学科团队和基础设施来解决患者安全问题，主要是在临床与患者互动的层面上；2)解决患者安全问题的团队和基础设施，主要是在临床与患者互动的层面；2)评估标准化相遇作为有效和有用的患者安全工具；3)开始开发包含真实和模拟护理环境的患者安全实验室；4)研究所建议的方法可产生有价值结果的具体安全问题；5)创建培训辅助工具、课程和其他材料，以传播通过这些努力获得的研究工具和患者安全知识。实际的临床环境将成为“虚拟实验室”，与模拟实验室一起，将允许研究如何将标准化相遇技术最佳地应用于各种专业和团队、护理环境和患者群体。虽然这种方法已经广泛应用，但SDCERPS最初将侧重于两个领域：1)临床经验在医疗差错发生和恢复中的作用；2)人际沟通在患者安全中的作用。拟议的试点研究将开始检查在患者安全研究和教育中标准化相遇的可行性、有效性、可靠性和局限性。研究结果将促进医疗差错研究、安全培训和评估整个医疗领域安全干预的成功。

The initial focus of the San Diego Center for Education and Research in Patient Safety (SDCERPS) will be to develop, apply, and evaluate the "Standardized Encounter" for the study of medical error. SDCERPS will build a multi-disciplinary team that, in collaboration with UCSD Healthcare, the VA San Diego Healthcare System, a network of community physicians, will create a research a research and education infrastructure to address critical patient safety tissues. A standardized encounter is a controlled reproducible simulated interaction between clinical provider(s) and a patient (or patient data) or another clinician. Standardized encounters may include the use of realistic or virtual stimulators, standardized patients, or standardized telephone or computer interactions. It is hypothesized that the standardized encounter is an effective strategy for the study of patient safety, complementary to other research techniques. The proposal's Specific Aims are: 1) To create a multi-disciplinary team and infrastructure to address patient safety issues, primarily at the level of clinician-patient interaction; 2) team and infrastructure to address patient safety issues, primarily at the level of clinician-patient interaction; 2) To evaluate the standardized encounter as a valid and useful patient safety tool; 3) To begin to develop Patient Safety Laboratories encompassing both real and simulated care environments; 4) To examine specific safety issues in which the proposed methodologies will yield valuable results; and 5) To create training aids, curricula, and other materials to disseminate the research tools and patient safety knowledge gained through these efforts. Actual clinical settings will become "virtual laboratories" that, along with simulation laboratories,, will permit the study of how Standardized Encounter Techniques can be best applied across a spectrum of specialities and teams, care settings, and patient populations. Although this approach has widespread application, SDCERPS will initially focus on two areas: 1) the role of clinical experience in the occurrence of, and recovery from, medical error; and 2) the role of interpersonal communication in patient safety. The proposed pilot study will begin to examine the feasibility, validity, reliability, and limitations of standardized encounters in patient safety research and education. The results will promote the study of medical error, safety training, and evaluation of the success of safety interventions across the medical domain.