DCERPS on Systems Engineering-Wisc. Patient Safety

这份意见书建议建立一个多学科的患者安全评估和研究发展中心(DCERPS)，该中心将应用系统工程、人为因素工程和工业工程安全方法来研究患者安全、医护人员安全和减少医疗差错，纳入一个适用于所有患者和医疗保健机构的整体组织结构。系统工程DCERPS将正规化和进一步发展现有的医疗和工程专业知识协作，并征求医疗消费者团体和其他感兴趣的医疗和工程专业知识协作的意见，并寻求医疗消费者团体和其他相关方的意见，以在不同的患者群体和患者护理环境中进行患者安全研究。人类因素、系统工程和质量工程方面的专家将与流行病学、药理学、急性护理医学、初级保健医学、医疗保健质量改进、长期护理、风险分析和医疗信息学方面的专家一起，对影响患者安全问题的系统设计、质量管理、工作设计和技术实施进行经验性检查。由于系统和人为因素工程使用整个系统作为分析的上下文，并包括对过程和内容的分析，因此研究结果将在多个患者群体和医疗保健环境中广泛推广。DCERPS on System Engineering将利用其当前的专业知识、科学文献和未来的研究成果，制定关于患者安全问题的教育规划，供内部使用，以建立一个连贯的研究团队，并供医疗消费者、医疗提供者和研究社区使用。与医疗提供系统(圣玛丽医院、梅里特医院、威斯康星大学医院和诊所、威廉·S·米德尔顿退伍军人管理医院、迪恩健康系统、全州家庭实践诊所、国家长期设施网络)的现有联系将得到扩大和正式定义。一个规划主任、规划委员会、多学科研究团队和外部咨询委员会已经成立，他们将参与一个战略规划过程，利用突破性思维TM原则和技术来实现这些目标，并最终制定基于AHRQ定义的四个研究主题领域中的一个或多个进行先导性研究的研究提案。

This submission proposes to develop a multi-disciplinary Developmental Center for Evaluation and Research in Patient Safety (DCERPS) which will apply systems engineering, human factors engineering, and industrial engineering safety approaches to research on patient safety, health care worker safety, and medical errors reduction, incorporating a holistic organization construct which applies to all patients and medical providers across the spectrum of patient populations and healthcare settings. The DCERPS on System Engineering will formalize and further develop an existing collaboration of medical and engineering expertise, and seek input from medical consumer groups and other interested collaboration of medical and engineering expertise, and seek input from medical consumer groups and other interested parties, to conduct patient safety research across a spectrum of patient populations and patient care settings. Experts in human factors, systems engineering, and quality engineering will join experts in epidemiology, pharmacology, acute care medicine, primary care medicine, quality improvement in healthcare, long-term care, risk analysis, and medical informatics to empirically examine systems design, quality management, job design, and technology implementations that affect patient safety issues. Because systems and human factors engineering uses the entire system as the context for analysis, and includes the analysis of process of process as well as content, research results will be widely generalizable across multiple patient populations and healthcare settings. The DCERPS on System Engineering will draw on its current expertise, scientific literature, and future research findings to develop educational programming on patient safety issues for internal use in developing a coherent research team, and for medical consumers, medical providers, and the research community. Existing ties to medical delivery systems (St. Mary's Hospital, Meriter Hospital, UW-Hospitals and Clinics, William S. Middleton Veterans Administration Hospital, Dean Health System, state-wide family practice clinics, national network of long-term facilities) will be expanded and formally defined. A planning director, planning committee, multi- disciplinary research team, and external advisory board have been assembled and will engage in a strategic planning process utilizing Breakthrough Thinking TM principles and techniques to accomplish these ends and ultimately develop a research proposal for a pilot study based on one or more of the four research subject areas defined by AHRQ.