DCERPS on Systems Engineering-Wisc. Patient Safety

本报告建议建立一个多学科的患者安全评估与研究发展中心（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、卫生保健工作者安全和医疗差错减少，并结合一个整体的组织结构，适用于所有患者和医疗服务提供者，跨越患者群体和医疗保健环境的范围。系统工程DCERPS将正式确定并进一步发展现有的医疗和工程专业知识合作，并寻求医疗消费者团体和其他感兴趣的医疗和工程专业知识合作的意见，并寻求医疗消费者团体和其他感兴趣的各方的意见，以便在各种患者群体和患者护理环境中开展患者安全研究。人因、系统工程和质量工程方面的专家将与流行病学、药理学、急症护理医学、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道，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实证检验。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，并且包括对过程的过程和内容的分析，因此研究结果将在多个患者群体和医疗保健设置中广泛推广。DCERPS系统工程将利用其目前的专业知识、科学文献和未来的研究成果，制定有关患者安全问题的教育计划，以供内部使用，以建立一个连贯的研究团队，并为医疗消费者、医疗提供者和研究社区服务。现有的医疗服务系统（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、院长健康系统、全州家庭诊所、国家长期设施网络）的联系将得到扩大和正式定义。计划主任、计划委员会、多学科研究团队和外部顾问委员会已经成立，他们将利用突破思维TM原则和技术，参与战略规划过程，以实现这些目标，并最终根据AHRQ定义的四个研究主题领域中的一个或多个，制定一项试点研究的研究计划。

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.