Patient Safety for Vulnerable Populations

该申请的长期目标是在波士顿大学建立完善的基础设施，以便在患者安全领域进行尖端研究。近年来，患者安全已成为一个重要的公共政策问题，因为新的信息已经浮出水面，表明每年有惊人数量的患者是医疗错误的受害者，这些医疗错误可能导致严重伤害或死亡。在经济和文化上处于不利地位的病人可能特别容易受到医疗差错的伤害。申请人寻求为患者安全发展中心提供资金，该中心通常在向低收入，文化弱势群体提供门诊护理服务时出现。安全问题包括内科医学、家庭医学、组织管理、经济学、信息学和统计学。团队成员来自波士顿大学医学院、波士顿医学中心、波士顿大学公共卫生学院和莫尔豪斯医学院。为了拟议中的中心，该小组已与波士顿医疗中心的各个临床组成部分建立了联系，一个城市学术医疗中心，为大量的医疗补助接受者和没有保险的个人提供服务。拟议的发展中心将作为一个工具，培养团队成员在病人安全方面的专业知识，并在团队成员中确定共同感兴趣的领域和发展的补充技能。患者安全研究项目。他们的团队已经确定了在门诊环境中研究患者安全问题的三个最初感兴趣的领域：用药错误，程序相关错误和与慢性病管理相关的治疗错误。作为该中心的一部分，该团队将在波士顿医疗中心计划和开展一项试点研究。该团队还将计划在莫尔豪斯医学院附属的临床交付地点进行未来的研究，莫尔豪斯医学院是一个少数民族机构，在为服务不足的社区提供医疗服务方面有着悠久的历史。

The long-term objective of this application is to have a well established infrastructure at Boston University for conducting cutting-edge research in the area of patient safety. In recent years patient safety has become a significant public policy issue as new information has surfaced indicating that each year an alarmingly high number of patients are victims of medical errors that can result in death of severe injury. Patients who are economically and culturally disadvantaged may be particularly vulnerable to medical errors. The applicants seek funding for a developmental center for patient safety to commonly arise in the delivery of ambulatory care services to low income, culturally disadvantaged populations. The safety issues including internal medicine, family medicine, organizational management, economics, informatics, and statistics. Team members are from Boston University School of Medicine, Boston Medical Center, Boston University School of Public Health, and Morehouse School of Medicine. For purposes of the proposed center, the team has formed links with the various clinical components of the Boston Medical Center, an urban academic medical center that serves a large population of Medicaid recipients and uninsured individuals The proposed developmental center will serve as a vehicle for cultivating the expertise of team members in patient safety and identifying among team members common areas of interest and complementary skills for developing patient safety research projects. Them team has identified three areas of initial interest for studying patient safety issues within ambulatory settings: medication errors, procedure-related errors and treatment errors related to management of chronic conditions. As part of the center the team will plan and conduct a pilot study at Boston Medical Center. Te team will also plan future studies at the clinical delivery sites that are affiliated with the Morehouse School of Medicine, a minority institution that has a long- standing history of providing healthcare services to underserved communities.