SDCERPS:Standardized Encounters to Study Patient Safety

圣地亚哥患者安全教育和研究中心（SDCERPS）的最初重点是开发，应用和评估医疗差错研究的“标准化遭遇”。SDCERPS将建立一个多学科团队，与UCSD医疗保健合作，VA圣地亚哥医疗保健系统，一个社区医生网络，将创建一个研究和教育基础设施，以解决关键的患者安全组织。标准化就诊是临床提供者与患者（或患者数据）或另一临床医生之间的受控可再现模拟交互。标准化的会面可能包括使用现实或虚拟刺激器，标准化的患者，或标准化的电话或计算机交互。据推测，标准化的遭遇是一个有效的策略，为研究病人的安全，补充其他研究技术。该提案的具体目标是：1）创建一个多学科团队和基础设施，以解决患者安全问题，主要是在临床医生-患者互动的水平; 2）团队和基础设施，以解决患者安全问题，主要是在临床医生-患者互动的水平; 2）评估标准化的遭遇作为一个有效和有用的患者安全工具; 3）开始建立病人安全实验室，包括真实的和模拟的护理环境; 4）检查具体的安全问题，其中所提出的方法将产生有价值的结果; 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”，沿着模拟实验室，将允许研究如何在专业和团队、护理环境和患者人群中最好地应用标准化接触技术。虽然这种方法有广泛的应用，SDCERPS最初将集中在两个领域：1）临床经验的作用，发生和恢复，医疗差错;和2）人际沟通的作用，病人的安全。拟议的试点研究将开始，以检查可行性，有效性，可靠性和患者安全研究和教育标准化的遭遇的局限性。研究结果将促进医疗差错、安全培训的研究，以及整个医疗领域安全干预措施成功与否的评估。

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.