Center for Patient Safety at the End of Life

临终患者安全中心

• 批准号: 6528293
• 负责人: DORCAS JOANNE LYNN
• 金额: $ 5万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6528293
• 关键词: aging; chronic obstructive pulmonary disease; clinical research; disease /disorder prevention /control; extended care; health care quality; health science research; heart failure; human data; iatrogenic disease; information dissemination; information systems; patient care management

The RAND Center to Improve Care of the Dying will generate a new Developmental Center for Evaluation and Research in Patient Safety: the Center for Patient Safety at the End of Life. The Center will be led by Dr. Joanne Lynn and will build on experts from RAND Health, the Institute for Healthcare Improvement, The Veterans Health Administration, Kaiser Permanente, and other organizations. These leaders in health services research and quality improvement are committed to making care safe and reliable for persons with serious eventually fatal chronic illness, staring with those with advanced chronic heart or lung failure. Although they have the potential to affect the health care provided to all Americans, medical errors and other lapses in patient safety disproportionately affect the oldest and sickest of patients, both in their incidence and in the severity of the consequences. Serious, long-term illness occurs mostly at the end of life-leading to more errors, adverse effects, and erratic and unsafe treatment patients in a population that is most in need of safe, reliable, coordinated care. Seriously ill patients are often subjected to a repeated series of mistakes, including: non-treatment of pain, delirium, and other symptoms; routine discontinuity within and among provider programs; location of care for provider convenience, rather than efficiency or family support; and a lack of focus on advance care planning. The Center aims to help improve the reliability of health care dramatically, by building capacity for improvement through effective change methods and knowledge about safe and correct care of individuals with chronic heart failure of chronic obstructive pulmonary disease. During Phase I, the Center will build a strong team, develop ties to health delivery systems, produce educational materials, and develop a proposal for at least one pilot study that it will carry out during Years 2 and 3. In Phase II, the Center will implement the pilot study(ies), present educational materials, and develop a dissemination for pilot study findings.

兰德改善临终关怀中心将建立一个新的患者安全评估和研究发展中心：临终患者安全中心。该中心将由 Joanne Lynn 博士领导，并由来自兰德健康公司、医疗保健改进研究所、退伍军人健康管理局、凯撒医疗机构和其他组织的专家组成。这些卫生服务研究和质量改进方面的领导者致力于为患有严重最终致命慢性疾病的人提供安全可靠的护理，特别是那些患有晚期慢性心力衰竭或肺衰竭的人。尽管它们有可能影响向所有美国人提供的医疗保健，但医疗错误和其他患者安全失误对最年长和病情最严重的患者的影响尤其严重，无论是发生率还是后果的严重程度。 严重的长期疾病大多发生在生命的最后阶段，导致患者在最需要安全、可靠、协调的护理的人群中出现更多的错误、不良反应以及不稳定和不安全的治疗。重病患者常常会犯一系列重复的错误，包括：不治疗疼痛、谵妄和其他症状；提供者计划内部和之间的常规中断；护理地点是为了提供者的方便，而不是效率或家庭支持；缺乏对预先护理计划的关注。该中心旨在通过有效的改变方法和对慢性心力衰竭或慢性阻塞性肺疾病患者的安全和正确护理的知识来建设改进能力，从而显着提高医疗保健的可靠性。在第一阶段，中心将建立一支强大的团队，发展与卫生服务系统的联系，制作教育材料，并为将在第二年和第三年进行的至少一项试点研究制定提案。在第二阶段，中心将实施试点研究，提供教育材料，并传播试点研究结果。