DCERPS on Systems Engineering-Wisc. Patient Safety

本申请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、人因工程和工业工程安全方法研究患者安全、医护人员安全和减少医疗差错，整合适用于整个患者群体和医疗保健范围内的所有患者和医疗提供者的整体组织结构设置.系统工程DCERPS将正式化并进一步发展现有的医学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学和工程专业知识合作的投入，并寻求医疗消费者团体和其他相关方的投入，以在一系列患者人群和患者护理环境中进行患者安全研究。在人为因素，系统工程和质量工程的专家将加入流行病学，药理学，急性护理医学，初级保健医学，在医疗保健，长期护理，风险分析和医疗信息学的质量改进专家，以经验研究系统设计，质量管理，工作设计和技术实施影响病人的安全问题。由于系统和人因工程使用整个系统作为分析的背景，并包括过程的过程以及内容的分析，研究结果将在多个患者人群和医疗保健环境中广泛推广。系统工程DCERPS将利用其现有的专业知识，科学文献和未来的研究成果，开发关于患者安全问题的教育计划，用于内部开发一个连贯的研究团队，以及医疗消费者，医疗提供者和研究社区。现有的联系，以医疗输送系统（圣玛丽玛丽医院，Meriter医院，华盛顿大学医院和诊所，威廉S。米德尔顿退伍军人管理医院，院长卫生系统，全州范围的家庭诊所，国家网络的长期设施）将扩大和正式定义。一个规划主任，规划委员会，多学科研究小组和外部咨询委员会已经组装，并将从事战略规划过程中利用突破思维TM原则和技术，以实现这些目标，并最终制定一项研究建议的基础上，试点研究的一个或多个由AHRQ定义的四个研究主题领域。

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.