Tools and Methods for Monitoring Patient Safety

我们建议制定和实施一个为期一天的会前研讨会，题为“监测患者安全的工具和方法：医疗记录审查的作用”。研讨会将于2003年3月2日至4日在弗吉尼亚州阿灵顿举行的AHRQ患者安全倡议第二次年会之前，于2003年3月1日星期六上午9点至下午4点举行。研讨会的主要目标是为已经使用医疗记录审查和正在考虑使用医疗记录审查的患者安全研究人员提供一个论坛，讨论医疗记录审查在监测患者安全和识别医疗错误和不良事件方面的作用。此次研讨会将邀请20名研究员（美国10名，国外10名）参加。Eric Thomas医学博士，公共卫生硕士，德克萨斯大学患者安全研究与实践卓越中心的首席研究员，Richard Jimenez博士，医学博士，中心主任，将监督研讨会的规划和实施。研讨会期间将讨论的主题包括：“使用病历审查来衡量质量并检测错误和不良事件”，小组讨论“使用图表审查：经验教训”，分组讨论图表审查和可靠性，使用医疗记录中的“触发器”来检测错误和不良事件，使用图表审查来监测医疗保险中的患者安全，以及分享使用医疗记录审查的国际观点。将邀请在使用病历审查方面具有专门知识和经验的个人在全体会议上发言，并促进分组讨论。我们将制作一份研讨会总结报告，突出与会者提出的关键问题和观点。我们会把报告刊登在香港人权研究中心网页上，并以邮寄的方式，向受资助者及其他有关人士广泛散发。我们希望准备一份关于研讨会记录的手稿，以便在合适的同行评议的专业期刊上发表。讲习班的评价计划包括参加者对讲习班的评价以及协调员对讲习班经验的评价。

We are proposing to develop and implement a one-day pre-conference workshop entitled, "Tools and Methods for Monitoring Patient Safety: The Role of Medical Records Review." The workshop would be given on Saturday, March 1, 2003 from 9 a.m. to 4 p.m. prior to the AHRQ Patient Safety Initiative Second Annual Meeting, March 2-4, 2003 in Arlington, VA. The major goal of the workshop is to provide a forum for patient safety researchers who have used medical records review and those who are contemplating their use to discuss the role of medical records review for monitoring patient safety and identifying medical error and adverse events. Twenty researchers (10 from the U.S. and 10 from aboard) will be invited to participated in the workshop. Eric Thomas, M.D., MPH, principal investigator for the University of Texas Center of Excellence for Patient Safety Research and Practice and Richard Jimenez, Dr. PH cd., Director of the Center, will oversee the planning and implementation of the workshop. Topics to be discussed during the workshop include: "Using Medical Record Reviews for Measuring Quality and Detecting Errors and Adverse Events," a panel discussion on "Using Chart Reviews: Lessons Learned" and breakout sessions on chart reviews and reliability, the use of "triggers" in medical records to detect errors and adverse events, using chart reviews to monitor patient safety in medicare, and sharing international perspectives in the use of medical records review. Individuals with expertise and experience in the use of medical records review will be invited to speak at plenary sessions and to facilitate breakout discussions. We will generate a workshop summary report highlighting key issues and points made by participants. We will disseminate this widely to AHRQ grantees and other interested parties by posting the report on the AHRQ webpage and through mailouts. We anticipate preparing a manuscript on the workshop proceedings for publication in a suitable peer reviewed professional journal. The evaluation plan for the workshop includes an evaluation of the workshops by participants as well as an evaluation of the workshop experience by the coordinators.