Toward An Optimal Patient Safety Information System

建立最佳的患者安全信息系统

• 批准号: 6890525
• 负责人: ANDREW CHANG
• 金额: $ 49.96万
• 依托单位: JOINT COMMISSION
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6890525
• 关键词: classification; data management; drug adverse effect; health care facility information system; health care quality; health services research tag; health surveys; human data; human subject; information dissemination; information retrieval; method development; patient safety /medical error; questionnaires; therapy adverse effect

DESCRIPTION (PROVIDED BY APPLICANT): National concerns about the quality of care and patient safety have called increasing attention to the adoption and use of health information technology (HIT) for collecting and analyzing information pertaining to adverse events. Although efforts to incorporate technology to patient safety programs are underway, the link between applied technology and the integration of disparate reporting systems has not been widely studied. Applications to improve patient safety reporting, data analysis, and learning from errors in health care and their associated root causes must be better understood. The proposed project is designed to critically examine and when appropriate demonstrate the added value these specific applications bring to patient safety reporting systems, particularly in the clinical, financial and organizational realms. In order to establish baseline data on the current penetration, characteristics, utility, and value of extant incident reporting systems, we will first conduct a comprehensive assessment of current patient safety reporting among a large national sample of hospitals. This assessment will utilize the federal Quality Interagency Coordination Taskforce (QuIC) Adverse Event Reporting Questionnaire and a Value Questionnaire developed specifically for this project. Then, a representative sub-sample of respondents from the initial assessment will be provided with the opportunity to participate in one of two enhanced reporting applications for a one-year period. The first involves use of the Patient Safety Event Taxonomy (PSET), developed by the Joint Commission, which combines and classifies data from disparate reporting systems to facilitate comparisons across hospitals. The second application involves the Hospital Incident Reporting Ontology (HIRO), which examines the relationships among the variables collected and classified by the PSET, in order to facilitate data-mining and data sharing of patient safety information among hospitals. Both applications will continually provide participating hospitals with aggregate trends and interpretation of the data analyzed by the PSET and the HIRO. Following the implementation period, these hospitals will be re-assessed for their perceived value of the 'improved' reporting systems. Throughout the project, the results and lessons learned will be disseminated to the health care community. The primary theme of the project is to promote a national reporting system for adverse events through the use of a standardized patient safety taxonomy and ontology - both applications complement each other in the collection, classification and organization of near miss and adverse event data in a format suitable for use in disparate hospital settings. The Joint Commission, KEVRIC, and Joint Commission Resources are poised to undertake this project given their extensive experience in patient safety, health information technology, and educational research.

描述（由申请人提供）：国家对护理质量和患者安全的关注要求越来越多地关注采用和使用卫生信息技术（HIT）来收集和分析与不良事件有关的信息。尽管正在努力将技术纳入患者安全计划，但应用技术与不同报告系统集成之间的联系尚未得到广泛研究。必须更好地了解用于改进患者安全报告、数据分析和从医疗保健中的错误及其相关根本原因中学习的应用程序。拟议的项目旨在严格审查并在适当时展示这些特定应用为患者安全报告系统带来的附加价值，特别是在临床，财务和组织领域。