Partnering with Patients to Find Adverse Events

描述(申请人提供)：应聘者？S的职业目标是成为 独立调查员，有能力制定和测试干预措施 以及改善患者安全的计划。他渴望成为这方面的专家。 服务质量与医疗差错的关系及对医疗差错的认识 方法严谨患者如何帮助临床医生预防 医源性损伤，改善临床结果，并提高患者的能力？自己人 医疗保健体验。该提案包括三个项目：第一个项目 依靠住院患者报告医疗差错的发生率和类型； 其目的是描述患者报告的医疗疾病的流行病学 住院患者中的差错。第二项研究评估了门诊患者 可以通过基于互联网的 电子邮件查询。这项研究将有助于描述 门诊药品不良事件的发生率和类型及其价值评估 将病人报告作为提高护理质量的一种机制。第三 项目的重点是医院，而不是病人，作为一个单位 分析。它将消费者满意度调查与并发症发生率联系起来 通过对管理数据进行计算机化筛选来识别。这一分析 通过评估患者是否参与安全，拓宽患者参与安全的途径 提供以患者为中心的护理的组织生产的产品也较少 并发症比预期的要多。

DESCRIPTION (provided by applicant): The applicant?s career goal is to become an independent investigator, capable of developing and testing interventions and programs to improve patient safety. He aspires to become an expert in the relationship between service quality and medical error, understanding in a methodologically rigorous fashion how patients can help clinicians to prevent iatrogenic injuries, improve clinical outcomes, and enhance patients? own health care experiences. The proposal includes three projects: The first relies on inpatients to report on the prevalence and type of medical errors; its objective is to describe the epidemiology of patient-reported medical errors among inpatients. The second study assesses whether ambulatory patients can identify adverse events due to medications through an internet-based electronic mail query. This study will help both to characterize the prevalence and type of outpatient adverse drug events and to assess the value of patient reporting as a mechanism to improve the quality of care. The third project focuses on the hospital, rather than on the patient, as a unit of analysis. It links consumer satisfaction surveys with complication rates identified by computerized screening of administrative data. This analysis broadens the approach to patient participation in safety by assessing whether organizations that provide patient-centered care also produce fewer complications than expected.