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Health Information Technology Value in Rural Hospitals

卫生信息技术在乡村医院的价值

基本信息

批准号：
7092121
负责人：
MARCIA M WARD
金额：
$ 41.96万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-09-01 至 2008-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7092121
关键词：
clinical research decision making health care facility information system health care quality health services research tag hospitals human subject information systems patient safety /medical error rural area

项目摘要

DESCRIPTION (provided by the applicant): The national discussion of quality and patient safety has only recently begun to identify and understand the unique quality and patient safety issues facing rural hospitals, as opposed to those of their much larger and far more complex, urban counterparts. Serious questions arise about whether commonly proposed health information technology (HIT) interventions for quality and patient safety issues actually make sense in rural hospitals. Moreover, very few rural hospitals currently have the necessary HIT capacities because of expense, limited in-house HIT expertise, and mismatches among HIT applications. The project we propose is designed to meet the special needs of rural hospitals for assistance with planning HIT enhancements to address patient's safety and healthcare quality concerns. This project was developed in response to RFA HS-04-012 which states that "AHRQ is specifically interested in...applications that explore the unique barriers faced by rural and small community providers in adopting HIT and opportunities for overcoming these barriers" and "Research areas that are of particular interest to AHRQ include: development and evaluation of toolkits...that can be used by...decision-makers to help them understand the value of HIT and assist them to make HIT purchasing and implementation decisions." The proposed project has four primary objectives. First, we will document the patient safety and healthcare quality challenges unique to rural hospitals. Second, we will explore the current HIT capacity in rural hospitals, the potential use of HIT by rural hospitals to address their unique patient safety and healthcare quality issues, and the unique barriers faced by rural hospitals in adopting HIT. Third, we will measure value derived from HIT in rural hospitals and identify which HIT solutions for enhancing patient safety and healthcare quality have the greatest potential in terms of generating a positive return on investment. Fourth, we will create decision-making HIT toolkits to address barriers and provide solutions that are appropriate for rural hospitals. Once the toolkits are developed, we will make them available to rural hospital decision-makers. The toolkits will facilitate rural hospitals' ability to utilize current and emerging evidence to guide HIT investment and implementation decisions that fit their particular healthcare environment.

描述（由申请人提供）：关于质量和患者安全的全国性讨论最近才开始确定和理解农村医院面临的独特质量和患者安全问题，而不是更大、更复杂的城市医院。人们普遍提出的卫生信息技术（HIT）干预质量和患者安全问题是否在农村医院实际上是有意义的，这引起了严重的问题。此外，由于费用、有限的内部HIT专业知识以及HIT应用程序之间的不匹配，目前很少有农村医院拥有必要的HIT能力。我们提出的项目旨在满足农村医院的特殊需求，帮助规划HIT增强功能，以解决患者的安全和医疗质量问题。该项目是为响应RFA HS-04-012而开发的，该项目指出“AHRQ对.特别感兴趣。研究项目包括：“农村和小型社区供应商在采用HIT时面临的独特障碍以及克服这些障碍的机会”和“AHRQ特别感兴趣的研究领域包括：工具包的开发和评估.”。可以被...帮助决策者了解HIT的价值，并协助他们做出HIT采购和实施决策。“拟议项目有四个主要目标。首先，我们将记录农村医院特有的患者安全和医疗质量挑战。其次，我们将探讨农村医院目前的HIT能力，农村医院使用HIT解决其独特的患者安全和医疗质量问题的可能性，以及农村医院在采用HIT时面临的独特障碍。第三，我们将衡量HIT在农村医院的价值，并确定哪些HIT解决方案在提高患者安全和医疗质量方面具有最大的投资回报潜力。第四，我们将创建决策HIT工具包，以解决障碍，并提供适合农村医院的解决方案。一旦开发出工具包，我们将向农村医院决策者提供。这些工具包将促进农村医院利用当前和新出现的证据来指导适合其特定医疗环境的HIT投资和实施决策的能力。

项目成果

期刊论文数量（19）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Health care information technology in rural America: electronic medical record adoption status in meeting the national agenda.

美国农村的医疗保健信息技术：电子病历在满足国家议程方面的采用状况。

DOI：
10.1111/j.1748-0361.2008.00145.x
发表时间：
2008
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
0
作者：
Bahensky,JamesA;Jaana,Mirou;Ward,MarciaM
通讯作者：
Ward,MarciaM

Factors contributing to maternal birth-related trauma.

导致产妇分娩相关创伤的因素。

DOI：
10.1177/1062860607303315
发表时间：
2007
期刊：
American journal of medical quality : the official journal of the American College of Medical Quality
影响因子：
0
作者：
Roberts,LanceL;Ely,JohnW;Ward,MarciaM
通讯作者：
Ward,MarciaM

Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits.

关键医院的电子病历系统：领导层对预期和实现效益的看法。