Medication Error Reporting Systems: Challenges, Lessons, Future Direction

用药错误报告系统：挑战、教训、未来方向

• 批准号: 7210997
• 负责人: DIANE COUSINS
• 金额: $ 4.9万
• 依托单位: U.S. PHARMACOPEIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2007-06-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7210997
• 关键词: information systems; meeting /conference /symposium; patient safety /medical error; travel

DESCRIPTION (PROVIDED BY APPLICANT): The IOM has recommended that the development of voluntary reporting efforts should be encouraged, and has suggested convening sponsors and users of external reporting systems to evaluate what works and what does not work well in the programs, as well as ways to make them more effective. The objective of this proposed conference is to convene participants from 20 hospitals that have participated in the MEDMARX medication error reporting program for at least five years, as well as other participants, to determine how hospitals have utilized medication error data to improve patient safety. The overall goal is to provide a forum for exploring the following questions: What types of information from the reporting system have participants found most useful? Have they developed any methods for improving data collection and data quality? What strategies and tools have been most helpful for data analysis? For event investigation? For feedback to reporters and managers? What types of interventions have been implemented? What strategies for organizational change have been utilized? How have they evaluated the effects of interventions? What suggestions do they have for more recent MEDMARX users? For improving MEDMARX? For other adverse event reporting systems? For building a national patient safety database? Results from this conference will be directly applicable to AHRQ's mission to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. It is specifically relevant to AHRQ's efforts to develop system strategies for reducing medical errors, improving patient safety, and administering the Patient Safety and Quality Improvement Act. Information resulting from this conference will help inform clinicians, researchers, and policy makers who are seeking to improve the value obtained from patient safety reporting systems and ultimately to reduce preventable harm to patients. The conference participants, who will have substantial experience with reporting systems, may also offer insights that will be valuable for the creation of the proposed national patient safety database, as well as for improving local reporting systems that will submit information to the national system. (Proposed conference date: November 2006)

描述（由申请人提供）：IOM建议应鼓励自愿报告工作的开发，并建议召集外部报告系统的赞助商和用户，以评估程序中有效的方法以及什么在程序中效果不佳，以及使它们更有效的方法。这次会议的目的是召集来自20家医院的参与者，这些医院至少参加了MedMarx用药错误报告计划以及其他参与者，以确定医院如何利用药物错误数据来提高患者安全。总体目标是提供一个论坛来探索以下问题： 报告系统中哪些类型的信息发现参与者最有用？ 他们是否开发了改善数据收集和数据质量的任何方法？ 哪些策略和工具对数据分析最有帮助？进行活动调查？ 向记者和经理的反馈？ 已经实施了哪些类型的干预措施？组织变革的策略 被利用了吗？他们如何评估干预措施的影响？ 他们对最近的MEDMARX用户有什么建议？用于改善Medmarx？ 对于其他不良事件报告系统？建立国家患者安全数据库？ 这次会议的结果将直接适用于AHRQ提高质量的使命， 所有美国人的医疗保健的安全，效率和有效性。它特别与AHRQ制定系统策略来减少医疗错误，改善患者安全以及管理患者安全和质量改善法案的努力特别相关。本次会议产生的信息将有助于告知临床医生，研究人员和决策者，他们寻求改善从患者安全报告系统中获得的价值，并最终减少对患者的可预防伤害。会议参与者将在报告系统方面拥有丰富的经验，还可以提供有关创建拟议的国家患者安全数据库以及改善将向国家系统提交信息的本地报告系统的见解。 （拟议的会议日期：2006年11月）