Emergency Department Simulation for Research and Training in Health Care IT

用于医疗保健 IT 研究和培训的急诊室模拟

• 批准号: 7289299
• 负责人: LI LIN
• 金额: $ 29.9万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2009-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7289299
• 关键词: Emergency; Department; Simulation; Research; Training

DESCRIPTION (PROVIDED BY APPLICANT): Emergency Departments (EDs) are an important area for patient safety research as they provide care to over 100,000,000 patients per year nationwide, and in many communities they are the primary portal for entry into a healthcare institution. Today's EDs could not function without a patient tracking system (electronic or manual "white boards") which contain clinical and logistical information about patients and provide caregivers with information about patient status (designated providers, treatment status, laboratory results, location). Tracking systems play a critical role in communicating many factors that have a direct effect on patient safety. As information technology becomes better integrated into the healthcare system, EDs will transition to electronic patient tracking systems. Simulation-based research is critical to ensure that as this technology is introduced any new opportunities for failure modes will have been identified a priori and addressed before they cause adverse events. The proposed research provides a unique utilization of simulation for patient safety oriented health care research and training. In contrast to numerous examples of patient simulators that have been developed for use in research and training (e.g., mannequin patients for anesthesia training), the proposed research utilizes an immersive laboratory environment to study caregiver interaction with patient tracking systems. The goals of this research are to demonstrate the use of simulation for usability testing, iterative design improvement, and training in the use of electronic patient tracking systems in order to help predict factors that have the potential to compromise patient safety. Patient tracking system displays and interfaces will be simulated on multiple computer screens and large screen displays, in a setting that allows caregiver participants to interact with the simulated patient tracking system, representative clinical tasks, and other people (caregiver participants or research confederates). Information displayed on the patient tracking system will be drawn from a real-time, interactive, discrete event simulation of an emergency department (ED) environment, and participant awareness, decisions, and actions will be measured in two experiments. This research implements simulation to study Emergency Department (ED) staff use of a computerized patient tracking system, in order to improve the design of these systems to support better patient care in hospital EDs.

描述(由申请人提供)：急诊科(ED)是患者安全研究的重要领域，因为它们每年为全国超过1亿名患者提供护理，在许多社区，它们是进入医疗机构的主要门户。今天的急诊室离不开病人跟踪系统(电子或手动“白板”)，该系统包含有关病人的临床和后勤信息，并为照顾者提供有关病人状态的信息(指定的提供者、治疗状态、实验室结果、位置)。跟踪系统在沟通对患者安全有直接影响的许多因素方面发挥着关键作用。随着信息技术更好地融入医疗系统，急诊室将过渡到电子患者跟踪系统。基于模拟的研究至关重要，以确保在引入这项技术时，任何新的故障模式机会都将被先验地识别出来，并在它们导致不良事件之前得到解决。所提出的研究为以患者安全为导向的医疗研究和培训提供了独特的模拟应用。与许多为研究和培训而开发的患者模拟器的例子不同(例如，用于麻醉培训的人体模型患者)，拟议的研究利用沉浸式实验室环境来研究护理者与患者跟踪系统的交互。本研究的目标是演示如何使用模拟进行可用性测试、迭代设计改进和电子患者跟踪系统的使用培训，以帮助预测可能危及患者安全的因素。将在多个计算机屏幕和大屏幕显示器上模拟患者跟踪系统的显示和界面，在允许护理者参与者与模拟的患者跟踪系统、代表性临床任务和其他人(护理者参与者或研究联盟)交互的环境中。患者跟踪系统上显示的信息将从急诊科(ED)环境的实时、交互、离散事件模拟中提取，参与者的意识、决策和行动将通过两个实验进行测量。本研究通过模拟研究急诊科工作人员使用计算机化的病人追踪系统，以改进这些系统的设计，以支持医院急诊科更好的病人护理。

项目成果

Development of a simulation environment to study emergency department information technology.

开发模拟环境来研究急诊科信息技术。

• DOI: 10.1097/sih.0b013e3181c82c0a
• 发表时间: 2010
• 期刊: Simulation in healthcare : journal of the Society for Simulation in Healthcare
• 作者: Pennathur,PriyadarshiniR;Cao,Dapeng;Sui,Zheng;Lin,Li;Bisantz,AnnM;Fairbanks,RollinJ;Guarrera,TheresaK;Brown,JenniferL;Perry,ShawnaJ;Wears,RobertL
• 通讯作者: Wears,RobertL