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Improving Care in HF Patients through Decision Support

通过决策支持改善心力衰竭患者的护理

基本信息

批准号：
7234012
负责人：
Cheryl Dennison Himmelfarb
金额：
$ 13.43万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-21 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7234012
关键词：
Adult Affect Algorithms American Appointment Cardiology Caring Chronic Disease Clinical Clinical Decision Support Systems Comorbidity Cost Analysis Critical Care Data Collection Decision Support Systems Development Development Plans Discipline of Nursing Doctor of Philosophy Educational Curriculum Elderly Enrollment Ensure Environment Epidemic Faculty Funding Goals Guidelines Heart Diseases Heart failure Hospitals Hypertension Inpatients Management Decision Support Systems Medical Medicine Mentors Mentorship Methodology Methods Modeling Morbidity - disease rate Nurse Practitioners Nurses Nursing Schools Online Systems Patient Care Patients Performance Phase Physicians Pilot Projects Prevalence Preventive Process Provider Public Health Public Health Informatics Purpose Quality of Care Randomized Controlled Clinical Trials Research Research Methodology Research Personnel Research Project Grants School Nursing Science Solutions Structure System Technology Testing Training Training Programs United States Universities base behavior change career design evidence based guidelines experience improved innovation member mortality programs satisfaction theories tool

项目摘要

DESCRIPTION (provided by applicant): This is a revised application submitted by Cheryl Dennison, a junior faculty member at the Johns Hopkins University School of Nursing with an appointment in the Johns Hopkins Medicine Center for Innovation in Quality Patient Care. The candidate has a background as a clinician in critical care, is an adult nurse practitioner with preventive cardiology expertise, and has a PhD in nursing. The candidate's goal is to become an independent clinician investigator applying rigorous research methods to develop and evaluate innovative, interdisciplinary methods to improve quality of care for chronic illnesses, such as heart failure (HF). HF is a major public health problem, affecting nearly 5 million Americans in the United States. Its prevalence is expected to double in the United States by 2007. Although HF mortality of 50% over 5 years has recently decreased, HF morbidity is reaching epidemic proportions. HF remains highly prevalent, disabling, and costly in large part due to underutilization of effective therapies despite well-publicized management guidelines. The candidate's proposed career development plan incorporates an interdisciplinary training program designed to provide an intense, closely mentored, research experience in association with structured didactic curriculum. Under the mentorship of senior investigators, Drs. Jerilyn Allen and Peter Pronovost, the candidate will conduct supervised research while concurrently enrolled in advanced coursework in Health Informatics and Decision Support, Quality of Care, Organizational and Provider Behavior Change, and Cost Analysis methodology. The candidate proposes to develop, formatively evaluate, and pilot test an innovative, interactive, Web-based clinical decision support system (CDSS) to improve provider implementation of national evidence-based guidelines and thereby improve quality of care among HF patients. This study, other research projects, and the career development plan described within will prepare this candidate for a successful career as an independent, yet collaborative, investigator strongly socialized in interdisciplinary team science.

描述（由申请人提供）：这是谢丽尔·丹尼森提交的修改后的申请，她是约翰霍普金斯大学护理学院的一名初级教员，在约翰霍普金斯医学中心获得了优质患者护理创新的任命。候选人具有重症监护临床医生的背景，是一名具有预防心脏病学专业知识的成年执业护士，并拥有护理学博士学位。候选人的目标是成为一名独立的临床研究人员，应用严格的研究方法开发和评估创新的跨学科方法，以提高慢性疾病（如心力衰竭）的护理质量。HF是一个主要的公共卫生问题，影响了美国近500万美国人。预计到2007年，美国的流行率将翻一番。尽管5年内HF死亡率50%最近有所下降，但HF发病率正达到流行病的比例。尽管有广泛宣传的管理指南，但HF仍然高度流行、致残和昂贵，这在很大程度上是由于有效治疗的利用率不足。候选人提出的职业发展计划包括一个跨学科的培训计划，旨在提供一个紧张的，密切指导，研究经验与结构化的教学课程。在高级研究员Jerilyn艾伦博士和Peter Pronovost博士的指导下，候选人将进行监督研究，同时参加健康信息学和决策支持，护理质量，组织和提供者行为变化以及成本分析方法的高级课程。候选人建议开发，形成性评估和试点测试一个创新的，互动的，基于Web的临床决策支持系统（CDSS），以改善提供者实施国家循证指南，从而提高HF患者的护理质量。这项研究，其他研究项目，以及职业发展计划中描述的将准备一个成功的职业生涯作为一个独立的候选人，但协作，研究人员强烈的跨学科团队科学社会化。