Inpatient-Outpatient Transitions: Reducing the Rate of Readmission
住院病人到门诊病人的转变:降低再入院率
基本信息
- 批准号:7363462
- 负责人:
- 金额:$ 19.95万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2007
- 资助国家:美国
- 起止时间:2007-09-01 至 2009-08-31
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
DESCRIPTION (provided by the applicant): Goals and Aims: The goal of this study is to reduce the risk of preventable readmission for heart failure (HF) patients transitioning from inpatient to ambulatory care. The specific aims of this study are: 1) To develop a broadly applicable operational model of idealized inpatient-ambulatory transitions; 2a) To use Failure Mode and Effects Analysis (FMEA) to identify the key failure modes (and their causes) in inpatient/outpatient transitions of care that contribute to preventable readmissions, 2b) To use FMEA to refine the model and to identify the key capabilities necessary to minimize preventable readmissions; and 3) To develop and pilot test a draft "transitional capability assessment" tool that can be used to evaluate an entity's ability to deliver high quality transitional care. Background: The inpatient-to-ambulatory care transition is a complex process that carries with it the risk of medical errors, adverse drug events, and, when the transition is poorly managed, it may even lead to preventable inpatient readmission. An effective transition requires
that 4 key steps be completed: notification, transfer of information, transfer of responsibility, and care plan oversight. Methods: With stakeholder input, we will develop an "ideal" model of transitional care for HF that is designed to reliably accomplish the 4 key steps. We will conduct a FMEA of the ideal model to identify sources of risk and the capabilities necessary to reduce those risks. We will then conduct a gap analysis to test the validity of the ideal model; the ideal model will be applied to transitional care for a different condition (bypass surgery) and in different care environments. Finally, using FMEA and gap analysis results, we will develop an initial draft of a "transitional care capability" assessment tool to aid other organizations to assess whether a healthcare entity (e.g. hospital, provider) has the necessary capabilities to provide high quality transitional care. The draft instrument will be used by Geisinger's RHIO partners as a preliminary assessment of its validity. Relevance: Preventable hospital readmission is a problem associated with the complex process of transitioning a patient to primary care management following a hospital admission for heart failure treatment. This study aims to reduce the rate of preventable hospitalizations by developing a new model for transitional care, using risk analysis to make sure it is safe, and then developing a tool that can be used to assess whether a healthcare entity can provide quality transitional care.
描述(由申请方提供):目的和目标:本研究的目的是降低从住院转为门诊治疗的心力衰竭(HF)患者可预防的再入院风险。本研究的具体目标是:1)建立一个广泛适用的理想化住院-门诊过渡的操作模型; 2a)使用失效模式及影响分析(FMEA)来识别主要失效模式(及其原因)在住院/门诊过渡护理中,有助于预防再入院,2b)使用FMEA来完善模型,并确定必要的关键能力,以尽量减少可预防的再入院;以及3)开发和试点测试“过渡能力评估”工具草案,该工具可用于评估实体提供高质量过渡护理的能力。背景资料:从住院病人到门诊病人的过渡是一个复杂的过程,伴随着医疗差错、药物不良事件的风险,当过渡管理不善时,甚至可能导致可预防的住院病人再入院。有效的过渡需要
完成4个关键步骤:通知、信息转移、责任转移和护理计划监督。方法:在利益相关者的参与下,我们将开发一种旨在可靠地完成4个关键步骤的HF过渡性护理的“理想”模式。我们将对理想模型进行FMEA,以确定风险来源和降低这些风险所需的能力。然后,我们将进行差距分析,以测试理想模型的有效性;理想模型将被应用到过渡性护理不同的条件(搭桥手术),并在不同的护理环境。最后,使用FMEA和差距分析结果,我们将开发一个“过渡期护理能力”评估工具的初稿,以帮助其他组织评估医疗保健实体(如医院,提供者)是否有必要的能力提供高质量的过渡期护理。Geisinger的RHIO合作伙伴将使用该文书草案对其有效性进行初步评估。相关性:可接受的再入院是一个与患者在入院接受心力衰竭治疗后过渡到初级护理管理的复杂过程相关的问题。这项研究旨在通过开发一种新的过渡性护理模式,使用风险分析来确保其安全性,然后开发一种可用于评估医疗保健实体是否可以提供优质过渡性护理的工具,从而降低可预防的住院率。
项目成果
期刊论文数量(0)
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专利数量(0)
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James Brian Jones其他文献
James Brian Jones的其他文献
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{{ truncateString('James Brian Jones', 18)}}的其他基金
An Electronic Health Record based Dashboard-driven Intervention to Improve Identification and Management of Preventive Care for Cardiovascular Disease
基于电子健康记录的仪表板驱动的干预措施,以改善心血管疾病预防性护理的识别和管理
- 批准号:
10238854 - 财政年份:2020
- 资助金额:
$ 19.95万 - 项目类别:
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