Detecting Med Errors in Rural Hospitals Using Technology

利用技术检测乡村医院的医疗错误

• 批准号: 6949012
• 负责人: CHARLES ANDREW BROWN
• 金额: $ 40.31万
• 依托单位: UNIVERSITY OF MISSISSIPPI MED CTR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6949012
• 关键词: Internet; behavioral /social science research tag; clinical research; computer assisted patient care; cooperative study; epidemiology; health care quality; health care service evaluation; health services research tag; hospitals; human subject; interdisciplinary collaboration; medically underserved population; patient safety /medical error; rural area

DESCRIPTION (provided by the applicant): The University of Mississippi Medical Center (UMMC), Mississippi's Information and Quality Healthcare (IQH), and eight small rural hospitals throughout Mississippi propose to implement a program using health information technology (HIT) to improve patient safety and quality of health care. C. Andrew Brown, M.D., M.P.H., director of UMMC's Patient Safety Center, will serve as the program's principal investigator. Dr. Brown's co-investigators represent an interdisciplinary team of M.D.s, Pharm.D.s, epidemiologists, nurses, biostatisticians, educators, and information technologists. Of the eight rural hospitals, five are situated in the Mississippi Delta, and three are located in east central Mississippi. All participating hospitals have less than 100 beds. The goals of the proposed program are to: (1) introduce voluntary, anonymous, electronic medical error and ADE reporting in eight small, rural hospitals (less than 100 beds) in Mississippi; (2) identify barriers to implementation of HIT, including educational, cultural, technological, and intangible issues, such as reticence and resistance; (3) ascertain the epidemiology and root cause of medical errors and ADEs in small, rural hospitals; (4) formulate educational and continuous quality improvement (CQI) strategies that are specific to small, rural hospitals in partnership with the participating hospitals; (5) develop, demonstrate, and evaluate strategies in partnership with the participating institutions for reducing errors and, ultimately, improving patient safety throughout Mississippi, and, by extension, in other rural areas, based on the data we gather; and (6) disseminate the results of our research and the Ql strategies we develop in partnership with our participating institutions throughout the health care industry.

描述(由申请人提供)：密西西比大学医学中心(UMMC)、密西西比州信息与质量医疗中心(IQH)和密西西比州八家小型乡村医院提议实施一项使用医疗信息技术(HIT)的计划，以提高患者的安全和医疗保健质量。安德鲁·布朗，医学博士，M.P.H.，UMMC患者安全中心主任，将担任该项目的首席研究员。布朗博士的联合调查员代表了一个由医学博士、药学博士、流行病学家、护士、生物统计学家、教育工作者和信息技术专家组成的跨学科团队。 在八家乡村医院中，五家位于密西西比河三角洲，三家位于密西西比州中东部。所有参与的医院都有不到100张床位。 拟议方案的目标是： (1)在密西西比州的8家小型乡村医院(床位不到100张)引入自愿、匿名、电子医疗差错和ADE报告； (2)确定实施HIT的障碍，包括教育、文化、技术和无形问题，如沉默和抵制； (3)查明小型乡村医院医疗差错和不良反应的流行病学和根本原因； (4)与参与的医院合作，制定专门针对小型乡村医院的教育和持续质量改进(CQI)战略； (5)根据我们收集的数据，与参与机构合作，制定、演示和评估减少差错的战略，并最终在密西西比州乃至其他农村地区改善患者的安全；以及 (6)与我们的参与机构合作，在整个医疗行业传播我们的研究结果和我们制定的QL战略。