Enhancing Patient Safety through a Universal EMR System

通过通用 EMR 系统增强患者安全

• 批准号: 7119030
• 负责人: Thomas Johnson
• 金额: $ 50万
• 依托单位: DUBOIS REGIONAL MEDICAL CENTER
• 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 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7119030
• 关键词: automated medical record system; children; computer assisted medical decision making; congestive heart failure; cost effectiveness; diabetes mellitus; drug adverse effect; emergency health services; health care cost /financing; health care quality; health economics; health insurance; health services research tag; immunization; low socioeconomic status; outpatient care; patient care management; patient safety /medical error; rural health; smoking cessation; women' s health

DESCRIPTION (provided by the applicant): DuBois Regional Medical Center (DRMC), a rural acute care hospital, and its Partners, DuBois Regional Medical Group, and the Free Medical Clinic of DuBois, Inc., will implement an Electronic Medical Records (EMR) System that allows data sharing across seven health care delivery sites in rural north central Pennsylvania. Clinicians will access current and complete patient information using either Personal Digital Assistants or through a web portal. Information will be available 24 hours per day, 7 days a week, without restrictions upon geographic location. The project will provide authorized users with more accurate and timely information through immediate electronic access to patient and population level information. Multiple and timely access to patient records will expand knowledge and decision-support tools. The project will promote the ability to collect longitudinal data for and about a patient receiving care at multiple locations. The long-term objectives are to enhance the safety, quality, cost-effectiveness, and efficiency of health care. Specific Aims are: (1) To implement a Universal Electronic Medical Records system in rural inpatient and outpatient settings; (2) To use an EMR system to reduce cost of delivery of care through improved productivity, lower operating expenses, enhanced revenue, and improved regulatory compliance (reduced cost of supplies, storage, reduced write-offs, enhanced automation); (3) To use EMR system to improve patient safety and reduce the frequency of medical errors (reduced time in emergency department after hours, fewer adverse drug reactions, fewer mistakes when physicians cover for others patients); (4) To use EMR system to improve quality of care for women, children, low-income uninsured populations, and patients receiving treatment for diabetes, congestive heart failure, and end-of-life care (improved smoking cessation and immunization rates.)

描述（由申请人提供）：Dubois地区医疗中心（DRMC），一家农村急诊医院及其合作伙伴Dubois Regional Medical Group以及Dubois，Inc。的免费医疗诊所将实施电子医疗记录（EMR）系统，该系统允许在北部宾夕法尼亚州北部北部中部七个医疗保健地点的七个医疗保健服务地点进行数据共享。临床医生将使用个人数字助理或通过网络门户访问当前和完整的患者信息。每周7天每天24小时提供信息，而无需限制地理位置。该项目将通过立即获得患者和人群级别的信息来为授权用户提供更准确和及时的信息。多次及时访问患者记录将扩展知识和决策支持工具。该项目将促进能够在多个位置收集患者接受护理的患者的纵向数据的能力。长期目标是提高医疗保健的安全性，质量，成本效益和效率。 具体目的是：（1）在农村住院和门诊环境中实施通用的电子病历系统； （2）使用EMR系统通过提高生产率，降低运营费用，增​​强收入和改善的监管合规性来降低护理成本（供应成本降低，存储，降低，注销减少，自动化增强）； （3）使用EMR系统来改善患者的安全性并降低医疗错误的频率（下班后急诊室的时间缩短了时间，不良药物反应的不良反应，医生对其他患者涵盖的错误较少）； （4）使用EMR系统来改善妇女，儿童，低收入无保险人群以及接受糖尿病治疗，充血性心力衰竭和临终关怀治疗的患者（改善吸烟和免疫率）。