Electronic Records to Improve Care for Children

电子记录改善儿童护理

• 批准号: 6891119
• 负责人: RICHARD N SHIFFMAN
• 金额: $ 46.43万
• 依托单位: YALE UNIVERSITY
• 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/6891119
• 关键词: asthma; automated medical record system; behavioral /social science research tag; biomedical automation; clinical research; computer assisted medical decision making; computer assisted patient care; cooperative study; emergency care; health care quality; health services research tag; human data; human subject; interdisciplinary collaboration; patient care management; patient safety /medical error; pediatrics; student health services; urban area

DESCRIPTION (provided by the applicant): We propose to implement and evaluate a community-wide electronic health record to improve health care for inner city children with asthma in New Haven, Connecticut. We have assembled a large group of organizations and enormously talented individuals who are committed to this project and its vision of integrated health care for children in New Haven. This collaboration has enabled us to take on an ambitious set of aims: 1. To implement a shared, community-wide electronic health record for health care providers in pediatric primary care, school health, specialty care, and emergency medicine. The proposed multi-institutional partnership will diminish the obstacles to quality associated with incomplete health records, provide a continuous longitudinal ambulatory record for the majority of New Haven's inner city children with asthma, and allow inter-disciplinary care planning. 2. To demonstrate improvements in quality of care for children with asthma. As a result of improved communication among community partners, we will demonstrate a reduction in communication errors that pose a threat to patient safety. In a second study, we will demonstrate improved asthma care by primary care providers as a result of the implementation of decision support integrated with the electronic health record. 3. To understand organizational barriers and factors that enhance IT acceptance. We will apply an innovative conceptual model based on complex adaptive systems to analyze and interpret the success of the EHR implementation at various sites. 4. To provide administrative and technical elements of a community wide health network infrastructure that can be further extended to additional health partners.

描述(由申请人提供)：我们建议实施和评估社区范围的电子健康记录，以改善康涅狄格州纽黑文市中心哮喘儿童的医疗保健。我们召集了一大批组织和才华横溢的个人，他们致力于这一项目及其在纽黑文为儿童提供综合医疗保健的愿景。这种合作使我们能够实现一系列雄心勃勃的目标： 1.为儿科初级保健、学校保健、专科保健和急救医疗保健服务提供者实施共享的、全社区的电子健康记录。拟议的多机构伙伴关系将减少与不完整的健康记录相关的质量障碍，为纽黑文大多数患有哮喘的市中心儿童提供连续的纵向非卧床记录，并允许进行跨学科的护理规划。 2.证明哮喘儿童的护理质量有所改善。由于社区合作伙伴之间沟通的改善，我们将展示对患者安全构成威胁的沟通错误的减少。在第二项研究中，我们将展示初级保健提供者因实施与电子健康记录相结合的决策支持而改善了哮喘护理。 3.了解提高IT接受度的组织障碍和因素。我们将应用基于复杂适应系统的创新概念模型来分析和解释在不同地点成功实施EHR的原因。 4.提供社区卫生网络基础设施的行政和技术要素，以便进一步扩大到更多的卫生合作伙伴。