A Decision Support Tool for Adult Sickle Cell Emergency Department Patients

成人镰状细胞急诊科患者的决策支持工具

• 批准号: 7797647
• 负责人: Paula Tanabe
• 金额: $ 11.77万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-20 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7797647
• 关键词: Accident and Emergency department; Acute Pain; Addictive Behavior; Address; Admission activity; Adult; Age; Analgesics; Area; Biological; Caring; Comorbidity; Complex; Complication; Comprehensive Health Care; Data Reporting; Discipline; Disease; Doctor of Philosophy; Education; Emergency Medicine; Emergency Situation; Evaluation; Feeling; Female; Frequencies; Genotype; Goals; Health Personnel; Health Services; Health Services Needs; Hematology; Hospitalization; Hour; Incidence; Individual; Interview; Knowledge; Lead; Life; Life Expectancy; Medication Management; Mentorship; Methodology; Needs Assessment; Nurses; Pain; Pain Measurement; Pain management; Paper; Pastoral Care; Patient Education; Patients; Persons; Pharmaceutical Preparations; Physical therapy; Physicians; Physiological; Positioning Attribute; Psychiatry; Psychometrics; Reporting; Research; Research Personnel; Risk; Risk Factors; Sampling; Services; Sickle Cell; Sickle Cell Anemia; Social Health Services; Social Work; Specialist; Techniques; Testing; Time; Training; United States; United States National Institutes of Health; Universities; Visit; addiction; career; career development; drug addict; experience; hospital admission rate; improved; male; mortality; neglect; professor; programs; psychologic; satisfaction; social; tool; tool development

DESCRIPTION (provided by applicant): The applicant is a Research Assistant Professor in Emergency Medicine at Northwestern University. The applicant's long-term goal is to become an independent investigator with a primary focus on improving the care for persons with Sickle Cell disease (SCO) in the emergency department (ED) setting. Acute pain episodes are the most frequent complication associated with SCD. These painful episodes are severe and often require care in the emergency department (ED) setting. ED clinicians frequently perceive persons with SCD to be drug seeking and patients often perceive the ED experience as frustrating. Some patients with SCD also have complex co-morbidities and bio-psycho-social needs that may contribute to frequent ED visits. Clinicians are often unprepared to manage the acute pain in the ED setting for persons with SCD and are not trained in how to perform an adequate bio-psycho-social assessment that would identify individual patient education and referral needs upon ED discharge. Identification of these needs may lead to improved care and decreased return ED visits when provided with proper referrals. The goal of this project is to develop and pilot test a bio-psycho-social decision support tool (the Sickle Cell Assessment of Needs and Strengths, SCANS) to be used by emergency clinicians. The SCANS will 1) objectively assess and guide ED analgesic management and 2) identify education and referral service delivery needs for adult patients with SCD. The SCANS will be beneficial to both emergency clinicians and patients with SCD, in particular for patients with complex needs that currently may result in frequent ED visits. Under the mentorship of established investigators in the areas of hematology, emergency medicine pain management, psychometrics and addiction the candidate proposes a career development program that addresses the applicants' long- term goal of becoming an independent investigator. Primary goals of the proposed training are to 1) increase knowledge in SCD, 2) gain an in-depth understanding of the complex relationship between addiction and pain, and 3) receive training in qualitative and decision support tool development methodologies. This knowledge will position the candidate to launch a research career as an investigator who will conduct projects aimed at scientifically evaluating mechanisms to improve the care of persons with SCD in the ED setting.

描述（由申请人提供）：

项目成果

Adult emergency department patients with sickle cell pain crisis: results from a quality improvement learning collaborative model to improve analgesic management.

患有镰状细胞疼痛危机的成人急诊科患者：改善镇痛管理的质量改进学习协作模型的结果。

• DOI: 10.1111/j.1553-2712.2012.01330.x
• 发表时间: 2012
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: Tanabe,Paula;Hafner,JohnW;Martinovich,Zoran;Artz,Nicole
• 通讯作者: Artz,Nicole

The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS): reliability and validity.

急诊科镰状细胞病需求和优势评估 (ED-SCANS)：可靠性和有效性。

• DOI: 10.1097/tme.0b013e31828ecbd5
• 发表时间: 2013
• 期刊: Advanced emergency nursing journal
• 影响因子: 0.5
• 作者: Tanabe,Paula;Thornton,VictoriaL;Martinovich,Zoran;Todd,KnoxH;Wun,Ted;Lyons,JohnS
• 通讯作者: Lyons,JohnS

Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS), a focus group and decision support tool development project.

急诊科镰状细胞需求和优势评估 (ED-SCANS)，焦点小组和决策支持工具开发项目。

• DOI: 10.1111/j.1553-2712.2010.00779.x
• 发表时间: 2010
• 期刊: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
• 作者: Tanabe,Paula;Reddin,Christopher;Thornton,VictoriaL;Todd,KnoxH;Wun,Ted;Lyons,JohnS
• 通讯作者: Lyons,JohnS