Translating CER results from ICU study to improve outcomes in cardiac surgery
将 ICU 研究的 CER 结果转化为改善心脏手术的结果
基本信息
- 批准号:8146868
- 负责人:
- 金额:$ 142.95万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2010
- 资助国家:美国
- 起止时间:2010-09-30 至 2013-07-31
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
DESCRIPTION (provided by applicant): The overall goal of this program is to substantially reduce the mortality, morbidity, and costs of care in patients having cardiac surgery by implementing an interdisciplinary and multifaceted patient safety program, demonstrated in CER to improve patient outcomes, in a cohort of hospitals. We will build upon our prior efforts to improve patient safety throughout the state of Michigan. We plan to use the same unit-based model to reduce morbidity and mortality in cardiac surgery by linking unit-based teams from the operating room (OR), intensive care unit (ICU), and floor within a hospital. We partnered with the Society for Cardiovascular Anesthesia Foundation (SCAF) and the Society for Thoracic Surgeons (STS) to conduct and spread this research. The STS has a mature database into which most hospitals performing cardiac surgery in the U.S. report data. Their approach to improvement is to send performance reports to hospital without offering improvement interventions (termed passive feedback) and benchmark data to teams. This approach contrasts with our Michigan project, in which teams actively implemented an interdisciplinary and multifaceted patient safety program and received feedback regarding performance. We hypothesize that the combination of feedback of performance data, as STS has done, with a multifaceted intervention demonstrated in CER to reduce infectious complications and a program to improve culture in cardiac surgery, will result in a greater reduction in 30-day mortality, length of stay, and readmissions than passive feedback alone. The specific aims of this proposal including the following; 1. To implement and evaluate the impact of a patient safety program on rates of surgical site infections and OR safety culture in a cohort of cardiac ORs. 2. To implement and evaluate the impact of a patient safety program on rates of central line-associated bloodstream infections, ventilator-associated pneumonia, and safety culture in cardiac surgical ICUs. 3. To implement and evaluate the impact of a patient safety program on errors associated with handoffs from the ICU to the floor and discharge from the hospital, and with safety culture in a cohort of hospital floors that care for cardiac surgical patients. 4. To evaluate the combined impact of a patient safety program in cardiac ORs, ICUs, and floors compared to passive feedback of outcome data on 30-day mortality, hospital readmissions, and hospital length of stay, in a cohort of hospitals providing cardiac surgery. This study has the potential to substantially reduce mortality, length of stay, and readmissions in cardiac surgery and to develop new knowledge regarding how to improve patient safety.
PUBLIC HEALTH RELEVANCE: The overall goal of this program is to substantially reduce the mortality, morbidity, and costs of care in patients having cardiac surgery by comparing the impact of passive reporting of performance data to an interdisciplinary and multifaceted patient safety program in a cohort of hospitals. We partnered with the STS and SCAF to implement and evaluate the impact of a safety program on 30 day mortality, readmission and LOS in patients having cardiac surgery. This study has the potential to substantially reduce mortality, length of stay, and readmissions in cardiac surgery and to develop new knowledge regarding how to improve patient safety.
描述(由申请人提供):本项目的总体目标是通过实施跨学科和多方面的患者安全项目,在一系列医院中大幅降低心脏手术患者的死亡率、发病率和护理成本,CER证明了这一点,以改善患者的预后。我们将在之前的努力基础上,改善整个密歇根州的患者安全。我们计划使用相同的以单元为基础的模型,通过将手术室(OR)、重症监护病房(ICU)和医院楼层的以单元为基础的团队联系起来,降低心脏手术的发病率和死亡率。我们与心血管麻醉基金会(SCAF)和胸外科学会(STS)合作开展和推广这项研究。STS有一个成熟的数据库,美国大多数进行心脏手术的医院都向该数据库报告数据。他们的改进方法是向医院发送绩效报告,而不提供改进干预措施(称为被动反馈)和基准数据给团队。这种方法与我们的密歇根项目形成对比,在密歇根项目中,团队积极实施跨学科和多方面的患者安全计划,并收到有关表现的反馈。我们假设,如STS所做的那样,将表现数据的反馈与CER中证明的减少感染并发症的多方面干预和改善心脏手术培养的计划相结合,将比单独的被动反馈更能降低30天死亡率、住院时间和再入院率。本建议的具体目标包括:1. 在心脏外科手术室队列中实施和评估患者安全计划对手术部位感染率和手术室安全培养的影响。2. 实施和评估患者安全计划对心脏外科icu中央线相关血流感染率、呼吸机相关肺炎和安全培养率的影响。3. 实施和评估患者安全计划对从ICU转移到医院楼层和出院相关错误的影响,以及对心脏外科患者的医院楼层队列的安全文化的影响。4. 在一组提供心脏手术的医院中,与30天死亡率、再入院率和住院时间的被动反馈结果数据相比,评估患者安全计划在心脏手术室、icu和地板中的综合影响。这项研究有可能大幅降低心脏手术的死亡率、住院时间和再入院率,并开发有关如何提高患者安全的新知识。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Peter J. Pronovost其他文献
Aspiration Pneumonia: Mixing Apples with Oranges and Tangerines [1] (multiple letters)
吸入性肺炎:将苹果与橙子和橘子混合[1](多个字母)
- DOI:
- 发表时间:
2004 - 期刊:
- 影响因子:0
- 作者:
P. Marik;S. Berenholtz;Jeff H. Kozlow;Todd Dorman;Peter J. Pronovost - 通讯作者:
Peter J. Pronovost
Application of Information Technology: Creating the Web-based Intensive Care Unit Safety Reporting System
信息技术的应用:创建基于网络的重症监护室安全报告系统
- DOI:
- 发表时间:
2005 - 期刊:
- 影响因子:0
- 作者:
C. Holzmueller;Peter J. Pronovost;Fern Dickman;David A. Thompson;Albert W. Wu;L. Lubomski;M. Fahey;Donald M. Steinwachs;Lilly Engineer;A. Jaffrey;L. Morlock;Todd Dorman - 通讯作者:
Todd Dorman
Postoperative complications: does intensive care unit staff nursing make a difference?
术后并发症:重症监护室工作人员的护理是否有所作为?
- DOI:
- 发表时间:
2002 - 期刊:
- 影响因子:0
- 作者:
Deborah Dang;M. Johantgen;Peter J. Pronovost;M. Jenckes;Eric B. Bass - 通讯作者:
Eric B. Bass
Next level of board accountability in health care quality.
董事会在医疗保健质量方面的责任更上一层楼。
- DOI:
10.1108/jhom-09-2017-0238 - 发表时间:
2018 - 期刊:
- 影响因子:1.4
- 作者:
Peter J. Pronovost;C. M. Armstrong;R. Demski;Ronald R. Peterson;Paul B. Rothman - 通讯作者:
Paul B. Rothman
Adopting evidence-based process measures in surgery: Intervention specific or associated with overall hospital quality?
- DOI:
10.1016/j.jamcollsurg.2008.06.185 - 发表时间:
2008-09-01 - 期刊:
- 影响因子:
- 作者:
Benjamin S. Brooke;Robert A. Meguid;Martin A. Makary;Bruce A. Perler;Francesca Dominici;Peter J. Pronovost;Timothy M. Pawlik - 通讯作者:
Timothy M. Pawlik
Peter J. Pronovost的其他文献
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{{ truncateString('Peter J. Pronovost', 18)}}的其他基金
Applying Human Factors and Mathematical Modeling Approaches to Prevent Transmission of High-Consequence Pathogens
应用人为因素和数学建模方法来防止高后果病原体的传播
- 批准号:
9075150 - 财政年份:2015
- 资助金额:
$ 142.95万 - 项目类别:
Transdisciplinary Learning Lab to eliminate patient harm and reduce waste
跨学科学习实验室消除患者伤害并减少浪费
- 批准号:
8804327 - 财政年份:2014
- 资助金额:
$ 142.95万 - 项目类别:
Transdisciplinary Learning Lab to eliminate patient harm and reduce waste
跨学科学习实验室消除患者伤害并减少浪费
- 批准号:
8932017 - 财政年份:2014
- 资助金额:
$ 142.95万 - 项目类别:
Transdisciplinary Learning Lab to eliminate patient harm and reduce waste
跨学科学习实验室消除患者伤害并减少浪费
- 批准号:
9143137 - 财政年份:2014
- 资助金额:
$ 142.95万 - 项目类别:
Translating CER results from ICU study to improve outcomes in cardiac surgery
将 ICU 研究的 CER 结果转化为改善心脏手术的结果
- 批准号:
8309774 - 财政年份:2010
- 资助金额:
$ 142.95万 - 项目类别:
Translating CER results from ICU study to improve outcomes in cardiac surgery
将 ICU 研究的 CER 结果转化为改善心脏手术的结果
- 批准号:
8053133 - 财政年份:2010
- 资助金额:
$ 142.95万 - 项目类别:
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