Developing and disseminating a Patient Safety Risk Assessment (PSRA)toolkit for i

描述(由申请人提供)：优质医疗服务的提供受到许多变量的影响，包括医疗机构潜在的环境条件，这些条件可能会对 与不良医疗事件有关。通常，在设施设计过程中，当缺乏对患者安全相关目标的关注时，对患者和工作人员产生负面影响的建筑环境功能会不假思索地纳入医疗设施中。很少有医疗保健组织利用设施设计流程来转变其组织中的安全文化。该项目的主要目标是开发患者安全风险评估(PSRA)工具包，其中包括基于证据的设计策略框架(安全设计路线图)、前瞻性患者安全风险评估工具、使用说明和方法、用户指南和白皮书，以及一个包含案例研究的教育平台，以加速物理环境设计的采用、集成和制度化， 作为帮助根除对病人伤害的一种手段。该项目将支持AHRQ通过开发1)新的研究和实践方法以及2)支持这一新方法的传播和实施来提高所有美国人的医疗安全的使命，这将有助于未来更安全的医疗设施的发展。该项目旨在用三年的时间开发和传播一个在线的前瞻性患者安全风险评估(PSRA)工具包。2013至2015年间，将与设施准则研究所和主要合作伙伴合作举办三个多学科研讨会。该项目将在三年内侧重于以下内容：1.第一年：安全设计路线图和PSRA工具开发-在第一年，将制定PSRA的结构和格式。安全设计路线图将在对三名医疗保健首席执行官的采访基础上进一步制定。最后，将与MedStar创新研究所合作举办一次研讨会，讨论悬而未决的问题。2.第2年：PSRA工具验证和集成-在第二年，PSRA工具将通过焦点小组反馈和医疗保健组织的试点测试进行验证并集成到工具包中。第二次研讨会将在Kaiser Permanente的加菲尔德创新中心举行，使该工具能够进行进一步的测试。3.第3年：PSRA工具包的传播和评价--在第三年，PSRA工具包将通过一个在线平台传播。最后一次研讨会将与2015年的全国ASHE PDC峰会同时举行，以分享该项目的主要成果，并就PSRA的实施对医疗保健设计利益攸关方进行教育。 与公共卫生相关：用药失误、患者跌倒和医疗保健获得性感染是美国医院和世界各地的一个严重问题。研究表明，包括噪音、光线差、通风不足以及建筑布局和设计在内的医疗物理环境因素导致了医疗保健中的这些负面结果。该项目的目标是通过开发主动的患者安全风险评估工具包来创建更安全的医疗环境，以便在设计和建造医疗设施时能够仔细考虑建成的环境因素。

DESCRIPTION (provided by applicant): Quality care delivery is shaped by many variables, including those healthcare facility latent environmental conditions that can potentially contribute to adverse healthcare events. Often, built environment features that negatively impact patients and staff are incorporated unthinkingly into healthcare facilities during the facility design proces when there is a lack of focus on goals related to patient safety. Few healthcare organizations are leveraging the opportunity to use the facility design process to transform the safety culture i their organizations. The key goals of this project are to develop a Patient Safety Risk Assessment (PSRA) toolkit that includes an evidence-based design strategy framework (Safe Design Roadmap), a proactive Patient Safety Risk Assessment tool, instructions and methods for its use, user guides and white papers, and an educational platform with case studies to accelerate the adoption, integration and institutionalization of the physical environmental design, as a means to help eradicate patient harm. The project will support AHRQ's mission to improve healthcare safety for all Americans by developing 1) a new research and practice methodology as well as 2) supporting dissemination and implementation of this new methodology that will help in the development of safer healthcare facilities in the future. This project aims to develop and disseminate over the course of three years an online proactive patient safety risk assessment (PSRA) toolkit. Three multidisciplinary seminars will be conducted between 2013 and 2015 in collaboration with the Facilities Guidelines Institute and key partners. The project will focus on the following over the three years: 1. Year 1: Safe Design Roadmap and PSRA tool development - In the first year, the structure and format for the PSRA will be developed. The safe design roadmap will be further developed based on interviews with three healthcare CEOs. Finally, a seminar will be conducted in collaboration with the MedStar Institute for Innovation to discuss unresolved issues. 2. Year 2: PSRA tool validation and integration - In the second year, the PSRA tool will be validated and integrated into a toolkit through focus group feedback and pilot testing at healthcare organizations. A second seminar will be hosted at Kaiser Permanente's Garfield Innovation Center enabling the tool to be further tested. 3. Year 3: PSRA toolkit dissemination and evaluation - In the third year, the PSRA toolkit will be disseminated via an online platform. The final seminar will be held in conjunction with the national ASHE PDC summit in 2015 to share the key findings of the project and to educate healthcare design stakeholders on the implementation of the PSRA. PUBLIC HEALTH RELEVANCE: Medication errors, patient falls and healthcare acquired infections are a serious problem in U.S. hospitals as well as worldwide. Research shows that healthcare physical environment factors including noise, poor lighting, inadequate ventilation and building layout and design contribute to these negative outcomes in healthcare. The goal of this project is to create safer healthcare environments by developing a proactive patient safety risk assessment toolkit to enable careful consideration of built environment factors during the design and construction of healthcare facilities.