Improving Patient Safety and Disease Management While on Contact Isolation

改善接触隔离期间的患者安全和疾病管理

基本信息

批准号：
8464171
负责人：
Daniel J Morgan
金额：
$ 10.5万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-07-01 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8464171
关键词：
Improving Patient Safety Disease Management

项目摘要

This K08 proposal is designed to provide the didactic coursework and research mentoring to enhance Daniel Morgan's efforts to become an independent researcher in hospital epidemiology and quality improvement. He is an infectious diseases physician and Instructor of Epidemiology and Preventive Medicine at the University of Maryland. His long-term goal is to conduct and disseminate research on hospital-acquired infections and interventions that lead to overall quality improvement. In this career award, under the mentoring of outcomes researchers, Drs. Eli Perencevich, Anthony Harris and Lisa Dixon and an expert team of advisors, he proposes completing a Masters in Clinical Research and through his research aims, gaining expertise in measuring quality-of-care, adverse events and psychiatric screening. Contact isolation of patients who are known to be colonized with antibiotic-resistant bacteria is used to prevent transmission of these microorganisms to other patients and limit hospital-acquired infections. It is currently used for approximately 25% of inpatients in acute-care hospitals. These patients are medically complex with multiple illnesses and frequent exposure to healthcare facilities. Patients on contact isolation are less likely to see healthcare workers, have lower quality-of-care process measures, are more likely to become depressed and have low rates of patient satisfaction. Thus, isolated patients are potentially harmed to protect other patients. This project is designed to limit such harm. A methodologically rigorous approach is proposed to quantify the impact and relationship between isolation status of patients and adverse outcomes using a validated clinical data repository of the University of Maryland Medical Center for a historical cohort and a prospective cohort to address adverse events, management of disease, psychiatric screening and patient satisfaction. Using the data from these studies Dr. Morgan will develop and, in a new cohort, validate a novel, easily applied prediction rule to identify those isolated patients at high-risk of developing adverse events. At the end of this award he will be prepared to investigate interventions to decrease adverse events and potentially improve the overall care of the up to 10-15% of hospitalized patients who experience adverse outcomes while on contact isolation. RELEVANCE (See Instructions): Contact isolation is an important tool for preventing hospital-acquired infections. However, the medically complex patient who is placed on contact isolation appears to receive worse care because of isolation. With an increasing number of patients on contact isolation nationwide, it is important to determine the nature of adverse outcomes and methods to prevent such outcomes so that infection control methods can improve overall patient safety.

该K08建议旨在为教学课程和研究指导提供加强丹尼尔·摩根（Daniel Morgan）成为医院流行病学独立研究人员的努力和质量改进。他是传染病医师和流行病学的讲师马里兰大学的预防医学。他的长期目标是进行和传播有关医院可获得的感染和干预措施的研究，从而导致整体质量改善。在这个在成果研究人员的指导下，职业奖。 Eli Perencevich，Anthony Harris和丽莎·迪克森（Lisa Dixon）和顾问专家团队，他建议完成临床研究硕士学位通过他的研究目的，获得衡量护理质量，不良事件和精神病的专业知识筛选。已知用抗生素耐药细菌定殖的患者的接触隔离是用于防止这些微生物向其他患者传播并限制医院的经验感染。目前，它在急诊医院中约有25％的住院患者使用。这些患者具有多种疾病的医学复杂性，并经常接触医疗机构。患者接触隔离不太可能看到医护人员，拥有较低的护理过程措施，更有可能变得沮丧，患者满意度较低。因此，孤立的患者是可能损害保护其他患者。该项目旨在限制这种危害。一个提出了方法严格的方法来量化隔离之间的影响和关系使用经过验证的临床数据存储库的患者的状况和不良结果马里兰州医学中心的历史人群和一个前瞻性队列，以解决不良事件，疾病的管理，精神筛查和患者满意度。使用这些研究的数据摩根博士将发展并在新的队列中验证一项新颖的，易于应用的预测规则，以识别那些在发育不良事件的高风险中孤立的患者。在这个奖项结束时，他将准备调查干预措施以减少不良事件并可能改善整体护理在接触隔离时，多达10-15％的住院患者中会出现不良结果。相关性（请参阅说明）：接触隔离是预防医院获得感染的重要工具。但是，在医学上由于隔离而被放置在接触隔离的情况下似乎会受到更严重的护理。和全国接触隔离的患者数量越来越多，确定的性质很重要不利的结果和预防结果的方法，以便感染控制方法可以改善总体患者安全。