Improving the Safety and Quality of Pediatric Health Care

提高儿科医疗保健的安全和质量

• 批准号: 8493810
• 负责人: ERIC J THOMAS
• 金额: $ 14.28万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-14 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8493810
• 关键词: Attention; Aviation; Award; Behavior; Boat; Breathing; Caregivers; Caring; Cessation of life; Chest; Child; Childhood; Commit; Communication; Competence; Critical Illness; Delivery Rooms; Diagnostic Errors; Disease; Educational Curriculum; Educational Intervention; Educational process of instructing; Environment; Environmental air flow; Funding; Future; Grant; Healthcare; Healthcare Systems; Home environment; Hospitals; Human; Individual; Industry; Infant; Injury; International; Intervention; Knowledge; Leadership; Life; Low Birth Weight Infant; Measures; Medical; Medical Errors; Mentors; Methods; Neonatal; Outpatients; Patients; Pediatric Research; Perinatal; Pharmaceutical Preparations; Pilot Projects; Plant Roots; Principal Investigator; Provider; Quality of Care; Recruitment Activity; Reporting; Research; Research Training; Resources; Resuscitation; Role; Safety; Testing; Texas; Time; Training; Training Programs; United States; United States Agency for Healthcare Research and Quality; United States National Institutes of Health; Universities; base; career; experience; health care quality; improved; injured; medical schools; meetings; member; neonatal resuscitation; prevent; programs; public health relevance; simulation; skills

DESCRIPTION (provided by applicant): At least 44,000 patients die each year in the U.S. and numerous more are injured as a result of medical errors. Research by Dr. Thomas and one of his mentees shows that children comprise a significant proportion of these deaths and that 70,000 children are injured by care in hospitals each year. In addition to errors, pediatric healthcare is fraught with under use of effective care and over use of ineffective care. As Tom Boat notes in two important articles, research training in healthcare quality and safety should be central components ofthe pediatric research agenda in the United States. For 14 years Dr. Thomas has committed the majority of his time to research on healthcare quality and safety. He now has the experience and institutional environment to successfully mentor individuals who will dedicate their careers to conducting research to improve pediatric quality and safety. Dr. Thomas has a track record of mentoring, a national and international research reputation, and he holds key research training leadership roles at The University of Texas Medical School at Houston. Furthermore, UT Houston has an outstanding reseach training program fnded by a NIH CTSA grant, an AHRQ training grant for quality and safety, and Dr. Thomas directs the UT-Memorial Hermann Center for Healthcare Quality and Safety. Dr. Thomas expects to recruit two mentees per year for the first 2-3 years then mentor no more than 5 or 6 six mentees at a time. He will devote 25% effort to mentoring and 25% effort to the research plan outlined in this application. The research proposed for this award will test team training interventions to improve teamwork and the technical quality of neonatal resuscitation. Initial studies will be conducted in a simulator, followed by a two-center pilot study to assess the effect on the resuscitation of low birthweight infants. In addional, research wil be conducted on diagnostic errors, improving compliance with isolation of children with contagious diseases, developing quality measures for neonatal ICUs, measuring and improving safety culture, and improving care transitions fr-om the NICU to home and outpatient medical care.

描述（由申请人提供）：在美国，每年至少有44，000名患者死亡，还有更多的患者因医疗错误而受伤。托马斯博士和他的一名学员的研究表明，儿童在这些死亡中占很大比例，每年有70 000名儿童因医院护理而受伤。除了错误，儿科医疗保健充满了有效护理的使用不足和无效护理的过度使用。正如Tom Boat在两篇重要文章中指出的那样，医疗质量和安全性的研究培训应该是美国儿科研究议程的核心组成部分。14年来，托马斯博士将大部分时间用于研究医疗质量和安全性。他现在有经验和制度环境，成功地指导个人谁将致力于他们的职业生涯进行研究，以提高儿科质量和安全。托马斯博士有指导的记录，一个国家和国际研究的声誉，他在休斯顿得克萨斯大学医学院担任关键的研究培训领导角色。此外，UT休斯顿有一个由NIH CTSA赠款，AHRQ质量和安全培训赠款fnded优秀的研究培训计划，和博士托马斯指导UT纪念赫尔曼中心的医疗质量和安全。托马斯博士希望在头2-3年每年招募两名学员，然后一次指导不超过5或6名学员。他将投入25%的精力指导和25%的努力，在此应用程序中概述的研究计划。该奖项的研究将测试团队培训干预措施，以提高团队合作和新生儿复苏的技术质量。最初的研究将在模拟器中进行，然后是两个中心的试点研究，以评估对低出生体重儿复苏的影响。此外，还将对诊断错误进行研究，提高传染病儿童隔离的依从性，制定新生儿ICU的质量措施，衡量和改善安全文化，并改善从NICU到家庭和门诊医疗护理的护理过渡。

项目成果

The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.

新生儿重症监护室安全文化与护理质量之间的相关性。

• DOI: 10.1097/pts.0000000000000546
• 发表时间: 2020-12
• 期刊: Journal of patient safety
• 影响因子: 2.2
• 作者: Profit J;Sharek PJ;Cui X;Nisbet CC;Thomas EJ;Tawfik DS;Lee HC;Draper D;Sexton JB
• 通讯作者: Sexton JB

Barriers of Pediatric Residents to Speaking Up About Patient Safety.

儿科住院医生谈论患者安全的障碍。

• DOI: 10.1542/hpeds.2016-0042
• 发表时间: 2016
• 期刊: Hospital pediatrics
• 作者: Landgren,Rachel;Alawadi,Zeinab;Douma,Caryn;Thomas,EricJ;Etchegaray,Jason
• 通讯作者: Etchegaray,Jason

Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.

• DOI: 10.1038/s41372-021-01100-y
• 发表时间: 2021-09
• 期刊: Journal of perinatology : official journal of the California Perinatal Association
• 作者: Profit J;Adair KC;Cui X;Mitchell B;Brandon D;Tawfik DS;Rigdon J;Gould JB;Lee HC;Timpson WL;McCaffrey MJ;Davis AS;Pammi M;Matthews M;Stark AR;Papile LA;Thomas E;Cotten M;Khan A;Sexton JB
• 通讯作者: Sexton JB

Needs assessment to improve neonatal intensive care in Mexico.

需要评估以改善墨西哥的新生儿重症监护。

• DOI: 10.1179/2046905515y.0000000044
• 发表时间: 2015
• 期刊: Paediatrics and international child health
• 影响因子: 1.8
• 作者: Weiss,KJ;Kowalkowski,MA;Treviño,R;Cabrera-Meza,G;Thomas,EJ;Kaplan,HC;Profit,J
• 通讯作者: Profit,J

Pediatric Trainees' Speaking Up About Unprofessional Behavior and Traditional Patient Safety Threats.

儿科实习生谈论不专业行为和传统的患者安全威胁。

• DOI: 10.1016/j.acap.2020.07.014
• 发表时间: 2021
• 期刊: Academic pediatrics
• 影响因子: 3.1
• 作者: Kesselheim,JenniferC;Shelburne,JuliaT;Bell,SigallK;Etchegaray,JasonM;Lehmann,LisaSoleymani;Thomas,EricJ;Martinez,William
• 通讯作者: Martinez,William