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Patient Safety in Inpatient Psychiatry

住院精神病学中的患者安全

基本信息

批准号：
8484442
负责人：
STEVEN C MARCUS
金额：
$ 43.2万
依托单位：
UNIVERSITY OF PENNSYLVANIA
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：
2010-09-20 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8484442
关键词：
Acute Address Adverse event Award Caring Characteristics Clinical Colorado Data Development Epidemiology Event Eye Foundations General Hospitals Goals Grant Health Care Costs Healthcare Healthcare Systems Hospital Records Hospital Units Hospitals Incidence Inpatients Intervention Interview K-Series Research Career Programs Knowledge Leadership Learning Medicaid Medical Medical Errors Medicine Mental Health Mental Health Services Mental disorders Methods Morbidity - disease rate National Institute of Mental Health Nature Operative Surgical Procedures Outcome Patient Care Patient Discharge Patients Peer Review Pennsylvania Persons Policies Prevention strategy Principal Investigator Provider Psychiatry Public Health Qualitative Methods Quality of Care Research Review Literature Safety Sampling Seminal Surveys Taxonomy Testing Time Utah Vulnerable Populations base clinical care data collection methodology evidence base improved informant instrument mortality patient population patient safety policy implication prevent public health relevance therapy development

项目摘要

DESCRIPTION (provided by applicant): Reducing errors and adverse events have become a central focus of the health care system over the last two decades. However, patients with mental disorders have been systematically excluded from this research. As a result, the epidemiology of patient safety events (adverse events and errors) in hospital based mental health services remains unknown. The current application seeks to assess the incidence, nature and preventability of patient safety events via a record review of 11,000 Medicaid patient medical charts in a random sample of 38 inpatient psychiatric units of general hospitals in Pennsylvania. We will supplement this information with detailed surveys of unit leadership to define the patient, provider, and psychiatric unit/hospital factors that influence, contribute to, and/or protect against the commission of adverse events and/or errors. In-depth qualitative interviews with key informants from ten hospitals will be used to help interpret these quantitative findings and more deeply understand the mechanisms by which patient, provider and unit factors interact and contribute to cause harm and error with an eye towards intervention development.

描述（由申请人提供）：在过去二十年中，减少错误和不良事件已成为医疗保健系统的中心焦点。然而，精神障碍患者被系统地排除在这项研究之外。因此，医院精神卫生服务中患者安全事件（不良事件和错误）的流行病学仍然未知。目前的申请旨在通过对宾夕法尼亚州综合医院38个住院精神科随机抽样的11，000份医疗补助患者病历进行记录审查，评估患者安全事件的发生率，性质和可预防性。我们将通过对单位领导层的详细调查来补充此信息，以确定影响、促成和/或防止不良事件和/或错误发生的患者、提供者和精神科单位/医院因素。将使用来自10家医院的关键知情人进行深入的定性访谈，以帮助解释这些定量结果，并更深入地了解患者，提供者和单位因素相互作用并导致伤害和错误的机制，着眼于干预措施的发展。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors.

退伍军人事务住院精神病科的不良事件：工作人员对促成因素和保护因素的看法。

DOI：
10.1016/j.genhosppsych.2017.07.001
发表时间：
2017
期刊：
General hospital psychiatry
影响因子：
7
作者：
True,Gala;Frasso,Rosemary;Cullen,SaraW;Hermann,RichardC;Marcus,StevenC
通讯作者：
Marcus,StevenC

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

理解住院精神病学中的错误：定性调查。

DOI：
10.1007/s11126-010-9129-z
发表时间：
2010
期刊：
The Psychiatric quarterly
影响因子：
0
作者：
Cullen,SaraWiesel;Nath,SaraBressi;Marcus,StevenC
通讯作者：
Marcus,StevenC

Defining Patient Safety Events in Inpatient Psychiatry.

DOI：
10.1097/pts.0000000000000520
发表时间：
2021-12-01
期刊：
Journal of patient safety
影响因子：
2.2
作者：
Marcus SC;Hermann RC;Cullen SW
通讯作者：
Cullen SW

Predictors of Adverse Events and Medical Errors Among Adult Inpatients of Psychiatric Units of Acute Care General Hospitals.

急症综合医院精神科成人住院患者不良事件和医疗错误的预测因素。

DOI：
10.1176/appi.ps.201800110
发表时间：
2018
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
0
作者：
Vermeulen,JentienM;Doedens,Paul;Cullen,SaraW;vanTricht,MirjamJ;Hermann,Richard;Frankel,Martin;deHaan,Lieuwe;Marcus,StevenC
通讯作者：
Marcus,StevenC