Electronic Exchange of Poisoning Information

中毒信息电子交换

• 批准号: 8576953
• 负责人: MOLLIE R. CUMMINS
• 金额: $ 25万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2018-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8576953
• 关键词: Electronic; Exchange; Poisoning; Information

Project Summary Unintentional poisoning is the second leading cause of injury death in the United States. Collaboration between poison control centers (PCCs) and emergency departments (EDs) is dependent upon verbal, telephone communication that can lead to miscommunication, data loss, and error. (3, 4). Recent research has identified numerous vulnerabilities and inefficiencies in the current telephone-based system of collaboration, vulnerabilities that must be addressed in order to ensure patient safety. Health information exchange (HIE), the electronic exchange of patient information, could better support PCC-ED collaboration for poisoned patients during routine operations and in disaster scenarios, when telephone-based communication is fragile. However, we currently lack both process models and informatics tools (standards and software) for PCC-ED health information exchange and this poses a substantial barrier to HIE for U.S. poison control centers operating with limited resources. Moreover, there is no available information on the clinical effects of implementing this type of provider-to-provider health information exchange, including effects on workflow and patient care. The specific aims of this study are as follows: (1) Develop a model process for HIE supported ED- PCC collaboration, (2) Develop and implement informatics tools for HIE supported ED-PCC collaboration, and (3) Evaluate the effects of the model HIE process and informatics tools on workflow, communication, efficiency, and utilization. We will develop a replicable, scalable process for ED-PCC health information exchange and develop informatics tools that enable emergency departments and poison control centers to engage in HIE. We will also evaluate the effect of the prototype information exchange process on workflow and clinical outcomes including emergency department door-to-decision time, time to PCC case closure, and change in the number of telephone calls exchanged between EDs and PCCs. These innovations reflect patient-focused information management and are designed to ensure availability of poisoning-related information to support transitions and collaborations in care. !

项目摘要 意外中毒是美国伤害死亡的第二大原因。 中毒控制中心（PCC）和紧急部门之间的合作 (EDs)依赖于口头和电话交流， 错误沟通、数据丢失和错误。（3，4）。最近的研究发现， 当前基于电话的协作系统中的漏洞和效率低下， 为了确保患者安全，必须解决这些漏洞。健康 信息交换（HIE），病人信息的电子交换，可以更好地 支持PCC-ED在常规操作期间和 灾难场景，当基于电话的通信是脆弱的。但我们 目前缺乏过程模型和信息工具（标准和软件）， PCC-ED健康信息交换，这对美国的HIE构成了实质性障碍。 毒物控制中心的资源有限。此外，没有可用的 关于实施这种提供者对提供者健康的临床效果的信息 信息交流，包括对工作流程和患者护理的影响。具体目标 （1）建立HIE支持的艾德治疗模式。 PCC协作，（2）支持为HIE开发和实施信息学工具 ED-PCC协作，以及（3）评估模型HIE过程的效果， 信息学工具的工作流程，沟通，效率和利用。我们将 为ED-PCC健康信息交换开发可复制、可扩展的流程， 开发信息工具，使应急部门和毒物控制 中心从事HIE。我们还将评估原型信息的效果 包括急诊科在内的工作流程和临床结果的交流过程 上门决策时间、PCC病例关闭时间和电话数量变化 ED和PCC之间交换的呼叫。这些创新体现了以患者为中心 信息管理，旨在确保提供与中毒有关的 信息，以支持过渡和护理合作。 !