Dissemination of Patient Centered Outcomes in Anesthesia Care

传播以患者为中心的麻醉护理成果

• 批准号: 8605174
• 负责人: RICHARD P DUTTON
• 金额: $ 9.45万
• 依托单位: ANESTHESIA QUALITY INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-02-01 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8605174
• 关键词: Dissemination; Patient; Centered; Outcomes; Anesthesia

DESCRIPTION (provided by applicant): Dissemination of Patient Centered Outcomes in Anesthesia Care The rate of serious complications from anesthesia is low, but not zero. Complications that affect patient comfort, such as inadequate pain management or perioperative nausea and vomiting, are common and disturbing occurrences. Safety and comfort determine patient satisfaction with anesthesia care, and patient willingness to undergo procedures. Patients who experience adverse outcomes require additional resources and decrease the efficiency of healthcare. The American Society of Anesthesiologists (ASA) is the largest provider of continuing medical education for anesthesiologists in the world, and an important source for public education. The Anesthesia Quality Institute (AQI) was created by ASA to improve perioperative care through development of the National Anesthesia Clinical Outcomes Registry (NACOR). The AQI recruits anesthesia practices to submit administrative, clinical and outcome data; 150 practices participate in NACOR, representing more than 10% of anesthesiologists and surgical facilities in the US. NACOR includes more than 4 million cases now and will double in size within the year. An opportunity exists to improve patient-centered anesthesia outcomes, using AQI data to identify gaps in care that can be filled with ASA educational materials for patients and providers. NACOR will be used to create benchmarks for measures of patient satisfaction with anesthesia. Data will be analyzed to determine the variation in outcomes across providers and to identify high and low outliers. Identification of outcome variation will lead to creation of bundles of ASA educational material based on best practices, to close identified gaps in knowledge. Educational materials and ongoing performance reports will be deployed to AQI practices and providers. In addition, gap analysis will lead to educational media targeted at patients themselves, with a focus on what the patient can do to improve their own safety and comfort in the perioperative period. Changes in patient-centered outcomes will be tracked over time, with assessment of which educational interventions are most effective at the patient, provider and practice level.

描述（由申请人提供）：在麻醉护理中传播以患者为中心的结果麻醉的严重并发症的发生率很低，但不是零。影响患者舒适度的并发症，如疼痛管理不足或围手术期恶心和呕吐，是常见和令人不安的事件。安全性和舒适性决定了患者对麻醉护理的满意度，以及患者接受手术的意愿。出现不良结局的患者需要额外的资源，并降低医疗保健的效率。美国麻醉医师协会（阿萨）是世界上最大的麻醉医师继续医学教育提供者，也是公众教育的重要来源。麻醉质量研究所（AQI）由阿萨创建，旨在通过国家麻醉临床结局登记处（NACOR）的发展来改善围手术期护理。AQI招募麻醉实践提交行政，临床和结果数据; 150个实践参与NACOR，代表美国10%以上的麻醉师和外科设施。NACOR现在包括400多万个病例，并将在一年内增加一倍。利用AQI数据来确定护理中的差距，可以为患者和提供者提供阿萨教育材料，从而改善以患者为中心的麻醉效果。NACOR将用于创建衡量患者麻醉满意度的基准。将对数据进行分析，以确定提供者之间的结果差异，并确定高和低离群值。识别结果差异将导致基于最佳实践创建阿萨教育材料包，以缩小已识别的知识差距。教育材料和持续的绩效报告将部署到AQI实践和供应商。此外，差距分析将导致针对患者本身的教育媒体，重点是患者可以做些什么来提高围手术期的安全性和舒适度。以患者为中心的结果的变化将随着时间的推移进行跟踪，评估哪些教育干预措施在患者，提供者和实践层面最有效。