Engineering Whole Health into Hospital Care to Improve Wellness: The M-Wellness Laboratory (M-Well)

项目摘要/摘要： 密歇根大学的患者安全学习实验室(M-Well Lab)将设计、实施和 评估创新的基于系统的方法，这些方法可以通过扩展 我们提高住院患者和他们的医疗保健提供者的健康水平。的健康状况 患者与其提供者的情绪、心理和身体健康有着千丝万缕的联系。糟糕的供应商 健康状况对整个医疗组织产生负面影响，降低了护理质量和患者 满足感。此外，提供者职业倦怠会增加患者安全事件的风险， 由于专业性降低，护理质量较差。确定改善健康的方法 因此，患者和他们的提供者都提供了一个提高患者安全性的新机会。我们建议3个 相关的具体目标。我们将首先系统地分析患者和 医生使用从工程部借来的工具，通过医疗保健系统，绘制出“客户”图 患者和医生的“旅程”，以便更好地了解时间限制和机会 改善他们的健康状况。具体目标1，基于健康循环模式，将提高患者的健康 通过设计、实施和评估综合医疗的整体健康住院套餐 练习。具体目标2将通过两个链接来解决提供商的倦怠和增强健康 项目。首先，我们将对住院医生进行全国调查，以更好地了解促进 医生健康，关注可能的保护因素，如宗教信仰和灵性。第二，我们 将设计和实施教育干预措施，旨在教会住院医生如何最好地培养 在医院的背景下。具体目标3将通过制定方案在具体目标1和2的基础上发展 促进患者和医生之间的互联，使用建筑设计，人为因素， 和艺术来设计一个最佳的医院病房治疗环境。 通过将来自不同学科的研究人员联系起来-工程学，医学，护理，人为因素， 建筑设计、牧民关怀、商业和其他-所有这些都有共同的兴趣使用 为了增强患者的安全，我们将涵盖全方位的翻译研究： 问题分析和设计；解决方案开发、评估和实施；最终， 传播。我们将开发和测试新的方法，有可能拯救生命，减少 医疗成本，并提高患者和家属对他们所获得的医疗保健的满意度，同时 同时增强其提供者的情绪、心理和身体健康。

PROJECT SUMMARY/ABSTRACT: The University of Michigan’s Patient Safety Learning Laboratory (M-Well Lab) will design, implement, and evaluate innovative, systems-based approaches that can improve patient safety by expanding the ways in which we enhance the wellness of hospitalized patients and their healthcare providers. The wellness of patients is inextricably linked to the emotional, mental, and physical health of their providers. Poor provider wellness negatively impacts the entire healthcare organization, reducing both care quality and patient satisfaction. Additionally, provider burnout is associated with increased risk of patient safety incidents and poorer quality of care due to reduced professionalism. Identifying ways in which to improve wellness for both patients and their providers thus presents a novel opportunity to improve patient safety. We propose 3 related specific aims. We will start by systematically analyzing the experience of both patients and physicians through the healthcare system using a tool borrowed from engineering, mapping a “customer journey” of patients and physicians in order to better understand time constraints and opportunities to improve their wellness. Specific Aim 1, based on the Circle of Health model, will enhance patient wellness by designing, implementing, and evaluating a Whole Health inpatient bundle of integrative medical practices. Specific Aim 2 will address provider burnout and enhance wellness through two interlinking projects. First, we will conduct a national survey of hospitalists to better understand elements that promote physician wellness, focusing on possible protective factors such as religiosity and spirituality. Second, we will design and implement educational interventions intended to teach hospitalists how best to foster “sacred moments” in the hospital setting. Specific Aim 3 will build on Specific Aims 1 and 2 by developing programs to promote interconnectedness between patients and physicians, using architectural design, human factors, and the arts to design an optimal hospital room healing environment. By connecting investigators from diverse disciplines – engineering, medicine, nursing, human factors, architectural design, pastoral care, business, and others – all of whom share a common interest in using healthcare engineering to enhance patient safety, we will cover the full spectrum of translational research: problem analysis and design; solution development, evaluation, and implementation; and ultimately, dissemination. We will develop and test novel approaches that have the potential to save lives, reduce medical costs, and improve patient and family satisfaction with the healthcare they receive, while simultaneously enhancing the emotional, mental, and physical health of their providers.