Center for Immersive Learning and Digital Innovation: A Patient Safety Learning Lab advancing patient safety through design, systems engineering, and health services research

项目摘要 COVID-19严重影响了美国的医疗工作体系，并暴露出重新设计医疗体系的迫切需要。 提高护理质量和促进患者安全的现行制度，特别是住院医疗保健制度， 相关感染。重新设计这些系统的关键是更好地理解人和系统 评估现有护理流程的因素，以及融入沉浸式学习技术 和数字创新来培训医疗保健工作者。在这个项目中，约翰霍普金斯沉浸式学习中心 和数字创新（CILDI）将利用系统工程倡议的病人安全模型，以推进 预防和控制中心管相关血流感染（CLABSI）的安全科学。我们 研究将考虑并平衡人和系统因素，并利用AHRQ系统工程 识别、设计、开发、实施和评估CLABSI解决方案的方法。我们将继续 以下目标：1）培养新一代的跨专业临床医生，积极参与提供安全的 使用虚拟仿真和虚拟现实的病人护理，以降低CLABSI的发生率，2）建立约翰 霍普金斯CILDI作为一个跨学科和患者/家庭知情，可持续的基础设施，以推进 使用增强现实方法预防和控制CLABSI的患者安全科学，以及3） 利用独特的患者安全学习实验室环境优势，加强系统的翻译 基于工程的机器人干预，以实现CLABSI的最佳管理。约翰霍普金斯CILDI将 包括沉浸式学习，并与数字创新顾问委员会、我们项目团队、 工程和人为因素咨询核心和翻译咨询核心。该中心的科学具有很高的 提高护理过程质量和患者安全性，并降低CLABSI率的潜力。

Project Summary COVID-19 has seriously strained US healthcare work systems and exposed the critical need for a redesign of current systems to improve quality of care and promote patient safety, particularly as to inpatient healthcare- associated infections. Crucial to the redesign of those systems is a better understanding of human and system factors in the evaluation of existing care processes, and the incorporation of immersive learning technologies and digital innovation to train healthcare workers. In this project, Johns Hopkins Center for Immersive Learning and Digital Innovations (CILDI) will utilize the systems engineering initiative for patient safety model to advance the science of safety in preventing and controlling central line associated bloodstream infections (CLABSI). Our research will consider and balance human and system factors, and utilize the AHRQ systems engineering methodology to identify, design, develop, implement, and evaluate solutions to CLABSI. We will pursue the following aims: 1) foster a new generation of interprofessional clinicians actively engaged in providing safe patient care using virtual simulation and virtual reality to decrease the rate of CLABSI, 2) establish the Johns Hopkins CILDI as an interdisciplinary and patient/family informed, sustainable infrastructure to advance the science of patient safety in preventing and controlling CLABSI using augmented reality approaches, and 3) leverage unique patient safety learning laboratory environment strengths to enhance translation of systems engineering-based robotic interventions for optimal management of CLABSI. The Johns Hopkins CILDI will include immersive learning, and engage a digital innovation advisory board, our project team, a systems engineering and human factor advisory core and translational advisory core. The center science has high potential to improve the quality of care processes and patient safety, and decrease CLABSI rates.