Implementing Pediatric Patient Safety Practices

实施儿科患者安全实践

• 批准号: 6667226
• 负责人: PAUL J SHAREK
• 金额: $ 33.19万
• 依托单位: CHILD HEALTH CORPORATION OF AMERICA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2006-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6667226
• 关键词: analgesia; attitude; behavioral /social science research tag; computer assisted patient care; cooperative study; drug adverse effect; health behavior; health care quality; health care service evaluation; health care service planning; health service demonstration project; health services research tag; human data; medical records; outcomes research; pain; patient care management; patient oriented research; patient safety /medical error; pediatrics

The Child Health Accountability Initiative (CHA1), a pediatric multi-site collaborative, has a primary objective to design, evaluate, and implement national measures of quality and health outcomes for children. Armed with the vision to improve the health care of America's children, CHAI is focusing its efforts on pain management, medication safety, and patient safety. CHAI is first to apply the adult-based Institute for Heaithcare improvement (till) trigger methodology to the pediatric population to identify adverse drug events (ADEs) and is working to integrate pediatric focused ADE triggers into computerized order entry (CPOE). To further drive a proactive approach to medication error reduction, CHAI has recentty completed development of pediatric specific medication rules sets describing dose standardization and ordering guidelines. These rules sets can be integrated into automation systems as part of a comprehensive CPOE system. Additional efforts are planned to adapt a variety of AHRQ patient safety practices from the "Making Health Care Safer: A Critical Analysis of Patient Safety Practices" report. These include further work in the realm of medication safety but also include pain management and as well as key patient safety practices prioritized by the hospitals participating in CHAI. Pain management best practices will take the approach of educating family, staff, and patients as to pain expectations; wilt implement and test pharmacological and non-pharmacologic interventions to improve pain; and witt continue to determine how hospitals are assessing pain. Patient safety initiatives witl utilize a focused group approach to identify and implement pediatric applications for five selected areas of AHRQ Patient Safety Best Practices as one approach to rapidly spread research into practice. Additional patient safety rapid-cycle improvement projects are planned based on the AHRQ Patient Safety Practices Report rotated to inter and intra-facitity patient transfer and pain management for patients with acute abdominal pain. Using evidence already in the field, CHAt is requesting AHRQ Partnerships for Quality funding to plan and support the expansion of our medication error reduction program; to identify and collaborate on best practices in pediatric pain management; and to evaluate and specifically implement pediatric applications of AHRQ Patient Safety Best Practices.

儿童健康责任倡议(CHA1)是一个儿科多站点合作项目，有一个主要的 目的设计、评估和实施国家儿童质量和健康结局措施。怀着改善美国儿童医疗保健的愿景，Chai正专注于疼痛管理、用药安全和患者安全。CHAI是第一个将以成人为基础的医疗保健改善研究所(TIL)触发方法应用于儿科人群以识别不良药物事件(ADE)的公司，并正在努力将儿科重点ADE触发因素集成到计算机化订单输入(CPOE)中。为了进一步推动积极主动地减少用药差错，Chai最近完成了描述剂量标准化和订购指南的儿科特定用药规则集的开发。这些规则集可以集成到自动化系统中，作为综合CPOE系统的一部分。还计划做出更多努力，调整AHRQ报告中的各种患者安全做法，这些做法来自《让医疗更安全：对患者安全做法的关键分析》报告。这些包括在药物安全领域的进一步工作，但也包括疼痛管理以及参加CHAI的医院优先考虑的关键患者安全做法。疼痛管理最佳实践将采取教育家庭、工作人员和患者了解疼痛预期的方法；将实施和测试药理学和非药理学干预措施以改善疼痛；WITT将继续确定医院如何评估疼痛。患者安全倡议，利用重点小组方法，为AHRQ患者安全最佳实践的五个选定领域确定和实施儿科应用程序，作为快速将研究推广到实践中的一种方法。在AHRQ患者安全实践报告的基础上，计划了其他患者安全快速周期改进项目，该报告轮流到机构间和机构内的患者转移和急性腹痛患者的疼痛管理。利用已有的现场证据，CHAT正在请求AHRQ合作伙伴提供高质量的资金，以计划和支持我们减少用药差错计划的扩展；确定儿科疼痛管理方面的最佳实践并进行合作；评估并具体实施AHRQ患者安全最佳实践的儿科应用。