Reducing Risks by Engineering Resilience into Health Information Technology for E

通过将弹性工程融入到健康信息技术中来降低风险

• 批准号: 7690214
• 负责人: ROBERT L WEARS
• 金额: $ 29.76万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7690214
• 关键词: Reducing; Risks; Engineering; Resilience; into

DESCRIPTION (provided by applicant): Objectives. There are two broad, long-term objectives for this application: 1. To mitigate the hazards identified in the previously conducted proactive risk assessment (PRA) with respect to information technology (IT) related failures in the emergency department (ED) setting. 2. To improve the resilience of health IT by enhancing the ability of IT systems, and the larger sociotechnical systems in which they are embedded, to survive and return to normal operations despite challenges, expected or unexpected, with a minimum of adverse effects on patients. Specific aims: The specific aims of this project are: 1. To develop a toolkit to enable organizations to identify and rank the safety-criticality of their various information systems on a continuing basis. 2. To develop a toolkit to assist organizations in evaluating and improving their maintenance plans and procedures for safety-critical information systems. 3. To develop a toolkit to assist organizations in evaluating the safety of proposed system during acquisition. 4. To implement the tools developed in Specific Aims 1-3 in two sites participating in their development. 5. To assess the generalizability of the tools developed and refined in Specific Aims 1-4 by implementing them in one additional site having only minimal participation in their development, and evaluating their effectiveness. Methods. These aims will be approached in three phases, roughly corresponding to project years. The first phase will focus on the development of instruments and toolkits by adapting existing instruments used in the military and other high hazard industries to the health care setting. In the second phase, the tools will be implemented and piloted at alpha test sites in Jacksonville and Rochester, to assess their feasibility and resource requirements, and may undergo further modification. The third phase will involve implementation at a beta site not intimately involved in development (tentatively planned to be the VCU Health System in Richmond, VA, but subject to change at this time), and evaluation of their effect on organizational processes and decision making by comparison to a control site. PUBLIC HEALTH RELEVANCE: Information technology (IT) is widely viewed as a necessary element for improving the safety, quality, and efficiency of health care, but successful use of IT is not simple, and for every success there have been many failures. These failures are expensive not only in terms of labor and capital, but may put patients at risk, and cause organizations to be unable or unwilling to undertake sometimes necessary technological changes in the future. By developing these tools and placing them in the public domain, we hope to enhance the safety and resilience of IT systems in ambulatory health care settings, and thereby to increase the pace of successful adoption in health care organizations.

描述（由申请人提供）：目标。这个应用程序有两个广泛的长期目标：减轻在先前进行的主动风险评估（PRA）中确定的危害，这些风险评估与急诊科（ED）环境中的信息技术（IT）相关故障有关。2. 通过增强IT系统及其所嵌入的更大的社会技术系统的能力，提高卫生IT的弹性，使其能够在预期或意外的挑战中生存并恢复正常运作，同时对患者的不利影响最小。具体目标：该项目的具体目标是：1。开发一个工具包，使组织能够在持续的基础上识别其各种信息系统的安全关键性并对其进行排名。2. 开发一个工具包，以协助组织评估和改进其安全关键信息系统的维护计划和程序。3. 开发一个工具包，以协助组织在采购期间评估拟议系统的安全性。4. 在参与具体目标1-3开发的两个站点实施这些工具。5. 评估在具体目标1-4中开发和改进的工具的普遍性，方法是在一个额外的地点实施这些工具，并且仅对其开发进行最小程度的参与，并评估它们的有效性。方法。这些目标将分三个阶段实现，大致与项目年限相对应。第一阶段将侧重于开发仪器和工具包，使军事和其他高危险工业中使用的现有仪器适用于保健环境。在第二阶段，这些工具将在Jacksonville和Rochester的alpha测试站点实施和试点，以评估其可行性和资源需求，并可能进行进一步修改。第三阶段将涉及在不密切参与开发的测试站点实施（暂时计划在弗吉尼亚州里士满的VCU卫生系统，但此时可能会更改），并通过与控制站点进行比较，评估其对组织流程和决策制定的影响。