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Patient Safety through Implementation Science: Clinical Work Culture & IT Design

通过实施科学实现患者安全：临床工作文化

基本信息

批准号：
7786786
负责人：
Laurie L Novak
金额：
$ 12.78万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2010-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7786786
关键词：
Accounting Acute Adoption Affect Ambulatory Care Facilities Attention Award Behavioral Sciences Caring Classification Clinic Clinical Clinical Informatics Clinical Management Cognitive Complex Computerized Medical Record Computers Data Collection Development Diabetes Mellitus Discipline Doctor of Philosophy Elements Engineering Environment Ethnography Evaluation Failure Goals Health Healthcare Hospitals Human Human Engineering Informatics Inpatients Institution Intervention Interview Knowledge Life Manuscripts Medical Medical Informatics Mentors Methodology Methods Modeling Nurses Organizational Change Outcome Patient Care Patients Pharmaceutical Preparations Pharmacy facility Phase Process Professional Role Provider Psyche structure Public Health Informatics Qualitative Evaluations Qualitative Research Reporting Research Research Design Research Methodology Research Personnel Research Project Grants Resources Role Safety Scheme Science Scientist Solutions Structure System Technology Thinking Time Training Translational Research Translations United States National Institutes of Health Work base career career development clinical practice cognitive system design engineering design expectation experience health care quality high risk implementation science improved innovation meetings new technology organizational structure patient safety programs research in practice routine practice satisfaction social social science research symposium theories tool virtual

项目摘要

DESCRIPTION (provided by applicant): The long-term objective of this K99/R00 career development proposal is to improve the interaction between informatics tools and everyday clinical practice. A core premise of this proposal is that medication safety can be improved with informatics technologies that better support the safety-producing routines used by clinicians and patients. The PI is a medical and organizational anthropologist seeking to develop her capacity as an independent researcher through structured, innovative career development activities and two related research projects. Career development activities focus on human factors engineering and human centered design. The proposed projects each employ a cycle of work practice research, design, implementation and evaluation in two settings: hospital inpatient, and outpatient clinic. The work practice research methodology is Cultural Process Modeling, in which orienting frames (or mental models) and routine activities are identified through observation and interviewing and described for a specific group (e.g., a nursing unit). The data collection will focus on the use of informatics and other technologies in medication planning and administration. Special attention will be paid to transitions or handovers in care. A matrix will be used to describe the relationships between safe medication routines and attributes of technology that support or create barriers to safe practice. The PI will collaborate with clinical, management and informatics stakeholders to design and implement a work practice or informatics-based intervention to improve medication safety. Evaluation will focus on stakeholder experiences and value assessment using a Responsive/Illuminative approach. With projects that engage the complete cycle of 1) understanding context, 2) designing improved processes and tools, 3) implementation and 4) evaluation, this proposal views the implementation of informatics tools as organizational change. This research advances the emerging field of Implementation Science in informatics, which seeks to apply knowledge, theory and methods from social and organizational science, safety science, engineering and other fields to improve informatics implementation processes and outcomes. Implementation Science, applied to health informatics, can result in improved patient safety, efficiency, and technology adoption and user satisfaction.

描述（由申请人提供）：