Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network

项目摘要/摘要 该项目的总体目标是建立一个患者安全学习实验室，以提高患者的安全 在地区内从一家医院到另一家医院的医疗地面或航空运输过程中的危重新生儿 网络。该项目将采用五个阶段的创新周期，包括：问题分析、设计、开发、 执行和评估，以确定和解决区域新生儿的突出问题和风险 交通运输需要新的和创新的方法。 我们将与运输提供商和其他利益攸关方合作，分析当前的工作流程， 运输记录(地方和全州数据库)，以及转诊和接收设施的设施，以制定 全面了解系统问题，并定义当前和理想状态。这个详细的问题 分析阶段将重新设计临床工作流程，以优化区域会诊、分诊、 以及将新生儿运送到有适当护理水平、空间和人员配备的设施。 在临床运输团队工作人员和利益相关者的参与下，项目团队将与来自 华盛顿大学工业和系统工程系设计和开发了一种新颖的， 安全的传输监控和通信(T-MAC)系统，可在开机时增强视频通信 运输。T-MAC系统将经过反复测试和修改，以确保其能够在功能和 有效地促进医疗控制医生、转诊机构和运输团队之间的信息流。 此外，我们将开发强大的文档流程，以便在运输过程中使用 这包括提示安全行为的核对表，并为跟踪不利患者提供强大的数据集 安全事件。为了实现这一点，我们将与传输团队提供程序合作，创建适用于 电子单证，目标是简化运输单证和便利身份识别 交通特定的安全问题。 T-MAC系统的效能将在逼真的现场和数据驱动的3D可视化模型中进行评估。 我们相信，通过这项研究获得的经验教训将提高新生儿患者的医疗安全 运送，并将被转移到接受医疗地面或空中运输的患者群体 地理区域。

Project Summary/Abstract The overall goal of this project is to establish a Patient Safety Learning Laboratory to advance patient safety for critically ill newborns during medical ground or air transport from one hospital to another within a regional network. The project will use a five-stage innovation cycle, including: problem analysis, design, development, implementation, and evaluation to identify and address the salient issues and risks of regional neonatal transportation for which new and innovative approaches are needed. In collaboration with transport providers and other stakeholders, we will analyze current workflow processes, transport records (local and statewide databases), and facilities at referral and receiving facilities to develop a complete understanding of system issues and to define the current and ideal states. This detailed problem analysis phase will enable the redesign of clinical workflow processes to optimize regional consultation, triage, and transport of newborns to facilities with the appropriate level of care and availability of space and staffing. With the input of clinical transport team staff and stakeholders, the project team will work with collaborators from the University of Washington Industrial and Systems Engineering Department to design and develop a novel, secure, Transport Monitoring and Communications (T-MAC) system to enhance video communication while on transport. The T-MAC system will undergo repeated testing and revision to ensure that it can functionally and efficiently facilitate information flow between the medical control physician, referring facility and transport team. In addition, we will develop robust documentation processes that can conveniently be used during the transport that includes checklists that prompt safety behaviors and provides a robust dataset for tracking adverse patient safety events. To accomplish this, we will work with transport team providers to create forms that are suitable for electronic documentation with the goal of streamlining documentation on transport and facilitating identification of transport-specific safety issues. The efficacy of the T-MAC system will be evaluated in a realistic in situ and data-driven 3D visualization models. We are confident that the lessons learned through this study will improve neonatal patient safety on medical transports and will be transferable to patient populations that undergo medical ground or air transports over large geographical regions.