A Systems Engineering Approach to Optimize Pediatric Medication Safety

优化儿科用药安全的系统工程方法

• 批准号: 10628555
• 负责人: Sadaf Kazi
• 金额: $ 50万
• 依托单位: MEDSTAR HEALTH RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10628555
• 关键词: Systems; Engineering; Approach; Optimize; Pediatric

ABSTRACT The objective of the proposed research is to improve pediatric medication safety in the electronic health record (EHR) through optimization, deployment, and testing of an assessment tool designed to identify pediatric weight- based dosing errors. The self-evaluation tool is designed for use by any healthcare provider organization, regardless of usability expertise or informatics resources. In Aim 1, we will optimize an existing pediatric medication safety evaluation tool for the EHR by engaging with subject matter experts in pediatrics, medication safety, tool development, and informatics; this tool was developed through funding from the Pennsylvania Patient Safety Authority. We will use the evidence-based implementation framework of Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) to deploy and test the tool. In Aim 2, we will deploy the tool for testing in at least twenty different healthcare provider organizations that will be purposefully selected to ensure diversity in geographical location, patient population, and EHR vendor. In Aim 3, we will compare pediatric medication errors between sites that are able to make changes in the EHR to address items flagged as deficient on the assessment tool vs. those that are unable to make the changes. The research effort is a unique collaboration between MedStar Health's National Center for Human Factors in Healthcare and Children's Healthcare of Atlanta/Emory University. This project utilizes the collective expertise of the diverse research team which includes human factors engineering, pediatric medication safety, health information technology, usability, and patient safety. The research team has extensive experience developing assessment tools, disseminating these tools for widespread use, and identifying important areas for technology and safety improvement. At the end of this project, we will have developed a tool with accompanying test cases to assess EHR safety for pediatric weight-based dosing errors. In addition, we will also identify barriers and facilitators to tool use across settings with varying levels of resource availability. Finally, we will develop recommendations on how to customize the tool to enable assessment across diverse healthcare settings that have varying levels of resources available for improving patient safety and quality.

摘要 该研究的目的是提高电子健康记录中的儿科用药安全性 (EHR)通过优化、部署和测试旨在确定儿童体重的评估工具， 基于剂量错误。自我评估工具设计用于任何医疗保健提供者组织， 无论可用性专业知识或信息资源如何。在目标1中，我们将优化现有的儿科 通过与儿科、药物治疗和其他领域的专家合作， 安全、工具开发和信息学;该工具是通过宾夕法尼亚病人基金开发的。 安全权威。我们将使用基于证据的实施框架， 实施维护（RE-AIM），用于部署和测试工具。在目标2中，我们将部署该工具， 至少20个不同的医疗保健提供者组织，将有目的地选择，以确保多样性 地理位置、患者人群和EHR供应商。在目标3中，我们将比较儿科药物 能够在EHR中进行更改以解决在EHR中标记为不足的项目的站点之间的错误 评估工具与那些无法进行更改的工具。 这项研究工作是MedStar Health的国家人为因素中心在美国的一次独特的合作。 亚特兰大/埃默里大学的保健和儿童保健。这个项目利用了 多元化的研究团队，包括人因工程，儿科药物安全，健康 信息技术、可用性和患者安全。该研究团队拥有丰富的开发经验， 评估工具，传播这些工具以广泛使用，并确定重要的技术领域 和安全改进。 在这个项目结束时，我们将开发一个工具，并附带测试用例，以评估EHR的安全性， 儿科基于体重的给药错误。此外，我们还将确定跨部门使用工具的障碍和促进因素。 设置不同级别的资源可用性。最后，我们将提出建议， 自定义工具，以便在资源水平不同的各种医疗保健环境中进行评估 可用于提高患者安全和质量。