Supporting Continuity of Care for Poisonings with Electronic Information Exchange

通过电子信息交换支持中毒护理的连续性

• 批准号: 8035434
• 负责人: MOLLIE R. CUMMINS
• 金额: $ 12.94万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-01 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8035434
• 关键词: Supporting; Continuity; Care; Poisonings; Electronic

DESCRIPTION (provided by applicant): Exchange of information between poison control centers (PCCs) and emergency departments (EDs) is almost entirely conducted via telephone. Verbal communication is a known and frequent source of medical error, especially in emergency departments, where providers are known to experience heavy communication loads with frequent interruption. Reliance on verbal communication creates substantial potential for data loss, delayed time to treatment, and medical error. There exists a potential to reduce medical error, reduce time to treatment, and improve continuity of care for poisonings with electronic information exchange between poison control centers and emergency departments. Additionally, electronic information exchange could improve and support communication, improve the availability of data and information to clinicians at the point of care, and ensure timely follow up. This study will describe the information requirements for electronic information exchange between poison control and emergency departments in support of individual patient care and care transitions, describe current information exchange scenarios, and identify the clinical, operational, and legal considerations important for electronic information exchange between EDs and PCCs. We will use multiple approaches, including interviews with clinicians and stakeholders, review of documents, analysis of recorded poison control center calls, storyboarding, and domain analysis modeling. We will determine consensus among national experts on salient issues with a four round Delphi study. The results of this study will provide concrete guidance for efficient research and development related to PCC-ED information exchange, including information technology solutions, standards adoption or development, and policy. Long-term implications include the study of outcomes, quality improvement innovations, and the potential for computerized decision support. PUBLIC HEALTH RELEVANCE: This study analyzes the way in which poison control centers and emergency departments share information in caring for patients who have been poisoned. It will also identify national barriers to electronic exchange of clinical information, since electronic exchange could better support care of poisoned patients by reducing medical error, and speeding treatment of poisoned patients.

描述（由申请人提供）：中毒控制中心（PCCs）和急诊科（EDs）之间的信息交换几乎完全通过电话进行。口头沟通是医疗错误的一个已知和常见的来源，特别是在急诊科，在那里，提供者经历了沉重的沟通负荷，经常中断。依赖口头沟通会造成大量潜在的数据丢失、延迟治疗时间和医疗错误。通过在中毒控制中心和急诊科之间进行电子信息交换，有可能减少医疗错误，缩短治疗时间，并提高中毒护理的连续性。此外，电子信息交换可以改善和支持沟通，提高临床医生在护理点的数据和信息的可用性，并确保及时随访。本研究将描述中毒控制和急诊科之间电子信息交换的信息需求，以支持个体患者的护理和护理过渡，描述当前的信息交换场景，并确定急诊科和PCCs之间电子信息交换的重要临床、操作和法律考虑因素。我们将使用多种方法，包括与临床医生和利益相关者的访谈，审查文件，分析记录的中毒控制中心呼叫，故事板和领域分析建模。我们将通过四轮德尔菲研究确定国家专家对突出问题的共识。本研究的结果将提供具体的指导，有效地研究和发展有关的PCC-ED信息交换，包括信息技术解决方案，标准的采用或发展，和政策。长期影响包括结果研究、质量改进创新和计算机化决策支持的潜力。

项目成果

Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers.

健康信息交换的信息要求支持急诊科和毒物控制中心之间的沟通。

• 发表时间: 2014
• 期刊: AMIA ... Annual Symposium proceedings. AMIA Symposium
• 作者: Cummins,MollieR;Crouch,BarbaraI;DelFiol,Guilherme;Mateos,Brenda;Muthukutty,Anusha;Wyckoff,Anastasia
• 通讯作者: Wyckoff,Anastasia