NYU Patient Imaging Quality and Safety Laboratory (PIQS Lab

纽约大学患者影像质量与安全实验室（PIQS 实验室）

• 批准号: 9059311
• 负责人: Leora Horwitz
• 金额: $ 399.85万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-30 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9059311
• 关键词: NYU; Patient; Imaging; Quality; Safety

 DESCRIPTION (provided by applicant): Every year, 400 million radiology tests are performed in the United States (on average, 1.2 per person), at a cost of over $100 billion. Patients undergoing radiologic imaging or procedures are at risk for duplicative or inappropriate testing, radiation exposure, contrast reactions, procedural complications, delayed or missed diagnoses, and loss to follow up. The NYU Patient Imaging Quality and Safety Laboratory (PIQS Lab) will be a dynamic learning environment focused on improving safety and outcomes for these patients. The multidisciplinary PIQS Lab will connect experienced clinicians in the NYU Departments of Radiology, Emergency Medicine, Medicine, Orthopedics, Surgery and Urology with operations, human factors and management experts at NYU Langone Medical Center (NYULMC), the NYU Wagner School of Public Policy, and NYU Stern School of Business; and with design experts at the world-famous design firm IDEO. Together, we will comprehensively redesign our systems to improve the quality and safety of diagnostic and therapeutic radiology through three synergistic projects. In the first project, we will redesign the ambulatory radiology ordering process to minimize unnecessary or inappropriate studies. In the second project, we will redesign the inpatient interventional radiology consultation process to improve the safety of patients undergoing inpatient procedures. In the third project, we will redesign the follow-up process, from the radiology report itself to communication strategies with outside clinicians. All projects will examine radiology imaging failures through similar conceptual lenses of shared sensemaking (making sense of dynamic and ambiguous information without oversimplifying or ignoring discordant data) and sociotechnical systems (nature of the work, human-system interfaces , organization, environment, management). Supported by an Administrative/Operations core and an Informatics core. PIQS Lab faculty will take a design and engineering approach to clinical redesign, beginning with in-depth problem analysis, then preceding through design (brainstorming), development (prototyping), implementation and evaluation phases. PIQS Lab's impact will be enhanced by alignment with hospital priorities and connections to national organizations.



项目成果

Efficacy and Impact of a Multimodal Intervention on CT Pulmonary Angiography Ordering Behavior in the Emergency Department.

多模式干预对急诊科 CT 肺血管造影订购行为的功效和影响。

• DOI: 10.1016/j.jacr.2023.02.033
• 发表时间: 2024
• 期刊: Journal of the American College of Radiology : JACR
• 作者: Gyftopoulos,Soterios;Simon,Emma;Swartz,JordanL;Smith,SilasW;Martinez,LeticiaSantos;Babb,JamesS;Horwitz,LeoraI;Makarov,DanilV
• 通讯作者: Makarov,DanilV