NYU Patient Imaging Quality and Safety Laboratory (PIQS Lab

 美国每年进行4亿次放射学检查（平均每人1.2次），花费超过1000亿美元。接受放射成像或手术的患者存在重复或不适当的检查、辐射暴露、造影剂反应、手术并发症、延迟或漏诊以及失访的风险。纽约大学患者成像质量和安全实验室（PIQS实验室）将是一个动态的学习环境，专注于改善这些患者的安全性和结果。多学科PIQS实验室将连接纽约大学放射科、急诊科、内科、骨科、外科和泌尿科的经验丰富的临床医生与纽约大学朗格尼医学中心（NYULMC）、纽约大学瓦格纳公共政策学院和纽约大学斯特恩商学院的运营、人为因素和管理专家;以及世界著名设计公司IDEO的设计专家。我们将共同全面重新设计我们的系统，通过三个协同项目提高诊断和治疗放射学的质量和安全性。在第一个项目中，我们将重新设计流动放射科， 以减少不必要或不适当的研究。在第二个项目中，我们将重新设计住院介入放射科咨询流程，以提高接受住院手术的患者的安全性。在第三个项目中，我们将重新设计随访过程，从放射学报告本身到与外部临床医生的沟通策略。所有项目都将通过共享意义构建（在不过度简化或忽略不一致数据的情况下理解动态和模糊信息）和社会技术系统（工作性质，人-系统界面，组织，环境，管理）的类似概念透镜来检查放射学成像故障。由一个行政/业务核心和一个信息学核心提供支助。PIQS实验室教师将采取设计和工程方法进行临床重新设计，从深入的问题分析开始，然后通过设计（头脑风暴），开发（原型），实施和评估阶段进行。PIQS实验室的影响力将通过与医院的优先事项和与国家组织的联系来增强。

 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.