Center for Immersive Learning and Digital Innovation: A Patient Safety Learning Lab advancing patient safety through design, systems engineering, and health services research

项目摘要 新冠肺炎已经使美国的医疗工作系统严重紧张，并暴露了重新设计 目前旨在提高护理质量和促进患者安全的系统，特别是在住院医疗方面- 相关感染。重新设计这些系统的关键是更好地理解人和系统 评估现有护理过程中的因素，以及融入沉浸式学习技术 以及数字创新，以培训医护人员。在这个项目中，约翰·霍普金斯沉浸式学习中心 数字创新(CILDI)将利用患者安全模型的系统工程倡议来推进 预防和控制中心线相关性血流感染(CLABSI)的安全科学。我们的 研究将考虑和平衡人和系统因素，并利用AHRQ系统工程 识别、设计、开发、实施和评估CLABSI解决方案的方法。我们会继续推行 以下目标：1)培养积极参与提供安全保障的新一代跨专业临床医生 利用虚拟仿真和虚拟现实技术降低患者护理的CLABSI发生率2)建立医院 霍普金斯CILDI作为跨学科和患者/家庭知情的可持续基础设施，以推动 使用增强现实方法预防和控制CLABSI的患者安全科学，以及3) 利用独特的患者安全学习实验室环境优势来增强系统翻译 基于工程的机器人干预，用于CLABSI的优化管理。约翰·霍普金斯大学的CILDI将 包括身临其境学习，并与数字创新顾问委员会、我们的项目团队、 工程和人为因素咨询核心和翻译咨询核心。中心科学有很高的 有可能改善护理过程的质量和患者的安全，并降低CLABSI发生率。

Project Summary COVID-19 has seriously strained US healthcare work systems and exposed the critical need for a redesign of current systems to improve quality of care and promote patient safety, particularly as to inpatient healthcare- associated infections. Crucial to the redesign of those systems is a better understanding of human and system factors in the evaluation of existing care processes, and the incorporation of immersive learning technologies and digital innovation to train healthcare workers. In this project, Johns Hopkins Center for Immersive Learning and Digital Innovations (CILDI) will utilize the systems engineering initiative for patient safety model to advance the science of safety in preventing and controlling central line associated bloodstream infections (CLABSI). Our research will consider and balance human and system factors, and utilize the AHRQ systems engineering methodology to identify, design, develop, implement, and evaluate solutions to CLABSI. We will pursue the following aims: 1) foster a new generation of interprofessional clinicians actively engaged in providing safe patient care using virtual simulation and virtual reality to decrease the rate of CLABSI, 2) establish the Johns Hopkins CILDI as an interdisciplinary and patient/family informed, sustainable infrastructure to advance the science of patient safety in preventing and controlling CLABSI using augmented reality approaches, and 3) leverage unique patient safety learning laboratory environment strengths to enhance translation of systems engineering-based robotic interventions for optimal management of CLABSI. The Johns Hopkins CILDI will include immersive learning, and engage a digital innovation advisory board, our project team, a systems engineering and human factor advisory core and translational advisory core. The center science has high potential to improve the quality of care processes and patient safety, and decrease CLABSI rates.