Partnering with Patients to Find Adverse Events

申请人（申请人）：申请人？的职业目标是成为 独立调查员，能够制定和测试干预措施 以及改善病人安全的项目。他渴望成为一名专家， 服务质量与医疗差错的关系， 方法上严格的时尚，患者如何帮助临床医生预防 医源性损伤，改善临床结果，提高患者？自己 医疗保健经验。该提案包括三个项目： 依靠住院病人报告医疗差错的发生率和类型; 其目的是描述病人报告的医疗 住院病人的错误第二项研究评估了门诊患者是否 可以通过基于互联网的 电子邮件查询。这项研究将有助于描述 门诊药物不良事件的发生率和类型，并评估其价值 病人报告作为一种机制，以提高护理质量。第三 项目的重点是医院，而不是病人，作为一个单位， 分析.它将消费者满意度调查与并发症发生率联系起来 通过计算机化的行政数据筛选确定。该分析 通过评估患者是否 提供以病人为中心的医疗服务的组织， 比预期的复杂。

DESCRIPTION (provided by applicant): The applicant?s career goal is to become an independent investigator, capable of developing and testing interventions and programs to improve patient safety. He aspires to become an expert in the relationship between service quality and medical error, understanding in a methodologically rigorous fashion how patients can help clinicians to prevent iatrogenic injuries, improve clinical outcomes, and enhance patients? own health care experiences. The proposal includes three projects: The first relies on inpatients to report on the prevalence and type of medical errors; its objective is to describe the epidemiology of patient-reported medical errors among inpatients. The second study assesses whether ambulatory patients can identify adverse events due to medications through an internet-based electronic mail query. This study will help both to characterize the prevalence and type of outpatient adverse drug events and to assess the value of patient reporting as a mechanism to improve the quality of care. The third project focuses on the hospital, rather than on the patient, as a unit of analysis. It links consumer satisfaction surveys with complication rates identified by computerized screening of administrative data. This analysis broadens the approach to patient participation in safety by assessing whether organizations that provide patient-centered care also produce fewer complications than expected.