Applied Strategies for Interventions for Patient Safety

改善患者安全的应用策略（ASIPS）是科罗拉多大学家庭医学系和众多组织之间的合作努力，以分析初级保健中错误的原因和影响，并减少错误的发生率。ASIPS将通过患者安全报告系统（一个自愿事件报告系统）收集错误或事件报告。该系统提供三种不同的方式来秘密或匿名报告错误：通过网站，电话热线或纸张。对于机密报告，ASIPS研究人员将收集有关事件的其他信息，以帮助定义和描述事件。该信息将包括系统分析、实践分析、患者伤害评估和患者对事件的意识。10天后，所有机密报告将被去识别化，以保护患者和临床医生免受敏感信息的无意泄露。除了从患者安全报告系统获得的主要数据外，ASIPS研究人员还将分析合作科罗拉多组织提供的次要数据。使用这些二次数据，ASIPS研究人员将评估可能会或可能不会向CU DFM报告的特定事件和趋势，以及更大人群中发生的趋势。根据对两种数据分析得出的初级保健错误的理解，ASIPS将制定和实施旨在减少初级保健中公认错误的干预措施。这些干预措施将由临床医生和工作人员在ASIPS合作伙伴的指导下制定，包括两个保险组织，州卫生部和科罗拉多医院协会。干预措施将使用前后设计进行检查。ASIPS的设置是两个基于实践的研究网络的组合，科罗拉多研究网络（CaReNet），重点是农村和城市少数民族和服务不足的初级保健人口，以及高平原研究网络（HPRN），重点是农村，“前沿”初级保健实践和医院。

Applied Strategies for Improving Patient Safety (ASIPS) is a collaborative effort between the University of Colorado Department of Family Medicine and numerous organizations to analyze the causes and effects of errors in primary care and reduce the incidence of errors. ASIPS will collect reports of errors or incidents through the Patient Safety Reporting System, a voluntary incident reporting system. The system offers three different ways to confidentially or anonymously report an error: via web site, telephone hotline, or paper. For confidential reports, ASIPS researchers will collect additional information about the incident to help define and describe the event. This information will include a systems analysis, a practice analysis, and an assessment of patient harm and patient awareness of the event. After 10 days, all confidential reports will be de-identified to protect patients and clinicians from unintentional disclosure of sensitive information. In addition to the primary data obtained from the Patient Safety Reporting System, ASIPS researchers will analyze secondary data provided by collaborating Colorado organizations. Using these secondary data, ASIPS researchers will assess the specific incidents and trends that may or may not be reported to the CU DFM, as well as trends occurring in larger populations of practices. Based on the understanding of primary care errors that evolves from both data analyses, ASIPS will develop and implement interventions aimed at decreasing recognized errors in primary care. The interventions will be developed by clinicians and staff from practices, with guidance from ASIPS partners, including two insurance organizations, the State Department of Health and the Colorado Hospital Association. The interventions will be examined using a before-and-after design. The setting for ASIPS is a combination of two practice-based research networks, the Colorado Research Network (CaReNet), which focuses on rural and urban minority and underserved primary care populations, and the High Plains Research Network (HPRN), which focuses on rural, "frontier" primary care practices and hospitals.