Intensive Care Unit Safety Reporting System (ICUSRS)

描述(应用程序摘要)：此应用程序的总体目标是 为提高重症监护病房(ICU)患者的安全， 消除导致护理差错的系统故障。我们将完成 通过实施重症监护病房安全报告系统来实现这一目标 (ICUSRS)与重症监护医学会(SCCM)和 健康护理风险管理者协会(ASHRM)。为了支持这一点 项目，我们将利用各种错误报告方面的专家，包括 澳大利亚事件监测研究机构食品和药物管理局的工作人员 行政管理和人为因素专家。ICU是一个适当的重点 对于此应用程序，因为据估计有相当数量的 美国每年有400万名患者在ICU接受治疗 可能危及生命的事件。该项目的具体目标是： 1.在ICU队列中实施基于网络的安全报告系统 (ICUSRS)，将系统方法纳入报告和分析 事件； 2.比较报告险些失手事件提供的信息与 与错误的数量和内容有关的不良事件 报告，以及确定的改善安全的机会； 3.检查提供者？对报告制度的看法也是如此 参与对安全相关态度的影响； 4.探讨此ICU错误报告系统对安全的有用性 机构和专业协会层面的改进举措。 我们正在通过SCCM招聘网站。每个参与的ICU将 指定一名将获得批准的医生首席调查员 从适当的机构审查委员会参与此项目 (IRB)。我们将通过以下方式评估ICUSRS在改善安全方面的有用性 并通过实施和评估个别ICU和 集体改进倡议。我们方法的关键是建立一个系统 分析进入报告和分析过程。SCCM将极大地 协助外展和传播。他们是一个多学科的社会 其成员包括医生、护士、药剂师和呼吸系统 治疗师；他们将极大地帮助鼓励报道，并在 发展团队的安全方法。ASHRM将为项目提供指导 与会者就错误报告中涉及的风险管理问题进行了讨论。 本项目中用于安全报告的方法可以作为一个样板 其他特色菜的。

DESCRIPTION (APPLICATION ABSTRACT): The overall goal of this application is to improve patient safety in intensive care units (ICU) by identifying and eliminating system failures that lead to errors in care. We will accomplish this goal through the implementation of an ICU Safety Reporting System (ICUSRS) in partnership with the Society for Critical Care Medicine (SCCM) and the Association for Health Care Risk Managers (ASHRM). To support this project, we will draw on a variety of experts in error reporting, including staff from the Australian Incident Monitoring Study, the Food and Drug Administration, and human factors experts. The ICU is an appropriate focus for this application because it is estimated that a significant number of the four million patients admitted to ICUs in the United States annually suffer a potentially life-threatening incident. The specific aims of this project are: 1. To implement in a cohort of ICUs a web-based safety reporting system (ICUSRS) that incorporates a systems approach in the reporting and analysis of incidents; 2. To compare the information provided by reporting near misses versus adverse events with respect to both the quantity and content of error reporting, as well as the opportunities identified to improve safety; 3. To examine providers? perceptions regarding the reporting system, as well as the effects of participation on safety-related attitudes; 4. To explore the usefulness of this ICU error reporting system for safety improvement initiatives at the institutional and professional society levels. We are recruiting sites through the SCCM. Each participating ICU will designate a physician principal investigator who will obtain approval to participate in this project from the appropriate institutional review board (IRB). We will evaluate the usefulness of the ICUSRS for improving safety by surveying providers and by implementing and evaluating individual ICU and collective improvement initiatives. Key to our approach is building a systems analysis into the reporting and analysis process. The SCCM will greatly assist with outreach and dissemination. They are a multidisciplinary society whose members include physicians, nurses, pharmacists, and respiratory therapists; they will greatly assist in encouraging reporting, and in developing a team approach to safety. ASHRM will provide guidance to project participants regarding the risk-management issues involved in error reporting. The approach used for safety reporting in this project can serve as a model for other specialties.