Understanding Medical Errors in Psychiatry

描述（由申请人提供）：拟议的K 01指导研究科学家奖概述了一项培训和研究计划，重点是流行病学和预防严重精神疾病患者治疗中的医疗错误。候选人建议获得必要的技能和知识，成为一名独立的心理健康服务研究人员，在行为健康环境中具有医疗错误方面的专业知识。研究议程将包括三个相关的研究项目。第一个项目将是对精神疾病患者医疗差错的潜在因素进行密集的定性评估。第二个项目将与宾夕法尼亚大学的患者安全研究和实践卓越中心一起进行。它将检查医院工作场所的压力源和医生对这些压力源的反应，以开始了解与精神疾病住院患者发生的用药错误相关的因素。第三个项目将开发和测试一个医疗图表摘要表格，以衡量和描述精神病住院设置的医疗错误。总之，这些研究将提供经验数据，以建立一个概念模型的常见类型和原因的医疗差错， 精神病患者。该计划的教育部分将提供四个一般领域的高级培训：1）精神疾病患者的临床治疗; 2）定性方法; 3）系统设计;和4）组织行为。该培训将通过Phyllis所罗门博士和J. Sanford Schwartz博士的指导、正式的教学课程以及场外研讨会和会议获得。教育计划的目标是提高拟议研究的方法论严谨性，并将研究结果置于更广泛的理论背景下。

DESCRIPTION (provided by applicant): The proposed K01 Mentored Research Scientist Award outlines a program of training and research focusing on the epidemiology and prevention of medical errors in the treatment of patients with serious mental illness. The candidate proposes to gain the skills and knowledge necessary to become an independent mental health services researcher with expertise in medical errors in behavioral health settings. The research agenda will consist of three related research projects. The first project will be an intensive qualitative assessment of the factors that underlie medical errors for patients with mental illnesses. The second project will be conducted in conjunction with the Center of Excellence for Patient Safety Research and Practice at the University of Pennsylvania. It will examine hospital workplace stressors and physician reactions to those stressors to begin to understand factors associated with medication errors that occur for inpatients with mental illness. The third project will develop and test a medical chart abstraction form to measure and describe medical errors in the psychiatric inpatient setting. Together, these research studies will provide empirical data to develop a conceptual model of the common types and causes of medical errors in patients with mental illness. The educational component of the program will provide advanced training in four general areas: 1) clinical treatment of patients with mental illness; 2) qualitative methods; 3) system design; and 4) organizational behavior. This training will be obtained via mentoring by Drs. Phyllis Solomon and J. Sanford Schwartz, formal didactic coursework, and off-site seminars and conferences. The goal of the educational program is to increase the methodological rigor of the proposed research and place the findings in a broader theoretical context.