Patient Safety Learning Laboratory to Enhance the Value and Safety of Neonatal Interfacility Transfers in a Regional Care Network

项目总结/摘要 该项目的总体目标是建立一个患者安全学习实验室，以促进患者安全， 在区域内从一家医院到另一家医院的地面或空中医疗运输过程中， 网络该项目将采用五阶段创新周期，包括：问题分析、设计、开发、 执行和评价，以确定和解决区域新生儿营养不良的突出问题和风险， 需要新的和创新的方法。 在与运输供应商和其他利益相关者的合作中，我们将分析当前的工作流程， 运输记录（地方和全州范围的数据库），以及转诊和接收设施的设施，以制定一个 全面了解系统问题，并定义当前和理想状态。这个细节问题 分析阶段将能够重新设计临床工作流程，以优化区域咨询，分诊， 并将新生儿运送到有适当护理水平和空间及工作人员的设施。 在临床运输团队工作人员和利益相关者的投入下，项目团队将与以下合作者合作： 华盛顿大学工业和系统工程系设计和开发了一种新颖的， 安全的交通监控和通信（T-MAC）系统，可增强 运输T-MAC系统将经过反复测试和修改，以确保其功能和 有效地促进医疗控制医生、转诊设施和运输团队之间的信息流动。 此外，我们还将开发强大的文件流程，以便在运输过程中方便使用 包括提示安全行为的检查表，并提供用于跟踪不良患者的强大数据集 安全事件。为了实现这一点，我们将与传输团队提供商合作， 电子单据，目的是简化运输单据并便利识别 交通安全问题的解决方案 T-MAC系统的有效性将在真实的原位和数据驱动的3D可视化模型中进行评估。 我们相信，通过这项研究吸取的教训将提高新生儿患者的医疗安全 运输，并将转移到接受医疗地面或空中运输的患者人群， 地理区域。

Project Summary/Abstract The overall goal of this project is to establish a Patient Safety Learning Laboratory to advance patient safety for critically ill newborns during medical ground or air transport from one hospital to another within a regional network. The project will use a five-stage innovation cycle, including: problem analysis, design, development, implementation, and evaluation to identify and address the salient issues and risks of regional neonatal transportation for which new and innovative approaches are needed. In collaboration with transport providers and other stakeholders, we will analyze current workflow processes, transport records (local and statewide databases), and facilities at referral and receiving facilities to develop a complete understanding of system issues and to define the current and ideal states. This detailed problem analysis phase will enable the redesign of clinical workflow processes to optimize regional consultation, triage, and transport of newborns to facilities with the appropriate level of care and availability of space and staffing. With the input of clinical transport team staff and stakeholders, the project team will work with collaborators from the University of Washington Industrial and Systems Engineering Department to design and develop a novel, secure, Transport Monitoring and Communications (T-MAC) system to enhance video communication while on transport. The T-MAC system will undergo repeated testing and revision to ensure that it can functionally and efficiently facilitate information flow between the medical control physician, referring facility and transport team. In addition, we will develop robust documentation processes that can conveniently be used during the transport that includes checklists that prompt safety behaviors and provides a robust dataset for tracking adverse patient safety events. To accomplish this, we will work with transport team providers to create forms that are suitable for electronic documentation with the goal of streamlining documentation on transport and facilitating identification of transport-specific safety issues. The efficacy of the T-MAC system will be evaluated in a realistic in situ and data-driven 3D visualization models. We are confident that the lessons learned through this study will improve neonatal patient safety on medical transports and will be transferable to patient populations that undergo medical ground or air transports over large geographical regions.