Disseminating a web-enabled Safety Risk Assessment (SRA) toolkit for designing safer healthcare facilities

 描述（由申请人提供）：医疗保健系统，包括建筑环境、临床指南和政策、技术和工具、人员和组织文化，其设计目的都是为了防止对患者和工作人员造成伤害。然而，在医疗保健设施的规划、设计和建造过程中，对患者安全产生不利影响的漏洞或弱点（称为潜在条件）不必要地被构建到物理环境中。一旦设施建成并投入使用，这些问题就难以解决，而且费用昂贵。设施更换和翻新项目为主动识别和消除可能对患者和工作人员造成伤害的建筑相关潜在条件提供了绝佳机会。拟议的项目建立在通过现有AHRQ赠款（#1 R13 HS 021824 -01）开发的基于Excel的安全风险评估（SRA）工具包的基础上。该项目的主要目标是开发一个多功能的、基于Web/应用程序的、主动和系统的安全风险评估工具包，该工具包可供多学科利益相关者在设计医疗保健设施时轻松使用，以解决安全问题。一个使用系统方法的可用工具将有助于医疗保健设计行业关注安全问题，并为患者和工作人员提供更安全的环境。此外，该项目将有助于将安全设计纳入可操作的工具，并将特别支持AHRQ的优先领域“使医疗保健更安全”。开发在线SRA工具的拟议项目将采用人为因素办法，以确保满足用户和行业的需求（包括监管要求），并确保最终结果灵活、可靠和易于使用。建议项目的主要阶段包括：1.问题分析将侧重于详细了解在医疗机构设计过程中进行主动和系统的安全风险评估的问题，包括识别用户、用户需求和工作流程。接下来将进行三个迭代周期，包括以下步骤：2.设计开发3.执行4.评价

 DESCRIPTION (provided by applicant): The healthcare system, which includes the built environment, clinical guidelines and policies, technology and tools, people and organizational culture are all designed with the intent of preventing harm to patients and staff. However, holes or weaknesses (referred to as latent conditions) that adversely impact patient safety are unnecessarily built into the physical environment during the planning, design and construction of healthcare facilities. These problems are difficult and expensive to address once a facility has been built and occupied. Facility replacement and renovation projects provide an excellent opportunity to proactively identify and eliminate building-related latent conditions that may lead to harm for patients and staff. The proposed project builds upon an excel-based Safety Risk Assessment (SRA) Toolkit developed through an existing AHRQ grant (# 1R13HS021824-01). The primary goal of this project is to develop a versatile, web/app based, proactive and systematic Safety Risk Assessment toolkit that can be easily used by multidisciplinary stakeholders to address safety issues while designing a healthcare facility. A usable tool that uses a systematic approach will help the healthcare design industry focus on safety issues and result in safer environments for patients and staff. Moreover, this project will help in translatin evidence around designing for safety into an actionable tool and will specifically support AHRQ's priority area of 'making health care safer'. The proposed project to develop an online SRA tool will utilize a human factors approach to ensure that the needs of the users and of the industry (including regulatory requirements) are met and that the end result is flexible, reliable and easy to use. The key phases of the proposed project include: 1. Problem analysis will focus on understanding in detail the problem of conducting a proactive and systematic safety risk assessment during a healthcare facility design process including identifying users, user needs and workflows This will be followed by three iterative cycles including the following steps: 2. Design development 3. Implementation 4. Evaluation