Handoff Effectiveness Research in periOperative environments (HERO) Collaborative Research Conference

项目摘要 围手术期的护理转移或“交接”是已知的高风险、易出错的事件，对患者 危害，但在干预临床医生和医疗保健方面仍然存在实质性的证据差距 组织可以实施以可靠地减少危害。此外，目前的大部分移交研究仍在进行中 领域孤岛(例如，医院医生、护理)限制了我们相互学习和推进该领域的能力。 多中心切换协作(MHC)成立于2015年10月，旨在消除 围手术期(即手术前至手术后)患者交接过程中的意外伤害。该委员会的几次会议 协作性研究已经确定，有必要进行进一步的研究，以制定解决这一证据差距的解决方案，以及 有必要召开一次跨学科的会议，以使利益相关者保持一致，并开始制定主题研究战略。我们 现在正在申请AHRQ会议补助金，以支持在#年召开移交有效性研究 围术期环境(HERO)合作研究会议(CRC) 围术期环境(HERO)合作交接效果研究的目标 研究会议(CRC)旨在协调相关利益相关者，并制定和传播围手术期移交 通过以下具体目标制定研究议程： 目标1：找出证据差距。审查围手术期交接和护理过渡的证据基础，以 确定：a)重要的知识和应用方面的差距；b)现有的 将最佳实践与改善患者安全联系起来的过程和结果衡量标准。 目标2：制定专题研究战略并确定基础设施需求。开展主题研究 制定战略并确定进行严格的多中心研究所需的基础设施要求 论证：a)减少与改进移交有关的危害；b)可扩展的实施战略； 以及c)能够培养团队沟通能力的教育课程。 目标3：促进利益相关者协作。描述所有主要专业的兴趣、优先事项和能力 利益相关者为进行多中心围手术期移交试验提供便利，并随后迅速 传播和翻译减少患者伤害的最佳实践，并可推广到其他 域名。

Project Summary Perioperative transfers-of-care or “handoffs” are high-risk, error-prone events known to contribute to patient harm, yet there remain substantial evidence gaps with respect to the interventions clinicians and healthcare organizations can implement to reliably decrease harm. Further, much of the current handoff research remains in domain silos (e.g., hospitalists, nursing) limiting our ability to learn from each other and advance the field. The Multicenter Handoff Collaborative (MHC) was formed in October 2015 with the vision of eliminating unintended harms during perioperative (i.e., pre- through post-operative) patient handoffs. Several meetings of the collaborative have established that further research is necessary to generate solutions addressing this evidence gap, and a meeting across disciplines is necessary to align stakeholders and begin to develop a thematic research strategy. We are now requesting an AHRQ Conference Grant to support convening the Handoff Effectiveness Research in periOperative environments (HERO) Collaborative Research Conference (CRC). The objective of the Handoff Effectiveness Research in periOperative environments (HERO) Collaborative Research Conference (CRC) is to align relevant stakeholders and develop and disseminate a perioperative handoff research agenda through the following specific aims: Aim 1: Identify the Evidence Gaps. Review the evidence base on perioperative handoffs and care transitions to identify: a) important knowledge and application gaps; and b) the strengths and shortcomings of available process and outcomes measures that link best practices to improvements in patient safety. Aim 2: Develop Thematic Research Strategy and Define Infrastructure Needs. Develop a thematic research strategy and determine the infrastructure requirements for conducting rigorous multicenter studies capable of demonstrating: a) reductions in harm associated with improved handoffs; b) scalable implementation strategies; and c) education curricula capable of building competencies in team-based communication. Aim 3: Promote Stakeholder Synergy. Characterize the interests, priorities and capabilities of all of the major stakeholders to facilitate the conduct of multi-center perioperative handoff trials, and the subsequent rapid dissemination and translation of best practices that reduce patient harms and are generalizable to other domains.