New Methods for Reducing Adverse Events and Harmful Overuse

nurses attending patient on tretcher

US Department of Veteran's Affairs
Partners Healthcare logo

Maine Medical Center
MaineHealth

QUALITY AND SAFETY CLUSTER – PROJECT 18-05161.NEU-UAB

New Methods for Reducing Adverse Events and Harmful Overuse

Description

The objective of this project is to research and to integrate existing and new methods for analyzing and reducing adverse events (AEs), patient exposure to harm, and associated costs. AEs and harmful overuse are a widespread problem across healthcare with huge cost and health implications and with a significant opportunity for improvement through the use of recently emerging new approaches to patient safety. The research team will use hybrid methods to assess practice variation analysis, develop prediction models based in regression and machine learning, and apply complexity systems failure analysis methods from the emerging “Safety-2” field, building on a past CHOT project (16-05151.NEU: “Improvements to Root Cause Analysis of Patient Safety Events”). The application areas will be determined by IAB members, two being patient falls and over-testing of emergency department and preoperative patients.

How is this different from related research?

This project is unique in four respects: (1) seeking to compare and combine traditional methods commonly used in analysis and prevention of adverse events and harmful overuse with more modern methods, such as Bayesian Belief networks, etc., (2) considering combined prediction of adverse/overuse events at both individual-level and unit-level, (3) investigating the use of retrospective causality and prospective context assessment methods from the emerging “Safety-2” field, and (4) integrating these methods into a unified approach that can be used to better understand, predict, and prevent adverse events and harmful overuse.

Value Proposition

  • Integrate results of variation analysis, Safety-2 methods, and predictive modeling to reduce number of adverse and/or overuse events
  • Measure impact on costs, number of harmful or unnecessary events prevented, and exposure to harm
US Department of Veteran's Affairs

Maine Medical Center
MaineHealth

Partners Healthcare logo