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Agency for Healthcare Research and Quality (AHRQ) Grant for Patient Safety Research

Carl A. Sirio, MD, Principal Investigator of the AHRQ funded cooperative agreement, “A Systems Approach for Improving Region-Wide Patient Safety,” has partnered with the Pittsburgh Regional Healthcare Initiative (PRHI) in groundbreaking work to change the way evidence and research is integrated into medical practice. PRHI is comprised of hospital and business leaders, physicians, insurers and purchasers, and is committed to reaching a goal of zero tolerance for nosocomial infections and medication errors in its 42 participating Southwestern PA hospitals. This is being accomplished through systematic analysis of literature and evidence for best practices, open reporting of medication error and nosocomial infection data, and information sharing among hospital partners. Other partners on the project include the Centers for Disease Control, RAND, Purdue, and US Pharmocopeia. Participating institutions include all of the University of Pittsburgh Medical Center Health System hospitals where Dr. Sirio holds the position of Associate Professor in the Departments of Critical Care Medicine, Medicine, and Pharmacy and Therapeutics.

Dr. Sirio first began his work with PRHI in 1997 as Co-Chair of the Clinical Advisory Committee and saw a unique opportunity to merge academic medicine with business interests in the real-time reporting of errors, reduction of costs associated with errors, improvement of patient safety, and elimination of the climate of fear that currently exists around medical errors. In partnership with PRHI, the advisory committees and working groups, Dr. Sirio sought funding from AHRQ in June of 2000 to finance the efforts of the Initiative. Through this funding, Dr. Sirio has been instrumental in creating and implementing region-wide guidelines for fentanyl patch prescribing, the elimination of dangerous abbreviations, as well as initiatives for central line associated bloodstream infections and Methicillin-Resistant Staph Aureus infections (MRSA). Several new medication safety and nosocomial infection initiatives will be introduced during 2003.

It is Dr. Sirio’s hope that federal funding for initiatives will continue to be made available to collaboratives on a region-wide basis to improve information sharing. Dr. Sirio continues to provide strong leadership in improvement of patient outcomes and reduction of costs, raising the bar on medical care across the Pittsburgh region.

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MANTRA

AHRQ Grant for Patient Safety Research

Safar Center for Resuscitation Research

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