- Wrist worn heart monitor (Northrop Grumman)
- Video procedural guides (NASA)
- Developmental Center for Evaluation and Research in Patient Safety (Agency for Healthcare Research and Quality)
- Auditory Alarms in Critical Care Settings (Multiple funding sources)
- Brief risky high benefit procedures: best practice model (Agency for Healthcare Research and Quality)
- Improving communication in cardiac surgery (US Army)
- Patient safety and process improvement using human factors engineering (UMMS)
- Video based procedure guide (NASA / NSBRI)
- Design of anesthesia workspace (GE/Datex-Ohmeda)
- Leadership and team development (US Army)
- Distributed training (Aptima)
- On-line Training for Patient Safety
The research is to use and develop human performance and ergonomic principles in improving patient safety. Research projects include studies of patient monitor alarms, video analysis of team performance during emergency airway management, remote mentoring of airway management in civilian and military context, improving sterile practices during invasive procedures by video-based on-line training courses, design of anesthesia workstations through analysis of clinician's eye-gazes, and design of instrument tray through video analysis. The group has pioneered video analysis tools and methods for studying patient safety in actual work settings.
Mentors Decrease Compliance with Best Sterile Practices
Jim Guzzo (then a 2nd year surgical resident) analyzed with other researchers video recorded sterile practices during central line placement in an 2006 issue of Surgical Infections. Mentors in the studied cases were found to be a poor role models in complying to sterile practices. Trainees complied more frequently than mentors (88% vs 69%, p<0.01). [Sponsored by AHRQ].
Dynamic delegation medical training.
Yan Xiao with lead author Katherine Klein (professor at Wharton School of Business) interviewed attendings, fellows, and residents in a trauma center to understand leadership in trauma teams, the results of which will be published in the premier journal of Administrative Science Quarterly. Ensuring patient safety while fulfilling academic medicine’s training mission requires attendings and fellows to dynamically delegate leadership from moment to moment. [Sponsored by Army Research Institute]
Ergonomics for tray content design and locations.
Jake Seagull and colleagues analyzed videos of emergency chest tube insertions in a trauma centers to see the impact of chest tray content and locations, published in 2006 issue of Journal of Trauma. Ergonomic analysis revealed risks to the patient and operator by poor instrument-tray positioning and or awkward instrument content. [Sponsored by AHRQ]