Director: Matthew B. Weinger, MD
Faculty: Dan France, MPH, PhD
Anne Miller, RN, PhD
Laurie Novak, PhD
Neal Sanders, PhD
Jason Slagle, PhD
Scientific Disciplines Covered:
- Human factors engineering
- Systems engineering
- Cognitive psychology
- Biomedical informatics
- Industrial engineering
- Industrial and organizational psychology
- Medical anthropology/sociology
Topics of Interest to the Team (not in any particular order):
Patient safety
Clinical decision making
Clinical expertise and experience, including training
Clinical workload and stressors
Fatigue and sleep deprivation, clinical scheduling
Situation awareness
Non-routine events – detection and analysis
Medical technology usability – design and evaluation
Clinical workflow, efficiency, and effectiveness
Complexity and uncertainty
Representative Research Techniques Typically Employed:
Behavioral task analysis (timemotion studies)
Cognitive task analysis
Videoanalysis
Structured observation and interviewing
Ethnography
Survey (questionnaire) methods
Active surveillance methods
Workload assessment
Usabilty engineering
Computer modeling and simulation
Workflow maps
Full-scale simulation
Clinical Domains of Interest:
Perioperative Medicine (Anesthesiology, Surgery, Nursing)
Critical Care Medicine
Hospitalist Medicine
Emergency Medicine
Obstetrics
First Responders
Current Research Funding:
Veterans Administration Health Services Research and Development (VA HSRD) Merit Review Grant. “Operating room workload and quality of care” (2/15/08-9-30/10).
National Institute of Heart, Lung, and Blood SBIR (Phase 2) “Commercialization of a graphical display for critical care environments” (9/1/07-8/31/09).
Anesthesia Patient Safety Foundation. “Prevalence and nature of intraoperative events on anesthesia care tasks, vigilance, workload, and non-routine events” (1/1/07-12/31/08).
Agency for Healthcare Research and Quality (AHRQ). “STRAIT: Simulation Training for Rapid Assessment and Improved Teamwork” (9/30/06-9/29/08).
Donald W. Reynolds Foundation. “Vanderbilt-Reynolds Geriatric Education Center” (7/01/06-6/30/10).
Representative Publications (Projects) Involving Trainees:
Bayley R (medical student), Weinger M, Meador S, Slovis C: Impact of ambulance crew configuration on simulation cardiac arrest resuscitation. Prehospital Emerg Care 12: 62-8, 2008.
Rayo M (graduate student), Smith P, Weinger MB, Slagle JS: Assessing medication safety technology in the Intensive Care Unit. Proc Human Factors Ergon Society 51: 692-6, 2007.
Oken A, Rasmussen MD (anesthesiology fellow), Slagle J, Jain S, Kuykendall T, Ordonez N (postdoctoral fellow), Weinger MB: A facilitated survey instrument captures significantly more anesthesia patient safety events than does traditional event reporting. Anesthesiology 107: 909-22, 2007.
Dale C (medical student) Dezube R (medical student), Levin S (graduate student), France D, Weinger M. Impact of Emergency Department occupancy and patient boarding on registered nurse work patterns and subjective ratings of workload and quality (abstract). Ann Emerg Med. 50(3): S46, 2007.
Unertl KM (masters student), Weinger MB, Johnson KB: Applying direct observation to model workflow and assess adoption. AMIA Annual Symp Proc. 794-8, 2006.
Weinger MB, Calderwood CC (undergraduate student), Sanders NW, Slagle JM: Vital signs deviate significantly from normal more often in cases containing Non-Routine Events but these deviations are still common in cases reported as routine (abstract). Anesth Analg 102: S105, 2006.
Harris B (anesthesia resident), Weinger MB: an insidious failure of an oxygen analyzer (case report). Anesth Analg 102(5): 1468-72, 2006.
Liang BA, Weinger MB, Suydam S (medical student): Learning from others: Legal aspects of sharing patient safety data using provider consortiums, J Patient Safety 1(2):83-9, 2005.
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