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Matt Weinger

Core Faculty
Richard J. Holden, Ph.D.

Assistant Professor (Department of Medicine, Department of Biomedical Informatics)

Email: richard.holden@vanderbilt.edu
Phone: (615) 936-4343
Fax: (615) 936-7373

Rich Holden, Ph.D., is an Assistant Professor of Medicine with a secondary appointment in Biomedical Informatics. He holds a joint Ph.D. in Industrial Engineering and Psychology, specializing in human factors engineering/psychology. Dr. Holden’s research primarily concerns the design and evaluation of sociotechnical interventions toward improving health and healthcare. He is especially interested in interventions such as health IT that support patient-centered and patient-engaged work. Dr. Holden’s funding portfolio includes research on patient-facing health IT for chronic disease management (NIH/NCATS), the impact of technology to support care coordination in primary care (AHRQ and NIH/NIMH), patient and family perceptions of non-routine events (PCORI), and the impact of lean production on hospital employees (Swedish Council for Working Life). He has published extensively and regularly consults on the use and refinement of qualitative and quantitative human factors methods in healthcare. He is dedicated to improving outcomes for both patients and healthcare professionals.

Education & Training
B.S. – Psychology, University of Wisconsin-Madison
M.S. – Psychology, University of Wisconsin-Madison
M.S. – Industrial Engineering, University of Wisconsin-Madison
Ph.D. – Industrial Engineering and Psychology, University of Wisconsin-Madison
Postdoctoral Research Fellowship – Royal Institute of Technology (Sweden) / University of Wisconsin-Madison

Recent Publications (2010 - 2013)

  1. Carayon, P., Wetterneck, T.B., Rivera-Rodriguez, A.J., Hundt, A.S., Hoonakker, P., Holden, R.J., & Gurses, A.P. Human factors systems approach to healthcare quality and patient safety. Applied Ergonomics, 2013. [in press]
  2. Karsh, B., Waterson, P., & Holden, R.J. Crossing levels in systems ergonomics: Outlining a framework for ‘mesoergonomic’ inquiry. Applied Ergonomics, 2013. [in press] http://dx.doi.org/10.1016/j.apergo.2013.04.021.
  3. Novak, L.L., Holden, R.J., Anders, S.H., Hong, J.Y., Karsh, B. Using a sociotechnical framework to understand adaptations in health IT. International Journal of Medical Informatics, 2013. [in press] http://dx.doi.org/10.1016/j.ijmedinf.2013.01.009.
  4. Holden, R.J., Rivera-Rodriguez, A.J., Faye, H., Scanlon, M.C., & Karsh, B. Automation and adaptation: Nurses’ problem-solving behavior following the implementation of bar coded medication administration technology. Cognition, Technology & Work, 2013. [in press] doi:10.1007/s10111-012-0229-4.
  5. Brännmark, M. & Holden, R.J. Packages of participation: Swedish employees’ experience of Lean depends on how they are involved. IIE Transactions on Occupational Ergonomics and Human Factors, 1, 93-108, 2013.
  6. Holden, R.J. & Hackbart, G. From group work to teamwork: A case study of “Lean” rapid process improvement in the ThedaCare Information Technology Department. IIE Transactions on Healthcare Systems Engineering, 2, 190-201, 2012.
  7. Holden, R.J., Brown, R.L., Scanlon, M.C., & Karsh, B. Modeling nurses’ acceptance of bar coded medication administration technology at a pediatric hospital. Journal of the American Medical Informatics Association, 19, 1050-1058, 2012.
  8. Holden, R.J., Brown, R.L., Scanlon, M.C., & Karsh, B. Pharmacy employees’ perceptions and acceptance of bar-coded medication technology in a pediatric hospital. Research in Social & Administrative Pharmacy, 8, 509-522, 2012.
  9. Holden, R.J. Social and personal normative influences on healthcare professionals to use information technology: Towards a more robust social ergonomics. Theoretical Issues in Ergonomics Science, 13, 546-569, 2012.
  10. Alper, S.J., Holden, R.J., Scanlon, M.C., Patel, N.R., Kaushal, R., et al. Self-reported violations during medication administration in two pediatric hospitals. BMJ Quality & Safety, 21, 408-415, 2012. PMID: 22447818.
  11. Mazzocato, P., Holden, R.J., Brommels, M., Aronsson, H., Bäckman, U., Elg, M., Thor, J. How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Children’s Hospital, Stockholm, Sweden. BMC Health Services Research, 12:28, 2012. http://www.biomedcentral.com/1472-6963/12/28
  12. Holden, R.J., Brown, R.L., Alper, S.J., Scanlon, M.C., Patel, N.R., & Karsh, B. That’s nice, but what does IT do? Evaluating the impact of bar coded medication administration by measuring changes in the process of care. International Journal of Industrial Ergonomics, 41, 370-379, 2011. PMID: 21686318.
  13. Holden, R.J., Scanlon, M.C., Patel, N.R., Kaushal, R., Escoto, K.H., et al. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. BMJ Quality & Safety, 20, 15-24, 2011. PMID: 21228071.
  14. Holden, R.J. What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians’ use of electronic health records. Journal of Patient Safety, 7, 193-203, 2011. PMID: 22064624.
  15. Holden, R.J. Lean thinking in emergency departments: A critical review. Annals of Emergency Medicine, 57, 265-278, 2011. PMID: 21035904.
  16. Holden, R.J. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for patient safety. Cognition, Technology, & Work, 13, 11-29, 2011. PMID: 21479125.
  17. Holden, R.J., Patel, N.R., Scanlon, M.C., Shalaby, T.M., Arnold, J.M., & Karsh, B. Effects of mental demands during dispensing on perceived medication safety and employee well being: A study of workload in pediatric hospital pharmacies. Research in Social & Administrative Pharmacy, 6, 293-306, 2010. PMID: 21111387.
  18. Holden, R.J. Physicians’ beliefs about using EMR and CPOE: In pursuit of a contextualized understanding of health IT use behavior. International Journal of Medical Informatics, 79, 71-80, 2010. PMID: 20071219.
  19. Holden, R.J. & Karsh, B. The Technology Acceptance Model: Its past and its future in health care. Journal of Biomedical Informatics, 43, 159-172, 2010. PMID: 19615467.

Recent Presentations (2010 - 2013)

  1. Crossing boundaries: Integrating mesoergonomics into the human factors agenda. Human Factors and Ergonomics Society Annual Meeting, San Diego, CA, October, 2013. [forthcoming]
  2. Performance barriers among elderly chronic heart failure patients: An application of patient-engaged human factors and ergonomics. Human Factors and Ergonomics Society Annual Meeting, October, 2013. [forthcoming]
  3. Beyond the Simple Mistake: Human Factors and Nurses' Violations of IT Use Policy. HFES International Symposium on Human Factors and Ergonomics in Health Care, Baltimore, MD, USA, March, 2013.
  4. Factors shaping the use and acceptance of health information technology: Results from studies of bar-coding technology, electronic health records, and computerized provider order entry. HFES International Symposium on Human Factors and Ergonomics in Health Care, Baltimore, MD, USA, March, 2012.
  5. Issues of trust and reliance related to physicians' use of electronic health records. Human Factors and Ergonomics Society Annual Meeting, Las Vegas, NV, October, 2010.


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