- Electronic Health Records Systems
- Patient Safety and Medication Errors
- Healthcare Technology and Patient Monitoring
- Hernia repair and management
- Opioid Use Disorder Treatment
- Family and Patient Care in Intensive Care Units
- Healthcare Systems and Technology
- Hip and Femur Fractures
- Pharmaceutical Practices and Patient Outcomes
- Anesthesia and Pain Management
- Health Policy Implementation Science
- Injury Epidemiology and Prevention
- Interprofessional Education and Collaboration
- Nursing Diagnosis and Documentation
- Congenital Diaphragmatic Hernia Studies
- Anesthesia and Neurotoxicity Research
- Quality and Safety in Healthcare
- Delphi Technique in Research
- Abdominal Surgery and Complications
- Microfinance and Financial Inclusion
- Crime Patterns and Interventions
- Pediatric Pain Management Techniques
- Child and Adolescent Health
- Hospital Admissions and Outcomes
- Trauma and Emergency Care Studies
University of Wisconsin–Madison
2012-2022
UW Health University Hospital
2021
American Productivity and Quality Center
2015
Agency for Healthcare Research and Quality
2012
National Institutes of Health
2012
Geisinger Medical Center
2012
To assess intensive care unit (ICU) nurses' acceptance of electronic health records (EHR) technology and examine the relationship between EHR design, implementation factors, nurse acceptance.The authors analyzed data from two cross-sectional survey questionnaires distributed to nurses working in four ICUs at a northeastern US regional medical center, 3 months 12 after implementation.Survey items were drawn established instruments used measure usability, usefulness three functionalities,...
This study examined the relationship between violence and immigration. The importance of neighborhood context, including alcohol availability, was also investigated. Using data from block groups, these relationships were in three California communities with significant immigrant populations. Data on socioeconomic characteristics combined police concerning youth availability. These geocoded a group, population-based rates calculated. A specialized regression package used to examine...
To evaluate the incidence of duplicate medication orders before and after computerized provider order entry (CPOE) with clinical decision support (CDS) implementation identify contributing factors.CPOE alerts was implemented in a 400-bed Northeastern US community tertiary care teaching hospital. In pre-implementation post-implementation design, trained nurses used chart review, computer-generated reports orders, alerts, staff to errors two intensive units (ICUs).Medication error data were...
Objective To examine medication safety in two intensive care units (ICU), and to assess the complexity of errors adverse drug events (ADE) ICUs across stages medication-management process. Methods Four trained nurse data collectors gathered on ADEs between October 2006 March 2007. Patient documents (eg, order sheets, notes) incident reports were used identify a 24-bed adult medical/surgical ICU an 18-bed cardiac tertiary care, community teaching hospital. In this cross-sectional study, total...
Background: Researchers have used various methods to describe and quantify the work of nurses. Many these studies were focused on nursing in general care settings; therefore, less is known about unique nurses perform intensive units (ICUs). Objectives: The aim this study was observe adult pediatric ICU order compare duration frequency tasks across four ICUs as well within two discrete workflows: nurse handoffs at shift change patient interdisciplinary rounds. Methods: A behavioral task...
Implementation of Computerized Provider Order Entry (CPOE) has many potential advantages. Despite the benefits CPOE, several attempts to implement CPOE systems have failed or met with high levels user resistance. can fail meet resistance for a variety reasons, including lack attention users' needs and significant workflow changes required by CPOE. User satisfaction is critical factor in information technology implementation. Little known about how end-user over time.
Participatory ergonomics (PE) can promote the application of human factors and (HFE) principles to healthcare system redesign. This study applied a PE approach redesigning family-centred rounds (FCR) process improve family engagement. Various FCR stakeholders (e.g. patients families, physicians, nurses, hospital management) were involved in different stages process. HFE integrated both content shared mental model, usability, workload consideration, systems approach) top management...
In the last few years, a great deal of attention has been devoted to apparent decline in rates homicide and other kinds violence United States. Commentators debate whether are actually declining, what reasons for this decline. The purpose paper is explore possibility that one reason recent may be its relationship rate alcohol consumption during same time period. As there growing body research shows significant between at different levels aggregation, countries sub-units countries, among...
The objective of this study was to describe the frequency, potential harm, and nature electronic health record (EHR)-related medication errors in intensive care units (ICUs). Using a secondary data analysis large database safety events collected on EHR technology ICUs, we assessed relatedness total 1622 preventable adverse drug (ADEs) identified sample 624 patients 2 ICUs medical center. Thirty-four percent were found be related. EHR-related had greater for more serious patient harm occurred...
Health Information Technology (IT) implementation can fail or meet high levels of user resistance for a variety reasons, including lack attention to users’ needs and the significant workflow changes induced required by technology. End-user satisfaction is critical factor in health IT implementation. In this paper, authors describe process developing testing questionnaire evaluate implementation, particular Computerized Provider Order Entry (CPOE) Electronic Record (EHR) technologies. Results...
Coordinating care for hospitalized patients requires the use of multiple sources information. Using a macroergonomic framework (i.e. work system model), we conducted interviews and observations managers involved in coordination across transitions care. When information is distributed health IT applications, experience range challenges, including organizational barriers, technology design problems, skills knowledge issues, task performance demands issues related to individual processing...
Objective The aim of the study was to assess impact Electronic Health Record (EHR) implementation on medication safety in two intensive care units (ICUs). Methods Using a prospective pre-post design, we assessed 1254 consecutive admissions ICUs before and after an EHR implementation. Each event evaluated with regard error (error type, medication-management stage) patient (severity potential or actual harm). Results We identified 4063 medication-related events either pre-implementation (2074...
This article critically examines women's and men's participation in community development efforts Indonesia. Towards this end, it develops a theoretical framework based on contributions from work that addresses the social construction of gender; citizen community-level planning, governance development; collective action, dilemmas capital Drawing framework, some hypotheses are developed tested. Based analyses third wave Indonesian Family Life Survey, findings reveal female-headed households...
Checklists are used to operationalize care processes and enhance patient safety; however, checklist implementation is difficult within complex health systems. A family-centered rounds (FCR) increased physician performance of key rounding activities, which were associated with improved parent engagement, safety perceptions, behaviors. To inform FCR dissemination, we assessed compliance this factors influencing its use.Guided by a recognized human systems engineering approach, observations ad...