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Other Track Schedules

Patient Safety Research and Initiatives Track Schedule

MONDAY, MARCH 6

PSRI1 – Toward Proactive Safety Management: Adopting a Safety II Perspective
10:30 a.m. to 12:00 p.m.
Location: Grand Ballroom B
Panel Session
Chair: Michael Rayo, Ohio State U.
Panelists: Robert Wears and Shawna Perry, U. of Florida; Rollin J. (Terry) Fairbanks, National Center for Human Factors in Healthcare - MedStar Health; Gerard Castro, The Joint Commission

PSRI2 – Systems and Coordination
1:30 to 3:00 p.m.
Location: Grand Ballroom B
Lecture Session
Chair: Mary Patterson, Children's National Medical Center
Cochair: Shilo Anders, Vanderbilt U.

  • The (Art and) Science of Care Coordination: Where Have We Been, Where Are We Heading?
    Sallie Weaver, National Cancer Inst.
  • Optimizing Blood Administration Using a Systems Approach
    Beatrice Podtschaske, Mitesh Rao, and Noraliza Salazar, Stanford Health Care
  • An Analysis of Data-Driven, Targeted Interventions Implemented in a Level II Trauma Center
    Tracy Litzinger, Jennifer Cabrera, Tara Cohen, and Scott A. Shappell, Embry-Riddle Aeronautical U.; Steven Miles, Michael Fabian, and Kevin Captain, Halifax Health; Albert Boquet, Embry-Riddle Aeronautical U.

PSRI3 – Stress/Workload
3:30 to 4:30 p.m.
Location: Grand Ballroom B
Lecture Session
Chair: Victoria Lew, Embry-Riddle Aeronautical U.
Cochair: Jie Xu, Vanderbilt U.

PSRI-POS1 – Patient Safety Research and Initiatives Posters Session 1
4:30 to 6:00 p.m.
Location: Grand Ballroom E

  1. A Human Factors Approach for Identifying Latent Failures in Health-Care Settings
    Tara Cohen and Scott A. Shappell, Embry-Riddle Aeronautical U.
  2. A Pilot Study of Precautions Regarding Macro Air Gaps While Wearing Hygiene Masks
    Mika Morishima, Kanazawa U.; Tamaki Mitsuno, Shinshu U.
  3. End Users' Preference of Terms and Symbols for Electrosurgical Unit Labels
    Airan Li, Matthew Taylor, and Jamie Estock, VA Pittsburgh Healthcare System
  4. Flow Disruptions to Anesthesia Teams in Teaching and Nonteaching Cardiovascular Operating Room Analyzed with RIPCHORD-TWA Major and Minor Categories
    Fawaaz A. Diljohn, Jennifer Cabera, Tara Cohen, and Tracy Litzinger, Embry-Riddle Aeronautical U.; Scott Reeves and Jake Abernathy, Medical U. of South Carolina; Scott Schappell and Albert Boquet, Embry-Riddle Aeronautical U.
  5. Handover Redesign as Opportunity for High-Reliability Team Training
    Isaac Lynch, UT Southwestern Medical Center in Dallas; Joseph Keebler, Embry-Riddle Aeronautical U.; Oren Guttman and Philip Greilich, UT Southwestern Medical Center in Dallas
  6. Health Systems Improvement Collaborative
    Joshua Gray, Najm Meshkati, Greg Placencia, John Franklin, and Yalda Khashe, U. of Southern California
  7. Identifying Communication and Coordination Failures in Trauma Care: Toward a New Model of Threat and Error Management
    Jordan E. Hilgers, Tracy L. Litzinger, Jennifer S. Cabrera, Mary O. Wilson, Olivia M. Villamagna, Fawaaz A. Diljohn, and John F. Herman, Embry-Riddle Aeronautical U.; Steven G. Miles, Michael A. Fabian, and Kevin A. Captain, Halifax Hospital; Scott A. Shappell and Albert J. Boquet, Embry-Riddle Aeronautical U.
  8. Identifying Neural and Speech Correlates of Uncertainty During Health-Care Simulation Training
    Ronald Stevens, UCLA School of Medicine; Ann Willemsen-Dunlap, JUMP Simulation and Education Center; Trysha Galloway, The Learning Chameleon, Inc.; Jamie Gorman, Georgia Tech; Donald Halpin, JUMP Simulation and Education Center
  9. Investigation of Unintended Consequences of HER Systems: A Narrative Review
    Stephanie Vanderhook, U. of Illinois; Joanna Abraham, U. of Illinois at Chicago
  10. Leading Process Change Within the Veterans Health Administration: A Medication Reconciliation Demonstration Project
    Kathleen Adams, Blake Lesselroth, and Victoria Church, Portland VA Health Care System
  11. Optimizing athenahealth's Streamlined EHR: Two Ways to Proactively Identify, Evaluate, and Minimize Potential Patient Safety Risks
    Caroline Keogh and Richard Wang, athenahealth
  12. Patient Perceptions on the Use of an Autopiloted Emergency Medical Transport: An Affective Perspective
    Scott Winter, Florida Inst. of Technology; Stephen Rice and Joseph Keebler, Embry-Riddle Aeronautical U.; Rian Mehta, Florida Inst. of Technology
  13. Patient Safety and Quality Needs Family-Centered Care
    Elizabeth Papautsky, U. of Illinois at Chicago
  14. Prevalence of Potentially Distracting, Noncare Activities and Their Effects on Vigilance, Workload, and Nonroutine Events During Anesthesia Care
    Jason Slagle, Vanderbilt U.; Eric Porterfield and Amanda Lorinc, Vanderbilt U. Medical Center; David Afshartous and Matt Shotwell, Vanderbilt U. School of Medicine; Matthew Weinger, Vanderbilt U. Medical Center
  15. Process Variations in Older Adults' Care Transitions From Emergency Department to Home: Process Breakdown Versus Process Resiliency
    Amy Borkenhagen, Nicole Werner, and Mary Finta, U. of Wisconsin-Madison; Joyce Duckles, Craig Sellers, Sandhya Seshadri, and Denise Lampo, U. of Rochester; Manish Shah, U. of Wisconsin-Madison
  16. Stanford Health Care–Center for Advancing Patient Safety: Redesigning Care Provision to Move Our Health System Into a Safer Future
    Mitesh Rao, Beatrice Podtschaske, and Noraliza Salazar, Stanford Health Care
  17. The Impact of Improper Use of Safety Harness on Clinical Posturography Assessments
    Qian Wang, Jaswandi Pitale, and Necip Berme, Bertec Corp.
  18. Understanding Hand Hygiene in Health-Care Environments – A Management Perspective
    Jun Rong Jeffrey Neo and Rana Sagha Zadeh, Cornell U.
  19. Understanding the Nature of Questions in Interunit Handoff Communication
    Iqra Mushtaq, Imade Ihianle, and Joanna Abraham, U. of Illinois at Chicago

TUESDAY, MARCH 7

PSRI4 – Who Is Drinking Our Kool-Aid? Clinician Perspectives of Their Human Factors Practitioner
8:30 to 10:00 a.m.
Location: Grand Ballroom B
Panel Session
Chair: Adjhaporn (Nana) Khunlertkit, Johns Hopkins U.
Panelists: A. Joy Rivera, Children's Hospital of Wisconsin; Shanqing Yin, KK Women's and Children's Hospital; Laurie Wolf, Barnes-Jewish Hospital; Dean Karavite, Children's Hospital of Philadelphia; Catherine Dulude, Children's Hospital of Eastern Ontario; Susan Harkness Regli, U. of Pennsylvania Health System

PSRI5 – Handoffs
10:30 a.m. to 12:00 p.m.
Location: Grand Ballroom B
Lecture Session
Chair: Elizabeth H. Lazzara, Embry-Riddle Aeronautical U.
Cochair: Kathryn Tippey, Vanderbilt U. Medical Center

  • Multidisciplinary Handover Study of Common and Unique Content in General Internal Medicine, Surgery, and the ED: Preliminary Results
    Kathy Momtahan, Ottawa Hospital Research Inst.; Catherine Burns, U. of Waterloo; Jacinthe Lampron, James Chan, Edmund Kwok, Allen Huang, and Peggy Guilbeault, Ottawa Hospital; Kathleen Day and Kate Scowcroft, U. of Ottawa; Ivanette Hargreaves, Ottawa Hospital; Shannon Leduc, Ottawa Paramedic Services; Jordan Andersen, Ottawa Hospital
  • Handoff Standardization: Understanding Heterogeneity
    Kristen Welsh, Victoria Lew, Amanda Tan, Agnes Fagerlund, Joseph Keebler, and Elizabeth H. Lazzara, Embry-Riddle Aeronautical U.
  • Evaluating the Impact of Gender on Resident Handoff Communication
    Kevin Jacob, Shirley Burton, and Joanna Abraham, U. of Illinois at Chicago

PSRI6 – Better Together: Safety Through Teamwork
1:30 to 3:00 p.m.
Location: Grand Ballroom B
Lecture Session
Chair: Shirley C. Sonesh, Tulane U.
Cochair: Akhila Iyer, National Center for Human Factors in Healthcare - MedStar Health

  • "Hot" Debriefing After Resuscitations in a Pediatric Cardiac Intensive Care Unit
    Lillian Su, Ashleigh Harlow, Darren Klugman, and Melissa Jones, Children's National Health System; Michael-Alice Moga, Toronto SickKids Children's Hospital; Mary Waller, Schulich School of Business
  • Team Training in Health Care: An Examination of Effectiveness and Future Research
    Ashley Hughes, Michael E. DeBakey VA Medical Center; Megan Gregory, Michael E. DeBakey VA Medical Center and Baylor College of Medicine; Shannon Marlow, Rice U.
  • Educating Interprofessional Trainees to Provide Safe and Effective Team-Based Care: Perspectives on Curriculum Development and Implementation
    Megan Gregory, Jennifer Bryan, and Audrey Mendez, Michael E. DeBakey VA Medical Center and Baylor College of Medicine; Jessica Uriarte, Houston Methodist Hospital System; LeChauncy Woodard, Michael E. DeBakey VA Medical Center & Baylor College of Medicine

PSRI7 – Errors/Identification
3:30 to 4:30 p.m.
Location: Grand Ballroom B
Lecture Session
Chair: Elizabeth Papautsky, U. of Illinois at Chicago
Cochair: Adjhaporn (Nana) Khunlertkit, Johns Hopkins U.

  • Identifying Health Information Technology-Related Patient Safety Events
    Katie Adams, Allan Fong, and Raj Ratwani, National Center for Human Factors in Healthcare - MedStar Health
  • An Extended Version of the Rasmussen's Dynamic Safety Model for Measuring Multitasking Behaviors During Medical Emergency
    Thierry Morineau, Université Bretagne Sud; John Flach, Wright State U.; Marion Le Courtois, Université Rennes II; Pascal Chapelain, Centre Hospitalier Bretagne Sud

PSRI-POS2 – Patient Safety Research and Initiatives Posters Session 2
4:30 to 6:00 p.m.
Location: Grand Ballroom E

  1. A Descriptive Model of the Current PTSD Care System: Identifying Opportunities for Improvement
    Jukrin Moon, Alec Smith, Farzan Sasangohar, Justin Benzer, and Hye-Chung Kum, Texas A&M U.
  2. Appropriate Communication Theories and Implications for Health Care and Handoffs
    Kristen Welsh, Amanda Tan, Joseph Keebler, Elizabeth H. Lazzara, Victoria Lew, and Agnes Fagerlund, Embry-Riddle Aeronautical U.
  3. Best Practices in Identifying User Groups for Medical Device Human Factors Studies
    Kayley Wolf Raskin, Kristyn Berry, and Laurie Reed, Farm Design Inc.
  4. Eliciting Mental Models in Transitions of Care
    Victoria Lew, Joseph Keebler, Elizabeth H. Lazzara, Agnes Fagerlund, and Kristen Welsh, Embry-Riddle Aeronautical U.
  5. Exploring Pain and Fidelity in Health-Care Providers: Improving Insight in Current Measurements
    Preston Long, Elizabeth Sterling, Denis Kozhokar, and X. T. Wang, U. of South Dakota
  6. Importance of Psychological Safety in Transitions of Care
    Agnes Fagerlund, Joseph Keebler, Elizabeth H. Lazzara, Kristen Welsh, and Victoria Lew, Embry-Riddle Aeronautical U.
  7. Information Need of Physicians in Pediatric Trauma
    Bat-Zion Hose and Pascale Carayon, U. of Wisconsin-Madison; Peter Hoonakker, Center for Quality and Productivity; Abigail Wooldridge, U. of Wisconsin-Madison; Joshua Ross, Jonathan Kohler, Tom Brazelton, Ben Eithun, Michelle Kelly, Shannon Dean, and Deborah Rusy, UW School of Medicine and Public Health; Ayse Gurses, Armstrong Inst. for Patient Safety and Quality at Johns Hopkins U.
  8. Investigating Guiding Attributes in Visual Search for Medication Vials
    Logan Gisick, Wichita State U.; Evan Palmer, San Jose State U.
  9. Mental Models Physicians, Nurses, and Pharmacists Use to Support Patient Medication List Review Tasks
    Kathryn Tippey, Carrie Reale, Scott Nelson, Matthew Weinger, and Shilo Anders, Vanderbilt U. Medical Center
  10. Parallel Paths to Patient Safety: Complementary Education for Clinical Faculty and Medical Students
    F. Jacob Seagull, U. of Michigan
  11. Primary Care Clinician Sensemaking for Managing Patients With Chronic Pain
    Shilo Anders, Vanderbilt U. Medical Center; Laura Militello, Applied Decision Science; Sarah M. Downs, Elizabeth C. Danielson, and Burke W. Mamlin, Indiana U.; Robert L. Cook, U. of Florida Health; Robert W. Hurley, Medical College of Wisconsin; Christopher A. Harle, Indiana U.
  12. TaskTracker: Providing Context in the Complex Health-Care Environment
    Akhila Iyer, Allan Fong, and Raj Ratwani, National Center for Human Factors in Healthcare - MedStar Health
  13. Teaching a Human Factors Graduate Course to Health-Care Professionals Specializing in Health Quality, Risk, and Safety
    Avi Parush, Israel Inst. of Technology; Debi Parush, Usability, Publications & Training; Roy Ilan, Queen's U. and Kingston General Hospital
  14. Team Cognition as a Means to Improve Care Delivery in Critically Ill Patients With Cancer After Hematopoietic Cell Transplantation
    Sandra Hinski and Nathan McNeese, Arizona State U.; Nandita Khera, Sara Wordingham, Noel Arring, Sharon Nyquist, and Amy Gentry, Mayo Clinic Hospital; Brian Tomlinson, Cancer Care; Nancy Cooke, Arizona State U.; Ayan Sen, Mayo Clinic Hospital
  15. Testing Portable Medical Device Instructions: Comparing Experts and Nonexperts
    David Borkenhagen, U. of Calgary; Greg Hallihan, W21C; Jan Davies, U. of Calgary
  16. Toward More Resilient Performance of Emergency Department
    Changwon Son and Farzan Sasangohar, Texas A&M U.
  17. Understanding Team Complexity in Pediatric Trauma Care
    Abigail Wooldridge, Pascale Carayon, Peter Hoonakker, and Bat-Zion Hose, U. of Wisconsin-Madison; Joshua Ross, Jonathan Kohler, Tom Brazelton, Benjamin Eithun, Michelle Kelly, Shannon Dean, and Deborah Rusy, U. of Wisconsin School of Medicine and Public Health; Ayse Gurses, Johns Hopkins U. School of Medicine
  18. Understanding the Types and Effects of Clinical Interruptions as Reported in a Multihospital Patient Safety Event Database
    Joseph Puthumana, Kathryn Kellogg, Allan Fong, and Raj Ratwani, National Center for Human Factors in Healthcare - MedStar Health
  19. Utilizing Heart Rate Variability as an Indicator of Post-Traumatic Stress Disorder (PTSD)
    Carolina Rodriguez Paras, Farzan Sasangohar, Justin Benzer, and Hye-Chung Kum, Texas A&M U.

WEDNESDAY, MARCH 8

PSRI8 – Simulation
8:30 to 10:00 a.m.
Location: Grand Ballroom B
Lecture Session
Chair: John Rice, Retired
Cochair: Lillian Su, Children's National Health System

  • Can Simulation Improve EMR Implementation? Application to Medication Reconciliation
    Adjhaporn (Nana) Khunlertkit and Allen Chen, Johns Hopkins Medicine
  • Safety II, Simulation, and the Virtuous Spiral
    Mary Patterson, Children's National Medical Center; Ellen Deutsch, Pennsylvania Patient Safety Authority/ECRI Inst. and Children's Hospital of Philadelphia
  • The Cognitive-Sociotechnical Framework for Usability Evaluation: A Case Study for Improving Patient-Controlled Analgesia Order Sets
    Kathleen Adams, Blake Lesselroth, and Victoria Church, Portland VA Health Care System

PSRI9 – Teaching HF/E to Future Health-Care Professionals: Opportunities for Integrating Human Factors, Quality, and Safety Into Medical Education
10:30 a.m. to 12:00 p.m.
Location: Grand Ballroom B
Panel Session
Chair: Beth Blickensderfer, Embry-Riddle Aeronautical U.
Panelists: Raymond Chan, U. of Missouri-Kansas City; Sarah Henrickson Parker, Virginia Tech Varilion Research Inst.; Emily Patterson, Ohio State U.; Shawna Perry, Virginia Commonwealth U. School of Medicine; Linsey Steege, U. of Wisconsin-Madison

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