Armstrong Institute Profiles
Ephrem Abebe, Ph.D.
Ephrem is a postdoctoral research fellow — working under the supervision of Dr. Ayse Gurses — at the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality. He is a pharmacist-health services researcher whose research interests mainly lie in understanding and mitigating hazards to safe medication use and delivery systems across the health care continuum including, in the inpatient, ambulatory, and community care settings. More broadly, Ephrem’s scholarly interests also focus on large-scale organizational changes targeted at improving safety and quality of patient care across healthcare institutions.
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Ph.D., Pharmacy-Heath Services Research), University of Wisconsin-Madison 2016
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M.S., Pharmacy-Heath Services Research), University of Wisconsin-Madison 2014
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M.Pharm., Pharmacy Practice (Clinical Pharmacy), National Institute of Pharmaceutical Education and Research, India, 2007
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B.Pharm., Pharmacy, Addis Ababa University-School of Pharmacy, Ethiopia, 2004
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Main Project at Johns Hopkins
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Medication Management within a Care Coordination Program for Children with Medical Complexity: A Cognitive Work Analysis
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Abebe E., Chui M.A. Care coordination, medical complexity, and unmet need for prescription medications among children with special health care needs. Res Social Adm Pharm. 2017 May - Jun;13(3):524-529. PubMed PMID: 27260830.
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Abebe E., Stone J.A., Lester C.A., Chui M.A. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2017 Apr 27; PubMed PMID: 28452917.
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Stone J.A., Lester C.A., Abebe E., Phelan C.H., Welch L.L., Chui M.A. A preliminary examination of over-the-counter medication misuse rates in older adults. Res Social Adm Pharm. 2017 Jan - Feb;13(1):187-192. PubMed PMID: 26853833; PubMed Central PMCID: PMC4949161.
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Abebe E., Look K.A., Stone J.A., Lester C.A., Chui M.A. Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture: a factor analysis. BMJ Qual Saf. 2016 May;25(5):355-63. PubMed PMID: 26208535; PubMed Central PMCID: PMC4786462.
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Honors
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Globally Engaged Research Award, Wisconsin Without Borders, University of Wisconsin-Madison, 2014
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American Pharmacists Association
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Human Factors and Ergonomics Society
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American Society for Professionals in Patient Safety
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American Society for Quality
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AcademyHealth
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American Association of Colleges of Pharmacy
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Luis M. Ahumada, Ph.D., M.S.C.S.
Executive Director of Advanced Technologies and Data Science, Johns Hopkins Health System
Luis M. Ahumada has recently assumed the role of Executive Director of Advanced Technologies and Data Science at Johns Hopkins Health System, bringing with him a wealth of expertise. In this capacity, Luis will lead the strategic planning, execution, and dissemination of state-of-the-art analytics and data science solutions within the Armstrong Institute. His primary focus will revolve around strengthening the hospital's commitment to patient care, research, education, and advocacy by establishing and enhancing a resilient data science infrastructure.
With six years of experience as Director of Health Data Science and Analytics at Johns Hopkins All Children’s Hospital, Luis has a proven track record of planning, implementing, and leading systemwide analytic solutions. Notably, he founded the Center for Pediatric Data Science and Analytic Methodology, a pioneering hub for artificial intelligence and machine learning research projects. Before his tenure at JHACH, Luis led the data science team at the esteemed Children’s Hospital of Philadelphia.
Luis holds a master’s degree in computer science from Villanova University and earned his PhD in information science and technology from Drexel University.
Scott Burkett, B.S., C.S.S.B.B.
Assistant Director, Lean Sigma Deployment
A Lean Sigma Black Belt, Burkett joined the Armstrong Institute for Patient Safety and Quality in 2015, bringing more than 15 years of experience leading, coaching and mentoring projects in manufacturing, business and health care. During his career, Burkett has been able to share the tenets of Lean Sigma with numerous cross-functional teams and Green Belts to make improvements in perioperative care, intensive care units and pharmacies.
His experience includes work at Nabisco, Kraft and Loyola University Health System in Chicago.
Burkett earned his bachelor's degree in Industrial Engineering from The Pennsylvania State University, University Park, Pennsylvania.
Cheryl Connors, D.N.P., R.N., N.E.A.-B.C.
Program Director of Organizational Resilience
Cheryl Connors is the program director of organizational resilience for the Johns Hopkins Armstrong Institute for Patient Safety and Quality. Connors fosters a positive culture for Johns Hopkins Medicine that allows the health system to anticipate, prepare, respond and recover within a dynamic, complex and challenging environment. She is responsible for assessing culture, collaborating with member organization leaders and planning interventions that effectively target safety issues. Her primary responsibility is as director for the RISE (Resiliency in Stressful Events) program, which she co-created in 2010. In this role, Connors established a partnership with the Maryland Patient Safety Center to help health care organizations implement RISE model programs globally.
As a Comprehensive Unit-based Safety Program (CUSP) leader, Connors empowers front-line staff members to learn from defects and work toward meeting safety goals. Additionally, she is responsible for safety culture assessments and serves as faculty for the TeamSTEPPS training program at the Armstrong Institute.
Connors received her doctorate in nursing practice from the University of Alabama. She has a clinical background in pediatrics, where she developed a passion to improve patient safety. Connors led the Josie King Pediatric Patient Safety Program at Johns Hopkins for several years before advancing her career in nursing leadership. Connors officially became a patient safety specialist in 2012.
A presenter on safety topics both nationally and internationally (Qatar, Okinawa and Saudi Arabia), Connors has facilitated staff education and the establishment of safety teams in the military health system. She collaborates with the Johns Hopkins University schools of nursing, public health and medicine on teamwork and communication and patient safety programs.
Sarah Davis, Ph.D.
Sr. Special Project Administrator, Industrial/Organizational Psychologist
Sarah Davis is an industrial/organizational psychologist and senior special project administrator at the Armstrong Institute for Patient Safety and Quality at Johns Hopkins. She has a bachelor’s degree in psychology from the University of Rochester and a Ph.D. in industrial/organizational psychology from the University of Connecticut. Her research interests are team effectiveness and communication in stressful environments and understanding organizational change.
Michael Dexter, M.A., R.R.T., C.S.S.B.B., C.A.P.
Manager, Clinical Quality Improvement
Michael Dexter is the Manager of Clinical Quality Improvement - Pediatrics with Johns Hopkins Hospital. He manages projects and initiatives to mitigate risks and improve quality performance within The Johns Hopkins Children’s Center (JHCC). In addition, he partners with Medical Directors of Quality for JHCC in identifying, planning, executing, and reporting on activities related to JHCC strategic objectives and other improvement priorities, professional practice evaluation, and quality of care concerns.
Michael joined Johns Hopkins Hospital in 2020. Beginning his career as a respiratory therapist, he became Manager of Respiratory Care Services and eventually became Interim Director of Respiratory Services for Methodist University Hospital. Michael left the field of respiratory care in 2008 and transitioned to the Information Science Division as the Manager of the Information System team. In 2015, Michael transitioned to Quality Improvement, joining Le Bonheur Children’s Hospital as the Quality Improvement and Patient Safety Project Manager. He spent four (4) years as a Malcolm Baldridge National Board Examiner, focusing on the strategic plans of healthcare organizations.
Outside of his patient safety and quality work, Michael enjoys exercising, visiting his grandchildren, volunteering, and watching the Memphis Grizzlies.
Peter Doyle, Ph.D.
Peter Doyle is a human factors engineer with 35 years of experience performing human factors analysis, design and test activities in the fields of nuclear power generation, defense contracting, simulation and training, information and communication systems, and health care and medicine. Given his interest in analysis and design he orients his efforts to applied solutions for operational challenges. Since 2007, he has worked in the Clinical Engineering Services department at The Johns Hopkins Hospital using accepted human factors methodologies and established human factors design criteria in the design and improvement of information-based, mechanical and process technologies. He addresses patient safety issues to assess and control risk associated with medical devices, work processes and information technologies.
Examples of projects include medical device evaluation and selection, design for alarm management, tubing misconnections studies, prototype development and testing of infusion pump design, simulations to assess and improve delivery of emergency services, integration of nurse call and communication systems and participation in root cause analyses of events involving patient harm. He also evaluates critical care processes via hands-on simulations and conducts usability analyses of medical devices and information technologies. Pete has worked collaboratively with the Association for Advancement of Medical Instrumentation on national level efforts to improve infusion pump design and to assist in the integration of complex medical technologies into health care settings.
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Ph.D., Human factors track of the applied experimental psychology program at the Catholic University of America, Washington, D.C.
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M.A., Clinical Psychology, Loyola University, Baltimore, MD
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B.A., Psychology, Towson State University, Towson, MD
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Pete is certified as a Human Factors Practitioner (# 0053) and as a Certified Usability Analyst.
He holds memberships in the Human Factors and Ergonomics Society and the Association for Advancement of Medical Instrumentation.
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Sharon H. Allan, Peter A. Doyle, Adam Sapirstein, Maria Cvach, Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU, The Joint Commission Journal on Quality and Patient Safety 2017; 43:62–70.
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Pham, J.C., Carson, K.A., Benson, J., Doyle, P.A., Ijagbemi, M., Ravitz, A., Wyskiel, R., and Tran, G. Comparison of Automated versus Manual Programming of Infusion Pumps. Biomedical Instrumentation and Technology, July/August, 2016.
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Doyle, Peter A., Improving Safety of Medical Device Use through Training. In: Safety of Health IT, Agrawahl, A. (Ed.), Springer, 2016.
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Doyle, Peter A., Gurses, Ayse P. Pronovost, Peter J. Mastering Medical Devices for Safe Use: Policy, Purchasing, and Training. American Journal of Medical Quality, I-3, 2016.
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Gurses A.P., Doyle P. Medical devices in the "wild." AHRQ WebM&M [serial online]. December 2014. Available at: http://webmm.ahrq.gov/case.aspx?caseID=337.
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Maria M. Cvach, Robert J. Frank, Pete Doyle, Zeina Khouri Stevens, PhD, RN, Use of Pagers With an Alarm Escalation System to Reduce Cardiac Monitor Alarm Signals. Journal of Nursing Care Quality, Volume 29, Number 1, January-March, 2014.
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Maria M. Cvach, Andrew Currie, Adam Sapirstein, Peter A. Doyle and Peter Pronovost. Managing Clinical Alarms: Using data to drive change. Safety Solutions, November, 2013.
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Ravitz, Alan D., Sapirstein, Adam, Pham, Julius C. and Doyle, Peter A. Systems Approach and Systems Engineering Applied to Health Care: Improving Patient Safety and Health Care Delivery. Johns Hopkins APL Technical Digest, Volume 31, Number 4 (2013).
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Kurt R. Herzer, M.Sc.; Meredith Mirrer, M.H.S.; Yanjun Xie, B.A.; Jochen Steppan, M.D.; Matthew Li, B.A.; Clinton Jung, B.S.; Renee Cover, R.N., B.S.N.; Peter A. Doyle, Ph.D.; Lynette J. Mark, M.D. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” Awards, In: Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, 2nd Edition, and Joint Commission Resources, Jan., 2017, The Joint Commission Journal on Quality and Patient Safety, August 2012 Volume 28 Number 8.
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Doyle, P.: Human factors engineering at The Johns Hopkins Hospital. In Gosbee J.W., Gosbee L.L. (eds.): Using Human Factors Engineering to Improve Patient Safety, 2nd ed. Oakbrook, IL: Joint Commission International, 2010, pp. 103-115.
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Kurt R. Herzer; Jose M. Rodriguez-Paz, M.D.; Peter A. Doyle, Ph.D.; Paul W. Flint, M.D.; David J. Feller-Kopman, M.D.; Joseph Herman, M.D., M.Sc.; Robert E. Bristow, M.D.; Renee Cover, R.N., B.S.N.; Peter J. Pronovost, M.D., Ph.D.; Lynette J. Mark, M.D. A Practical Framework for Patient Care Teams to Prospectively Identify and Mitigate Clinical Hazards, The Joint Commission Journal on Quality and Patient Safety, February 2009 Volume 35 Number 2.
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Ashimiyu Durojaiye, M.B.B.S., M.S.
Ash is a health informatics Ph.D. candidate on the Human Factors team at the Johns Hopkins Armstrong Institute for Patient Safety and Quality. He comes from a medical background, has a broad skill-set in information technology and has completed informatics training at the master level. Ash is interested in the application of quantitative and qualitative methods to improve clinical processes.
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M.B.B.S.; College of Medicine, University of Lagos, 2009
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M.S.; Applied Health Sciences Informatics, Johns Hopkins University, 2014
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- Durojaiye A., Gispen F., Cohen M., Sevinc G., Nagy P., Johnson P., Abdollahian D. "Design and Implementation of a Milestone-based Assessment and Feedback Radiology Resident Dashboard". Oral presentation at the 102nd Scientific Assembly & Annual Meeting of the Radiological Society of North America, Chicago, IL, Nov 27 – Dec 2, 2016.
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Durojaiye A., Nyquist P., Fackler J., Gurses A., Pronovost P., Xie A. "Patient- and Family-Centered Care: Bridging the Gap between Pediatric and Adult Critical Care". Oral presentation at the 2016 International Symposium on Human Factors and Ergonomics in Health Care: Shaping the future, San Diego, CA, Apr 13 - 16, 2016.
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American Medical Informatics Association
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Healthcare Information and Management Systems Society
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Richard Hill, B.S., C.L.S.B.B.
Assistant Director, Lean Sigma Deployment, The Johns Hopkins Hospital
A Lean Sigma Master Black Belt, Hill has led Lean Sigma classes and coached Green Belts at Johns Hopkins since 2005. With 15 years of experience in the aerospace industry, Hill has achieved significant depth in the areas of Lean, Six Sigma, team dynamics and facilitation, and has led many cross-functional process improvement teams over the years. Leveraging this experience, he has served as a mentor to numerous Green Belts.
Hill received a B.S. in Business Administration/Management from Bryant College in Smithfield, Rhode Island.
Sadaf Kazi, Ph.D.
Sadaf Kazi is a Human Factors Researcher at the Armstrong Institute for Patient Safety and Quality at the Johns Hopkins University School of Medicine. Her research work has explored how human cognition is shaped by the environment in which it operates by considering the effect of dynamic system variables such as uncertainty, time pressure, etc., on cognitive variables such as vigilance and prospective memory. She conducts research on cognitive and teamwork factors influencing performance in a variety of healthcare environments, and collaborates with the patient safety team to conduct proactive risk assessment in healthcare delivery.
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Ph.D., Engineering Psychology, Georgia Institute of Technology, 2016
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M.S., Engineering Psychology, Georgia Institute of Technology, 2014
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M.A., Clinical Psychology, SNDT Women’s University, 2006
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B.A., Psychology, University of Mumbai, 2004
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Developing and Validating Sensor-Based Measurement Strategies for Team Member Selection (PI: Rosen)
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Applying Human Factors and Mathematical Modeling Approaches to Prevent Transmission of High-Consequence Pathogens (PI: Pronovost)
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Using Human Factors Methods to Proactively Reduce Patient Safety Risks from Health IT implementation (PIs: Khunlertkit, Chen)
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Kazi, S., Khunlertkit, N., & Chen, A. (2017). Can simulation improve EMR implementation? Application to medication reconciliation. Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care, 6 (1), 255-258.
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Durso, F.T., Kazi, S., Ferguson, A.N. (2015). The Threat-Strategy Interview. Applied Ergonomics, 47, 336-344.
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Durso, F.T., Ferguson, A.N., Kazi, S., Cunningham, C, & Ryan, C. (2015). Strategies used by nurses to manage threats in critical care. Applied Ergonomics, 47, 345-354.
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Durso, F.T., Kazi, S., & Darling, C.M. (2014). The role of number of tasks in determining the relevance of information. Human Factors, 56 (5), 952-57.
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Pop, V.L., Stearman, E.J., Kazi, S., & Durso, F.T. (2012). Using engagement to negate vigilance decrements in the NextGen environment. International Journal of Human-Computer Interaction, 28 (2), 99-106.
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Selected Honors
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HFES Student Member with Honors (2015)
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Part of the team that won the first prize at the annual meeting of the Human Factors and Ergonomics Society for designing a voting system for the future (2014)
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George Fellowship ($2000, Health Systems Institute, Georgia Institute of Technology, 2011-12)
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Human Factors and Ergonomics Society
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Paula Kent, DrPH, M.S.N., M.B.A., R.N., CPPS
Patient Safety Specialist
TeamSTEPPS Program Lead
Paula Kent is a patient safety specialist for the Johns Hopkins Hospital and the Johns Hopkins Armstrong Institute for Patient Safety and Quality. She is responsible for planning, implementing and evaluating safety programs throughout the hospital. Her primary responsibility involves working with the Comprehensive Unit-based Safety Program (CUSP) teams to promote a culture of sharing and learning from defects, and to work toward meeting safety goals. In this capacity, she is able to observe the safety and teamwork cultures across the organization, and especially on CUSP teams. Kent works with organizational leaders to onboard them to the CUSP Executive role and partner them with new teams. She also has responsibility for the debriefing of the Safety Culture Assessment Survey house-wide annually and is responsible for oversight of the TeamSTEPPS training program at AI.
She has a Doctor of Public Health, a Master's of Nursing and an M.B.A. from Johns Hopkins University and has a certificate in Patient Safety from IHI. She has worked in Patient Safety for more than 10 years and has an interest in measurement and monitoring of the performance of health care organizations to improve the culture of safety and delivery of safe patient care.
Kent has presented on safety topics both nationally and internationally (Mexico, Great Britain, Vietnam, Saudi Arabia and Korea) and has facilitated the education of staff and the establishment of safety teams in the United Arab Emirates. She collaborates with Johns Hopkins' schools of nursing, public health and medicine, and the Armstrong Institute on teamwork and communication and patient safety programs.
Samuel Kim, B.A.
Samuel is a research program coordinator at the Johns Hopkins Armstrong Institute for Patient Safety and Quality. His main project at Johns Hopkins is the BREATHE2 Study, under supervision of Dr. Hanan Aboumatar, primary investigator. His research focus is the evaluation of patient-centered communication and dissemination strategies and their impact on patients’ self-management behavior and quality of life. Broadly, Samuel’s interests lie in the development and implementation of health care policy and practice in private and public sectors.
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Comparing Effectiveness of Self-Management and Peer Support Communication programs amongst Chronic Obstructive Pulmonary Disease Patients and Family Caregivers (BREATHE2 Study)
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Saunders, J., Chung, S., Malik, H., Kim, S., Naqibuddin, M., Aboumatar, H. Experiences of Chronic Obstructive Pulmonary Disease Patients with Climate and Air Pollution Triggers. American Public Health Association 145th Annual Meeting & Expo, Atlanta, Georgia. November 2017.
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Kim, S., Saunders, J., Chung, S., Malik, H., Naqibuddin, M., Aboumatar, H. Underuse of Spirometry Testing Among Chronic Obstructive Pulmonary Disease Patients. Johns Hopkins School of Medicine Armstrong Institute Diagnostic Excellence Summit, Baltimore, MD. April 2017.
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Malik, H., Kim, S., Saunders, J., Chung, S., Naqibuddin, M., Adebowale, H., Kurtz, D., Aboumatar, H. Patient Experiences with a Healthcare Integrated Program for Chronic Obstructive Pulmonary Disease Self-management Support. Johns Hopkins Department of Medicine Retreat, Baltimore, MD. March 2017.
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Saunders, J., Malik, H., Chung, S., Naqibuddin, M., Kim, S., Gurses, A., Adebowale, H., Kurtz, D., Aboumatar, H., Implementation of self-management education focused on inhaler use technique among hospitalized patients with Chronic Obstructive Pulmonary Disease. American College of Medical Quality, Washington D.C., March 2017.
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Chung, S., Naqibuddin, M., Kim, S., Saunders, J., Malik, H., Aboumatar, H. Relationship of patient activation with knowledge, self-efficacy, and self-management behaviors amongst patients with Chronic Obstructive Pulmonary Disease. American Public Health Association 144th Annual Meeting & Expo, Denver, Colorado. October 2016.
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Erin Kirley, B.S.
Erin Kirley is a Senior Research Coordinator for the Johns Hopkins Armstrong Institute for Patient Safety and Quality. She currently manages two quality improvement/patient safety research projects: the AHRQ funded Quality and Safety Review System Pilot Test in Hospitals; and the PCORI funded project, A Roadmap for Establishing Peer Support Programs in Research and the Real World. Erin also coordinated the development of a curriculum for primary care teams on the collaborative project between the Armstrong Institute and the American Medical Association. The project was part of the AMA’s Improving Health Outcomes initiative, and the objective was to develop a program to help clinicians identify and treat patients with undiagnosed hypertension.
Erin joined the Armstrong Institute in August 2012 as an Administrative Coordinator, providing support on multiple research projects, including a national improvement project to reduce ventilator-associated pneumonia in intensive care units and the Armstrong Institute’s national initiative on surgical safety. Prior to joining the Armstrong Institute, Erin was the Executive Assistant to the Vice President of Facilities for The Johns Hopkins Hospital and Health System.
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B.S. in Applied Nutrition from the University of Delaware.
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Quality and Safety Review System Pilot Test in Hospitals
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A Roadmap for Establishing Peer Support Programs in Research and the Real World.
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Wilson Lamy, B.S., C.S.S.M.B.B.
Assistant Director, Lean Sigma Deployment
A Certified Six Sigma Master Black Belt, Wilson joined the Armstrong Institute for Patient Safety and Quality in 2016. Wilson has over 18 years of experience in the business sector leading, coaching, mentoring and facilitating teams in Operations cross-functionally from manufacturing to supply chain.
As part of the AI Lean Sigma Team, Wilson drives continuous improvement through the deployment of Lean across Clinical Communities, Academic and Community Hospitals. Through teaching and coaching, he builds the capacity of healthcare professionals, to enable the improvement of healthcare experience across the Johns Hopkins Health System.
Lamy earned his Bachelor of Science degree in Civil and Architectural Engineering from Drexel University.
Nicolette M. McGeorge, Ph.D.
Nicolette is a postdoctoral research fellow at the Armstrong Institute for Patient Safety and Quality in Johns Hopkins School of Medicine. She is an industrial and systems engineer specializing in human factors and cognitive systems engineering. Her research interests include application of cognitive engineering methods in healthcare and health information technology, as well as the study of decision making in complex, dynamic environments.
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B.S./M.S.; Industrial & Systems Engineering, Rochester Institute of Technology; 2008/2009
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Ph.D.; Industrial & Systems Engineering – Human Factors, State University of New York at Buffalo; 2016
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Main Project at Johns Hopkins
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The Effects of Simultaneous Physical and Cognitive Task Loads on Physiological Responses and Component Processes of Decision Making
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Clark, L.N., Benda, N.C., Hegde, S., McGeorge, N.M., Guarrera-Schick, T.K., Hettinger, A.Z., LaVergne, D.T., Perry, S.J., Wears, R.L., Fairbanks, R.J., Bisantz, A.M. (2017). Usability evaluation of an emergency department information system prototype designed using cognitive systems engineering techniques. Applied Ergonomics, 60, 356-365.
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McGeorge, N.M., Hegde, S., Berg, R.L., Guarrera-Schick, T.K., LaVergne, D.T., Casucci, S.N., Hettinger, A.Z., Clark, L.N., Lin, L., Fairbanks, R.J., Benda, N.C., Sun, L., Wears, R.L., Perry, S.J., Bisantz, A.M.. (2015). Assessment of Innovative Emergency Department Information Displays in a Clinical Simulation Center. Journal of Cognitive Engineering and Decision Making, 9(4), 329-346.
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McGeorge N.M., Hegde S., Guarrera T.K., Zhou Y., Lin L., Crane P.W., Fairbanks R.J., Kaushal R., and Bisantz A.M.. Studying the impact of interoperable electronic health records on workflow in ambulatory care. International Journal of Industrial Ergonomics. (2015). DOI: 10.1016/j.ergon.2013.10.005.
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Guarrera T.K., McGeorge N.M., Ancker J.S., Hegde S., Zhou Y., Lin L., Crane P.W., Fairbanks R.J., Kaushal R., and Bisantz A.M. Characterizing the Effect of Interoperability on Healthcare Work: A Novel Framework. Theoretical Issues in Ergonomics Science. (2014). DOI: 10.1080/1463922X.2013.838318
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Zhou Y,. Ancker J.S., Upahdye M., McGeorge N.M., Guarrera T.K., Hegde S., Crane P.W., Fairbanks R.J., Bisantz A.M., Kaushal R., and Lin L. (2013). The impact of interoperability of electronic health records on ambulatory physician practices: a discrete-event simulation study. Informatics in Primary Care, 21(1): 21-29.
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Human Factors and Ergonomics Society (HFES
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Institute of Industrial Engineers (IIE)
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Tau Beta Pi Engineering Honors Society
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Alpha Pi Mu Industrial Engineering Honors Society
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Steven J. Meurer, M.B.A., M.H.S., Ph.D.
Director, Center for Healthcare Analytics & Improvement
Assistant Professor in Medicine, Johns Hopkins University School of Medicine
Steve Meurer is a Healthcare Performance Improvement expert focused on improving health systems’ quality, safety, finances and operations. He brings 30+ years of education and experience in improvement science as well as 20+ years of teaching Masters students, and 1,000+ presentations to health systems providing leaders with an increased ability to improve performance.
Prior to his role at Johns Hopkins Medicine, Dr. Meurer was the Executive Principal of Data Science & Member Insights at Vizient. Dr. Meurer was the senior-most subject matter expert in the use of data from Vizient’s Clinical Data Base to drive performance improvement, and presented improvement opportunities to leaders at almost every health system in the US. Prior to this role, Dr. Meurer was Senior Vice President at University Health System Consortium (UHC) where he led all aspects of UHC’s comparative data portfolio, including sales, support, methodology and information technology. UHC was a founding organization of Vizient, and Dr. Meurer spent 17 years at these organizations.
Earlier in his career, Dr. Meurer was Chief Quality & Information Officer at the DeKalb Health System in Atlanta, where he led the integration of Quality and Information Technology, and subsequently managed 200+ people. Dr. Meurer has also held positions of increasing responsibility at St. Mary Medical Center in Langhorne, PA; BJC HealthCare in St. Louis, MO; University of Pittsburgh Medical Center; and Orlando (FL) Regional Healthcare System.
Dr. Meurer also spent 15 years as Associate Professor at Rush University, where he taught Quality & Operations in Healthcare to Master of Healthcare Administration students. Dr. Meurer has also taught at Loyola University Chicago, Georgia Institute of Technology, Georgia State University and Temple University. Dr. Meurer is an Associate Editor for the American Journal of Medical Quality, and is the Administration Group Leader for the Health Professions Educators’ Summer Symposium (HPESS).
Dr. Meurer earned a PhD in Health Services Research at Saint Louis University with a dissertation entitled ‘Quality Improvement Implementation in Hospitals’; a Master of Business Administration & Master of Health Science at the University of Florida; and a Bachelor of Arts in Psychology at the College of the Holy Cross. He holds a Certificate in Healthcare Quality & Informatics from Intermountain Healthcare.
Jane Miller, B.S.
Project Administrator, Organizational Resilience
Jane Miller is the organizational resilience project administrator for the Johns Hopkins Armstrong Institute for Patient Safety and Quality. She maintains and updates various project calendars, records project progress and performance metrics, prepares contracts, processes invoices and serves as the liaison for partners and stakeholders. Her primary focus is the RISE (Resilience in Stressful Events) program, for which she is the project administrator across the Johns Hopkins Health System. She works closely with the director of organizational resilience to assess culture and collaborate with Johns Hopkins leaders to develop resources that foster a positive culture for all employees.
Mohammad Naqibuddin, M.D.
Mohammad Naqibuddin is a research program manager at the Armstrong Institute for Patient Safety and Quality. His current research includes the BREATHE and BREATHE2 studies, which seek to improve health-related quality of life and reduce health care costs for patients with chronic obstructive pulmonary disease. Following his medical education from Dhaka University, Bangladesh, he pursued his postgraduate studies and postdoctoral research fellowship at The Johns Hopkins University's Bloomberg School of Public Health and School of Medicine, respectively. His current scholarly interests focus on COPD and patient-centered outcome research. Since 1999, he has been working at Johns Hopkins in different research projects that include prostate cancer, lupus, brain function, HIV, depression and diabetes.
His passion includes health education in different media. He was elected by the viewers as the best television host in Bangladesh for his general knowledge/health education show. He regularly participates in Voice of America services radio and television programs for international audiences.
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M.D. from Dhaka University, Bangladesh
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Research Fellowship, Johns Hopkins University School of Public Health and Johns Hopkins University School of Medicine
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Projects
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Better Respiratory Education And Treatment Help Empower (BREATHE) II: Comparing Effectiveness of Self-Management and Peer Support Communication programs amongst Chronic Obstructive Pulmonary Disease Patients and Family Caregivers
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Better Respiratory Education And Treatment Help Empower (BREATHE) I: An Integrative Multilevel Study for Improving Patient-centered Care delivery Among Patients with Chronic Obstructive Pulmonary Disease
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H. Aboumatar, M. Naqibuddin, S. Chung, H. Adebowale, L. Bone, T. Brown, L.A. Cooper, A.P. Gurses, A. Knowlton, D. Kurtz, L. Piet, N. Putcha, C. Rand, D. Roter, E. Shattuck, C. Sylvester, A. Urteaga-Fuentes, R. Wise, J.L. Wolff, T. Yang, J. Hibbard, E. Howell, M. Myers, K. Shea, J. Sullivan, L. Syron, Nae-Yuh Wang, P. Pronovost, the BREATHE Study Patient Family Partners Group. Better Respiratory Education and Treatment Help Empower (BREATHE) study: Methodology and baseline characteristics of a randomized controlled trial testing a transitional care program to improve patient-centered care delivery among chronic obstructive pulmonary disease patients. Contemporary Clinical Trials. Nov 2017: 62(2017): 159-167.
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Golden S.H., Shah N., Naqibuddin M., Payne J.L., Hill-Briggs F., Wand G.S., Wang N., Langan S., Lyketsos C. The Prevalence and Specificity of Depression Diagnosis in a Clinic-Based Population of Adults with Type 2 Diabetes Mellitus. Psychosomatics. Jan-Feb 2017: 58(1): 28-37.
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Amy E. Ramage, Peter T. Fox, Robin L. Brey, Shalini Narayana, Matthew D. Cykowski, Mohammad Naqibuddin, Margaret Sampedro, Stephen L. Holliday, Crystal Franklin, Daniel J. Wallace, Michael H. Weisman, Michelle Petri. Neuroimaging evidence of white matter inflammation in newly diagnosed Systemic Lupus Erythematosus. Arthritis & Rheumatism 2011; 63(10):3048-3057.
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Petri M., Naqibuddin M., Sampedro M., Omdal R., Carson K.A.. Memantine in Systemic Lupus Erythematosus: A Randomized, Double-Blind Placebo-Controlled Trial. Seminars in Arthritis and Rheumatism.2011Oct;41(2):194-202.
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Petri M., Naqibuddin M., Carson K.A., Wallace D.J., Weisman M.H., Holliday S.L., Sampedro M., Padilla P.A., Brey R.L. Depression and Cognitive Impairment in Newly Diagnosed Systemic Lupus Erythematosus (SLE). J. Rheumatol. 2010 Oct;37(10):2032-8.Selected Publications
Book Chapters
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Naqibuddin M., Statins In: Roizen M.F., Fleisher L.A., Eds. Essence of Anesthesia Practice (2nd edition). Philadelphia: WB Saunders Company 2001.
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Fleisher L.A., Naqibuddin M.: Viagra In: Roizen MF, Fleisher LA, Eds. Essence of Anesthesia Practice (2nd edition). Philadelphia: WB Saunders Company 2001.
Selected Abstracts and Presentations
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Saunders, J., Chung, S., Malik, H., Kim, S., Naqibuddin, M., Aboumatar, H. Experiences of Chronic Obstructive Pulmonary Disease Patients with Climate and Air Pollution Triggers. American Public Health Association 145th Annual Meeting & Expo, Atlanta, Georgia. November 2017.
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Kim, S., Saunders, J., Chung, S., Malik, H., Naqibuddin, M., Aboumatar, H. Underuse of Spirometry Testing Among Chronic Obstructive Pulmonary Disease Patients. Johns Hopkins School of Medicine Armstrong Institute Diagnostic Excellence Summit, Baltimore, MD. April 2017.
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Chung, S., Naqibuddin, M., Kim, S., Saunders, J., Malik, H., Aboumatar, H. Relationship of patient activation with knowledge, self-efficacy, and self-management behaviors amongstpatients with Chronic Obstructive Pulmonary Disease. Johns Hopkins Department of Medicine Retreat, Baltimore, MD. March 2017.
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Malik, H., Kim, S., Saunders, J., Chung, S., Naqibuddin, M., Adebowale, H., Kurtz, D., Aboumatar, H. Patient Experiences with a Healthcare Integrated Program for Chronic Obstructive Pulmonary Disease Self-management Support. Johns Hopkins Department of Medicine Retreat, Baltimore, MD. March 2017.
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Saunders, J., Naqibuddin, M., Chung, S., Malik, H., Kim, S., Aboumatar, H. Readiness to Quit Smoking, Engagement in Physical Activity, and Utilization of Pulmonary Rehabilitation amongst Hospitalized Patients with Chronic Obstructive Pulmonary Disease. American College of Medical Quality, Washington D.C., March 2017.
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Erickson Foundation Award for Excellence in Research at American Public Health Association Conference, honorable mention for the 2016.
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District of Columbia Rheumatism Society award, May 14, 2005.
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Abstract Winners. International Anaesthesia Research Society, The impact of transfusion triggers on recovery from surgery. L.A. Fleisher; M. Naqibuddin, E. Garrett; R Slacum; H.B. Carter; P.C. Walsh 76th Clinical & Scientific Congress, March 16-20, 2002, San Diego, California
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Draper Fellow. The Johns Hopkins University, Center for Communication Programs. Baltimore, Maryland, 1999.
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Best Television Host. National award winner, Bangladesh, 1994.
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Best Debater. Champion, National Television Debate Competition, Bangladesh, 1986.
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Diane O’Connor, M.B.A.
Executive Director for Patient Safety and Quality, Johns Hopkins Medicine
Diane guides Johns Hopkins Health System’s patient safety and quality to support the delivery of exceptional patient care wherever our patients access us. In collaboration with member organizations, health system leaders, clinical departments, service lines and external experts, Diane will work to improve patient outcomes and ensure the highest performance.
Diane’s extensive background in healthcare management, quality and safety operations started decades ago in consulting. During the last 10 years, she has served as senior corporate director of quality and patient experience for Mass General Brigham. Her track record demonstrates that she consistently exceeds goals and improves processes while advancing multiple, concurrent programs to improve patient outcomes. She has guided the strategic development of an enterprise patient experience vision, established care policies and processes to advance the delivery of equitable healthcare, translated payer policy and negotiated incentives to succeed in value-based contracting and led hospital and ambulatory quality and safety improvement as well as practitioner credentialing and well-being.
Before her work for Mass General Brigham, Diane held roles in engineering, investment banking, and hospital and nonprofit consulting, and she was the managing partner of a startup home care services company. She hails from Chicago and raised her family in Boston. She has an M.B.A. from Harvard Business School and a bachelor’s degree in engineering from the University of Illinois.
Cagla Oruc, M.S.
Cagla Oruc is a Research Assistant on the Human Factors team at the Armstrong Institute for Patient Safety and Quality. She is an Industrial Engineer with experience in fields of supply chain, process improvement and project management. Her research interests include human factors engineering applications in areas of patient safety and global health.
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B.S., Industrial Engineering, Bilkent University, 2016
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M.S., Health Care Management, Johns Hopkins University, Carey Business School, 2017
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Main project at Johns Hopkins
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Honors
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Dean’s Scholarship Recipient – Johns Hopkins Carey Business School (2016 - 2017)
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Merit-based Scholarship Recipient – Bilkent University (2015 - 2016)
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Institute of Industrial and System Engineers (IISE)
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European Students of Industrial Engineering and Management (ESTIEM)
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Patience Osei, M.S.E.
Patience is the Quality and Innovation Project Administrator on the Human Factors team at the Johns Hopkins Armstrong Institute for Patient Safety and Quality. She is a Biomedical Engineer with a broad technical skill-set, research and project management experience, as well as extensive international exposure. She is passionate about patient safety, global health and the development of high-quality, low-cost medical devices and processes for different healthcare settings. Her research interests include the application of human factors engineering to infection control and prevention.
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B.S., Biomedical Engineering, premedicine, Bucknell University, 2014
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M.S.E., Bioengineering Innovation and Design, Johns Hopkins University, 2015
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Main Projects at Johns Hopkins
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Faster and Safer Doffing Personal Protective Equipment for Frontline Health Workers, USAID Fighting Ebola Grand Challenge.
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CDC Epicenter Aim 1: Human Factors Approaches to Improve the Use of Personal Protective Equipment and Prevent Transmission of High-Consequence Pathogens
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CDC Epicenter Aim 2: Human Factors Approaches to Improve Environmental Cleaning Within the Hospital Setting
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Glancey M., Osei P., Patterson W.A., Petney M., Ruparelia C., Acharya S., et al. Design improvements for personal protective equipment used in Ebola and other epidemic outbreaks. Glob Health Sci Pract. 2017;5(2):325-329. https://doi.org/10.9745/GHSP-D-17-00152
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US 20160243383 A1 Unpowered respiratory protective headset and body suit and additional improvements to personal protective equipment
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US 20160165973 A1 Suit designs and doffing methodologies for personal protective equipment to prevent the spread of infectious agents to healthcare workers
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Biomedical Engineering Society
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Alli Rothwell
Program Manager, Just Culture
A program manager for the Armstrong Institute for Patient Safety and Quality, Alli Rothwell primarily focuses on the implementation and sustainability of Just Culture across Johns Hopkins Medicine. Collaborating with Johns Hopkins leaders, she directs, plans and executes program initiatives to ensure the incorporation of Just Culture principles in JHM daily work.
Erica Reinhardt, M.B.A., M.S., R.D., C.L.S.S.B.B.
Assistant Director, Lean Sigma Deployment, Johns Hopkins Bayview Medical Center
Erica Reinhardt began working in hospitals as a registered dietitian in 2006, transitioning into a food service director role, where she gained health care operations experience. During this time, Erica earned her Lean Six Sigma Black Belt and led and participated in several Lean Sigma projects.
Currently, Erica leads continuous improvement efforts at Johns Hopkins Bayview Medical Center. She mentors leaders through process improvement, educates on Lean tools and concepts, supports Lean Sigma projects and Lean Daily Management work, and leads Kaizen events.
Reinhardt received a bachelor's degree from Cornell University in Nutritional Sciences. She then attended Clemson University, where she completed her dietetic internship and earned her master's degree in Food, Nutrition, and Culinary Sciences.
Anne Steele, M.S.N., R.N., A.C.C.N.S.-A.G., C.P.H.Q.
Anne Steele is a patient safety innovation coordinator with Johns Hopkins Medicine. Steele has a master’s degree in nursing and is certified as a clinical nurse specialist in adult/gerontology acute care acute care adult/gerontology . She has worked in the regulatory, quality improvement and safety culture domains for the last nine years and is passionate about coaching teams in cocreating healthy and supportive work environments. She loves teaching and facilitating programs for adult learners. Her clinical experience includes medical surgery, telemetry, correctional and intensive care nursing for adults and their care partners. Steele has worked at the Johns Hopkins Health System for 13 years, and she teaches in the Comprehensive Unit-based Safety Program (CUSP) as an Armstrong Institute for Patient Safety and Quality faculty member, and she is an adjunct instruction at the Johns Hopkins University School of Nursing in the interprofessional practice program.
Kristen Webster, Ph.D.
Kristen is a postdoctoral research fellow who is jointly appointed at the Armstrong Institute for Patient Safety and Quality in Johns Hopkins School of Medicine and Johns Hopkins Hospital Department of Surgery. She graduated from Embry-Riddle Aeronautical University with a Ph.D. in Human Factors, specializing in socio-cultural and communication applications. Her interests focus on improving patient safety by examining socio-cultural and communication process present within the health care system. She has focused on development and implementation of interventions to enhance communication, coordination and teamwork in health care settings.
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Ph.D., Human Factors, Embry-Riddle Aeronautical University
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M.S., Human Factors, Embry-Riddle Aeronautical University
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B.S., Aerospace Communications, Embry-Riddle Aeronautical University
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B.S., Mathematics, Pfeiffer University
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Evaluation of a Scientifically Developed Anesthesiology Handoff Protocol
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Cohen, T. N., Cabrera, J. S., Sisk, O. D., Welsh, K. L., Abernathy, J. H., Reeves, S.T. … Boquet, A. J. (2016). Identifying workflow disruptions in the cardiovascular operating room. Anaesthesia, 71, 948–954. doi:10.1111/anae.13521
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Webster, K.L.W. (2017). Framing egg donation: A dichotomous split. Health Communication, https://doi.org/10.1080/10410236.2017.1358242
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TeamSTEPPS® Master Trainer
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Embry-Riddle Aeronautical Graduate Researcher of the Year, 2017
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National Ergonomic Annual Competition, Bronze, 2016
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CEO Entrepreneurship Business Pitch, Gold, 2016
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National Patient Safety Foundation
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Human Factors and Ergonomics Society
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Association of Psychological Science
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Association of periOperative Registered Nurses
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Kristina Weeks, Dr.P.H., M.H.S.
Weeks is a member of the faculty in the Johns Hopkins School of Medicine in the Department of Anesthesiology and Critical Care Medicine and the Armstrong Institute.
She is also one of the project managers of the national project On the CUSP: Stop BSI. Ms. Weeks holds a Master of Health Science degree from the Johns Hopkins Bloomberg School of Public Health. Weeks's research interests focus on the translation of evidence-based medicine to safe and quality care at the bedside as well as effective health policy.
For more than a decade she has dedicated her efforts in health services research towards understanding health systems related to patient safety and health disparities in the clinical environment. She has contributed to publications on access to care, quality of care at the end of life, and patient safety.
Laura Winner, Dr.P.H., R.N., B.S.N., M.B.A.
Senior Director of Operational Excellence, Lean Sigma Deployment at the Johns Hopkins Armstrong Institute
A Master Black Belt in Lean Sigma, Winner has managed the instruction and coaching for the projects of hundreds of health care Green Belts. Winner earned her B.S.N. from The Johns Hopkins University, followed by an M.B.A. in the Business of Medicine program at The Johns Hopkins University School of Professional Studies. She received her Six Sigma Black Belt Certification from Motorola University and has over 10 years of clinical nursing experience at The Johns Hopkins Hospital in Emergency Nursing and Cardiology.