Redesigned aglobal clinical education program including implementation of a ticketing system to track educational queries and requests, development of SharePoint site with workflows to automate the customer education process, and development of custom dashboards to track and monitor educational metrics. Visible ROI allowed budget expansion for creation of new educational tools, to decrease need for customer call center support.
Designed and created a tiered taxonomy for product failures modes and patient adverse events, related to a diverse (>70,000) product portfolio, to enhance safety signal detection and resolution of product complaints. Analyzed three months of reported complaint data to identify, prioritize and map complaints to failure modes, and developed reportability rationale for common reported failures.
Lead Author of the Siemens Healthcare response to the Draft ONC Patient Safety and Surveillance Plan (2013). This comprehensive response was the outcome of industry-wide discussions and outlined recommendations endorsed by major healthcare IT manufacturers. It was signed by John Glaser, CEO of Siemens Healthcare prior to submission to the Office of the National Coordinator.
Facilitated a regional patient safety initiative to decrease blood specimen mislabeling. Provided patient safety and quality education and support, and analyzed more than 1.2 million events over this 18-month project, and achieved a 37% statistically significant reduction in errors. Authored and published a scientific paper detailing the successful results, (Blood Specimen Labeling Article.)
Developed SharePoint repository for state-wide wrong-site surgery events, enabling Patient Safety Liaisons to efficiently respond to these serious events, thereby increasing the effectiveness of this state-wide program.
Analyzed approximately 300 diagnostic error reports to determine both cognitive and system failures that contributed to these errors. Authored a scientific journal article (Diagnostic Error), reviewed by leading physicians in the field of diagnostic error, and produced and presented a research poster (Diagnostic Error Research Poster) at the 2010 Diagnostic Error in Medicine conference, Toronto, Canada.
Responded to a query from a Boston Globe reporter and analyzed failures of physiological alarm monitoring devices. Using key words alarm, monitor, ECG, telemetry, pulse-ox and defibrillator in combination with intensive care unit or telemetry unit, identified 35 patient deaths in Pennsylvania that were related to some aspect of physiological alarm management. Published an article related to this research (Physiological Alarm Management), which was covered extensively in the Boston Globe (Boston Globe, 13 Feb 2011).
Coordinated the research and submission of 8 separate National Quality Forum submissions related to new Serious Reportable Events, achieving favorable feedback and acceptance on two separate indicators.
Authored scientific journal articles, continuing medical and nursing educational content, textbook chapters and other scientific and technical material including government Request for Quotes, Request for Proposals, and grants in medical liability, and patient safety domains.
Reviewed and analyzed hundreds of malpractice, personal injury, pharmaceutical and toxic tort cases, highlighting liabilities and important case attributes.
Presented patient safety, risk management and quality improvement educational seminars nationally to physicians,attorneys and nursing professionals. Developed and presented numerous educational sessions at annual professional meetings, board meetings and medical staff committee meetings.