2010-2011

Patient Handoffs: The Impact of a Fresh Perspective on Patient Mortality in Critical Care Settings
Emily Patterson, PhD, The Ohio State University Medical Center

Rapid Response Team Activations as a Burst-like Phenomena: Understanding the Role of Care Team Structure and Designing Solutions
James Gray, MD, Beth Israel Deaconess Medical Center

2009-2010

Improving Hospital Safety for Children: Strategies to Engage Parents in Bedside Rounds
Elizabeth Cox, MD, PhD, University of Wisconsin School of Medicine and Public Health

Analysis of CPOE-related errors reported to USP’s MEDMARX error reporting system
Gordon Schiff, MD, Brigham and Women’s Hospital/ Harvard Medical School

2008-2009

Improving Patient Trajectory Management and Care Coordination with a Multidisciplinary Checklist
Ayse Gurses, PhD, Johns Hopkins University School of Medicine

Identifying the Cognitive Dimensions of ‘Failure to Rescue’
Alexa Doig, PhD, RN, University of Utah College of Nursing

2007-2008

Interruptions in the Emergency Room
Nancy Franklin, PhD, Stony Brook University

Knowledge Discovery: The development of an error/solution matrix to improve patient safety
Harold S. Kaplan, MD, Columbia University College of Physicians and Surgeons

2006-2007

Understanding Medical Errors in Hospital Psychiatry
Steven C. Marcus, University of Pennsylvania School of Social Policy and Practice

Patient Safety in After Hours Telephone Medicine
Dr. Shersten Killip, University of Kentucky Department of Family and Community Medicine

2005-2006

Developing a Knowledge Base for RN Stacking: A Critical Patient Safety Strategy for Nursing Care Delivery
Patricia Ebright, DNS, RN, Indiana University School of Nursing

Automated Maintenance of Problem-Drug Matches in the Electronic Medical Record to Promote Patient Safety
Chiang S. Jao, PhD, University of Illinois College of Medicine

Post-Surgical Patients Receiving Patient Controlled Analgesia (PCA)
Frank J. Overdyk, MD, Medical University of South Carolina

2004-2005

Community Based Patient Safety Education for the Elderly
Nancy C. Elder, MD, MSPH, University of Cincinnati Department of Family and Community Medicine

Improve Patients’ Safety: Learning Model to Reduce Errors in Occupational Therapy and Physical Therapy Practice
Keli Mu, PhD, OTR/L, Creighton University

2003-2004

Improving the Safety and Efficacy of Pediatric Sedation Practice through the Creation of the Pediatric Sedation Research Consortium at Dartmouth-Hitchcock Medical Center in New Hampshire
Joseph P. Cravero MD, FAAP, (Principal Investigator), Michael L. Beach, MD, PhD, Kristen Chambers, MS, and Susan M. Gallager

Can Knowledge from a Clinical Decision Support System Developed at an Academic Medical Center Be Applied to Other Hospitals and Populations Throughout an Integrated Delivery Network?
Martha J. Radford, MD (Principal Investigator), Dianne Collins, RN, Lisa Stump, RPh, Richard Shiffman, MD, MCIS, Jennifer Travers, Catherine O’Neill, and Wei Teng, PhD

2002-2003

Transitions in Care: Sign-overs in the Emergency Department
Shawna Perry, MD, FACEP (Principal Investigator), P.G. Croskerry, MD, PhD, M. Shapiro, MD, C. Beach, MD, R.L Wears, MD, M. Vanderhoef, RN, MSN, R. Behara, PhD, A. Murphy, PhD, and E. Eisenberg, PhD

Talking to Patients about Medical Errors
Kathleen Mazor, EdD (Principal Investigator), Jerry Gurwitz, MD and George Reed, PhD

A Clinical Decision Support Tool to Improve Quality of Transition Care: A Pilot Trial of Process
James O. Judge, MD (Prinicipal Investigator), Jane LaPrino, Barbara Banning, Pharm D, Kathy White, RPh, Donna Galluzo, Cheryl Leslie, RN, MPH and Cora Zombrzuski, RN, MS

Role of Patient and Clinician Champions as Safety Advocates in Adult Ambulatory Multidisciplinary Practice Settings
Patricia Reid Ponte, RN, DNSc, and Barbara E. Bierer, MD, Dana-Farber Cancer Institute

2001-2002

Assessing Hospitals’ Use of Mandatory Error Reports for Quality Improvement and Error Reduction
Joel C. Cantor, ScD, CSHP, Kimberley S. Fox, MPA; Denise A. Davis, Dr.PH, MPA; Cara L. Cuite, MA; David M. Frankford, JD; Albert L. Siu, MD, MSPH; and, Andrea I. Kabcenell, RN, MPH

Remote Analysis of the Surgical Environment: Measuring the Effect of Debriefing Attendings on Surgical Safety Factors
Reid B. Adams, MD, J. Forrest Calland, MD; Stephanie Guerlain, PhD; Bruce Schirmer, MD; R. Scott Jones, MD; Keith Littlewood, MD; and, Carl Lynch, MD

Impact of Computerized Alerts and Reminders on Implementation of a Weight Based Unfractionated Heparin Dosing Protocol
Ann Marie Greco, PharmD, and Maryam Behta, PharmD, New York-Presbyterian Hospital

2000-2001

Diagnostic Errors in Internal Medicine
Mark Graber, MD (Principal Investigator), Nancy Franklin, PhD, Gail Holtz, MS, RN, and Stefanie Marcin

The Impact of Dedicated Medication Nurses Upon the Rate of Medication Administration Errors: A Randomized, Controlled Trial
Nancy Lynn Greengold, MD, MBA (Principal Investigator), Rita Shane, PharmD, Linda Burnes-Bolton, DrPH, RN, and Philip Schneider, RPh, MS

The Surgeon’s Checklist
R. Scott Jones, MD, and J. Forrest Calland, MD, University of Virginia

Understanding Errors in Emergency Departments: A Convergence Approach
Robert L. Wears, MD, MS, University of Florida and University of Michigan

1999-2000

Improving Patient Safety in Cardiac Surgery via Prospective Use of the Cumulative Sum (CUSUM) Failure Method
Investigators: Richard J. Novick, MD (PI), Douglas Bloyd, MD, John Lee, MD, Mckenzie Quantz, MD

Pediatric Sedation: a Safety and Efficacy Problem for Children Requiring Diagnostic and Therapeutic Procedures in the Hospital Setting; A Human Factors Opportunity for Improvement
George T. Blike, MD (PI), Joseph Cravero, MD, Gene Nelson, PhD, Kate Whalen, RN

Serious Medication Errors: Evaluation of Prevention Strategies in Pediatrics
Donald Goldmann, MD, and Rainu Kaushal, MD, MPH, Children’s Hospital

Error Detection and Recovery: Fixation vs. Adaptability
William R. Torbert, PhD, and Jenny Rudolph, PhD, Boston College

1998-1999

Quantitative Measurement of the Progression of Clinical Expertise
Matthew B. Weinger, MD, Alison G. Vredenburgh, PhD, Martin P.Paulus, MD, Craig Mckenzie, PhD

Auditory Warning Signals in Critical Care Settings
Yan Xiao, PhD; F. Jacob Seagull, PhD, Christopher D. Wickens, PhD, Colin Mackenzie

Theory and Methods for Minimizing Drug Name Confusion Errors
Bruce L. Lambert, PhD, University of Illinois at Chicago College of Pharmacy

Looking for Trouble in All the Right Places: Electronic Decision Support for Error Reduction in a Large HMO
Gabriel J. Escobar, MD, Kaiser Permanente and Cornell University