Steven K. Howard
Academic Appointments
Appointment
Organization
Associate Professor - Med Center Line
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Administrative Appointments
Title
Organization
Start Year
End Year
Member, Committee on Occupational Health
American Society of Anesthesiologists
2002
-
Member, Resident Selection Committee
Department of Anesthesia
1997
-
Member, Resident Education Committee
Department of Anesthesia
1993
-
Member, Clinical Competence Committee
Department of Anesthesia
2001
-
Professional Education
Degree
Awarding Institution
Field of Study
Year of Graduation
--
Stanford
Anesthesia
1991
--
Cedars-Sinai, UCLA
Internship
1988
MD
Chicago Medical School
Medicine
1987
BA
UC Santa Barbara
Pharmacology
1983
Web Site Links
Research/Lab website:
Simulation Center @ VA Palo Alto HCS
Research Interests
Our laboratory (please also refer to David M. Gaba M.D.) is active in the study of human performance of medical personnel. We are actively involved in teaching health care personnel the technique of crisis resource management (CRM) using realistic simulation.
My research centers on the effects of sleepiness and fatigue in medical personnel. Data from our studies reveal resident physicians to be pathologically sleepy (as tested in the sleep laboratory) during normal working conditions as well as in the post on-call condition. If the same subjects are allowed to extend night time sleep by two hours for four consecutive days they return to normal states of alertness. We have evaluated the effects of sleep deprivation on clinical performance using a realistic simulator. We are currently measuring the sleep propensity and performance of health care personnel (nurses, residents and staff physicians). Our laboratory has been funded for five years by the VHA Patient Safety Center of Inquiry Program.
My research centers on the effects of sleepiness and fatigue in medical personnel. Data from our studies reveal resident physicians to be pathologically sleepy (as tested in the sleep laboratory) during normal working conditions as well as in the post on-call condition. If the same subjects are allowed to extend night time sleep by two hours for four consecutive days they return to normal states of alertness. We have evaluated the effects of sleep deprivation on clinical performance using a realistic simulator. We are currently measuring the sleep propensity and performance of health care personnel (nurses, residents and staff physicians). Our laboratory has been funded for five years by the VHA Patient Safety Center of Inquiry Program.
Publications
- Moore MS, Howard SK, Lighthall G "Using the rapid response system to provide better oversight of patient care processes." Jt Comm J Qual Patient Saf 2007; 33: 11: 695-8, 645 More »
- Dismukes, RK, Gaba DM, Howard SK "So many roads: Faciltiated debriefing in healthcare" Simulation in Healthcare 2006; 1: 1: 23-25 More »
- Sowb, YA, Howard SK, Raemer DB, Feinstein D, Fish KJ, Gaba DM "Clinicians' recognition of the Ohmeda Modulus II Plus and Ohmeda Excel 210 SE anesthesia machine system mode and function" Simulation in Healthcare 2006; 1: 1: 26-31 More »
- Smith-Coggins R, Howard SK, Mac DT, Wang C, Kwan S, Rosekind MR, Sowb YA, Balise, R, Levis D, Gaba DM "Use of a nap to improve alertness and performance in physicians and nurses in the emergency department" Ann Emerg Med 2006; (in press) More »
- Harrison TK, Manser T, Howard SK, Gaba DM "Use of cognitive AIDS in a simulated anesthetic crisis." Anesth Analg 2006; 103: 3: 551-6 More »
24 publications: view full list