Support teaching, research, and patient care.
My main focus, for research and for implementations, is on understanding, adapting, and scaling concepts that enable both providers and patients to thrive. Combining my backgrounds in implementation science, quality improvement, human factors, simulation, and patient safety, our teams often utiliize various tools from medical simulation that can translate to clinical changes. Multi-year examples of our teams' implementations and research in this space include: 1. clinical uses of emergency manuals (context relevant sets of cognitive aids or checklists), for crisis management of critical events 2. surgical caps with names and roles to enable both teamwork for better patient care and connection for provider and patient wellness. 3. Psychological safety and safety culture. We enjoy collaborating with multiple colleagues throughout healthcare and other safety-critical industries for bigger impacts. For background and free resources for implementing emergency manuals see http://emergencymanual.stanford.edu/ from Stanford Anesthesia Cognitive Aid Group and www.emergencymanuals.org/ from the broader Emergency Manuals Implementation Collaborative
Implementation of emergency manuals (context relevant sets of cognitive aids or crisis checklists), surgical caps with names and roles, and other evidence-based patient safety advances can help excellent clinicians to deliver optimal care, if designed and implemented effectively. My and teams' interests include:1. Implementation of emergency manuals for crisis management of critical events, in both simulation-based and clinical settingsFor free resources, see: http://emergencymanual.stanford.edu, a website I developed to share the work of our Stanford Anesthesia Cognitive Aid Group and our interdisciplinary clinical implementation team. And www.emergencymanuals.org, Emergency Manuals Implementation Collaborative, which a group of us founded to freely share tools and implementation resources nationally and globally. 2. Enabling communication and safety culture, including via systematic implementation of surgical caps with names and roles, and studying their impacts.3. Applying mixed-methods of implementation science to research #1 and #2. 4. Utilizing high fidelity simulation along with debriefing to teach principles of Crisis Resource Management (CRM). Faculty for multiple courses and Co-Director of Stanford's Evolve simulation program.5. Combining verbal 'What If's' with low-tech screen-based simulation to harness the power of simulation and debriefing in much wider, more frequent, and even clinical settings. 6. Difficult airway management, and ENT anesthesia, integrating procedural and full-scenario simulation to practice and debrief approaches to challenging cases.