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James Courtney Fackler, MD

Director, Pediatric Critical Care Medicine Fellowship
Associate Professor of Anesthesiology and Critical Care Medicine
Appointment Phone


Main Location

The Johns Hopkins Hospital

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Call 410-464-6641 (8a.m. to 6p.m., EST, Mon-Fri)

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International Patients

Call +1-410-502-0773 (7a.m. to 6p.m., EST, Mon-Fri)

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  • Director, Pediatric Critical Care Medicine Fellowship
  • Associate Professor of Anesthesiology and Critical Care Medicine

Centers & Institutes

  • Children's Center



Research Interests

Acute respiratory distress syndrome; Novel respiratory therapies; Signal fusion and monitoring


Dr. James Fackler is an associate professor of anesthesiology and critical care medicine and pediatrics at the Johns Hopkins University School of Medicine. His areas of clinical expertise include acute respiratory distress syndrome, novel respiratory therapies, and signal fusion and monitoring.

Dr. Fackler received his undergraduate degree in biology from the University of Illinois and earned his M.D. from Rush Medical College in Chicago. He completed his residency in anesthesiology and performed a fellowship in pediatric intensive care and pediatric anesthesia at the Johns Hopkins University School of Medicine. Dr. Fackler joined the Johns Hopkins faculty in 2006.

He worked for the Cerner Corporation from 2002 to 2006 and left the position of vice president to return to academic medicine. He founded Oak Clinical Informatics Systems and consults for other device and information integration companies.

Dr. Fackler's research interests include optimizing patient surgical services by analyzing mathematical models of patient flow through hospitals, on either a scheduled or emergency basis.

He serves as the editor for Pediatric Critical Care Medicine and as an ad hoc journal reviewer for many notable publications including New England Journal of Medicine and Critical Care Medicine. He is a member of American Association of Artificial Intelligence, American Medical Informatics Association and the Society for Critical Care Medicine.


  • English


American Telemedicine Association, 2010 - present

Association of University Anesthesiologists, 2004 - present

Industry Partner, Coalition for Critical Care Excellence, 2003 -2005

Electronic Communication Committee, 1998 - 2002

American Thoracic Society, 1995 - 2002

Member Steering Committee, 1994 - 1997

American Association of Artificial Intelligence, 1994 - present

Member, Committee on Information Technologies, 1993 - 1996

American Medical Informatics Association, 1992 - present

Extracorporeal Life Support Organization, 1988 - 2002

American Academy of Pediatrics, 1988 - 1997

American Medical Association, 1988 - 1993

Massachusetts Society of Anesthesiologists, 1988 - 1993

Massachusetts Medical Society, 1988 - 1996

Suffolk District Medical Society, 1988 - 1996

Society for Critical Care Medicine, 1985 - present

American Society of Anesthesiologists, 1984 - 1993

Additional Resources

Additional Resources +
  • Education +


    • Rush Presbyterian University Medical College (Chicago IL ) (1980)


    • American Board of Anesthesiology / Anesthesiology (1991)
    • American Board of Pediatrics / Pediatrics (1986)
  • Research & Publications +

    Research Summary

    Dr. Fackler is working to build a mathematical model of how patients flow through a hospital. Approximately half of patients who undergo surgery have been previously scheduled. These are patients who are expected and for whom resources can be appropriately prepared in advance. The other half of patients enter as emergency cases and therefore are less predictable. By modeling the external variability of the latter group, hospitals might become better able to predict the influx of emergency cases. Improvements in predictability would enable hospitals to optimize resource preparation and scheduling of elective procedures, thereby enhancing patient service.

    Dr. Fackler is also interested in data acquisition and data mining in the operating room and intensive care unit. In the ICU, each patient has 300–350 associated data elements. Blood pressure, heart rate, potassium concentration and hemoglobin level are just a few examples. Studies have shown that the human brain can comprehend seven individual parcels of data at once. If the data can be sorted into patterns, an individual may be able to manage seven individual patterns. Dr. Fackler hopes to identify patterns among the patient data and establish recognizable trends that occur over time. The understanding of such patterns and trends could help clinical professionals to make more educated, evidence-based decisions on patient care.

    Selected Publications

    1. Hardart GE, Fackler JC. “Predictors of intracranial hemorrhage during neonatal extracorporeal membrane oxygenation”. J Pediatr 134:156–9, 1999.
    2. Morrison WE, Haas EC, Shaffner DH, Garrett ES, Fackler JC. “Noise, stress, and annoyance in a pediatric intensive care unit.” Crit Care Med 1:113–9, 2003.
    3. Curley MA, Arnold JH, Thompson JE, Fackler JC, Grant MJ, Fineman LD, Cvijanovich N, Barr FE, Molitor-Kirsch S, Steinhorn DM, Matthay MA, Hibberd PL; for the Pediatric Prone Positioning Study Group. “Clinical trial design–effect of prone positioning on clinical outcomes in infants and children with acute respiratory distress syndrome.” J Crit Care 21:23–32, 2006.
    4. White JR, Veltri MA, Fackler JC. “Preventing adverse events in the pediatric intensive care unit: prospectively targeting factors that lead to intravenous potassium chloride order errors.” Pediatr Crit Care Med 1:25–32,2005.
    5. Morrison WE, Arbelaez JJ, Fackler JC, De Maio A, Paidas CN. “Gender and age effects on outcome after pediatric traumatic brain injury.” Pediatr Crit Care Med 5:145–51, 2004.


    Dr. Jim Fackler's Lab

    Clinical Trials

    Heart And Lung Failure - Pediatric INsulin Titration Trial (HALF-PINT)

  • Academic Affiliations & Courses +
  • Activities & Honors +


    Alpha Omega Alpha, Rush Medical College, Chicago, 1979

    Professional Activities

    Founding Member, Critical Care Informatics Working Group, 2012

    Oak Clinical Informatics Systems, Baltimore, MD, 2008 - present 

    Founder, Critical Care Informatics and Business Development, Cardiopulmonary Corp, Milford, CT, 2009 - present

    Vice Chairman, Electronic Communication Committee, 2001 - 2002

    Editor, Pediatric Critical Care Medicine, 2001 - present

    Ad hoc reviewer, New England Journal of Medicine

    Ad hoc reviewer, Critical Care Medicine

    Ad hoc reviewer, Intensive Care Medicine

    Ad hoc reviewer, Chest

    Ad hoc reviewer, International Journal of Medical Informatics

    Ad hoc reviewer, Transactions on Modeling and Computer Simulation

    Vice Chairman, Electronic Communication Committee, 2000 - 2001

    Member, Project Impact Technical Committee, 1999 - 2001

    Delegate to House of Delegates, 1994 - 1995

    Chairman, Protocols Committee, 1994 - 1997

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  • Contact & Locations +


    The Johns Hopkins Hospital
    600 N. Wolfe Street
    Hospital Main Entrance - Sheikh Zayed Tower
    Baltimore, MD 21287
    Phone: 410-955-7237
    Appointment Phone: 410-955-2393
    Fax: 410-614-2911
    Location Map


    • Anesthesiology and Critical Care Medicine - Pediatric Anesthesia and Critical Care Medicine

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