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Research and Improvement Projects

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The Center for Health Care Human Factors leads an assortment of projects that aim to foster safer health care systems, help health care professionals to thrive in their work, and engage patients and families as active members of the health care team.

Current projects | Past projects | Faculty projects

Current Projects

Project Firstline: Foundational Questions to Inform Infection Control Training and Improvement

CDC N00024-13-D-6400 [11/12/20-9/26/22]

The Johns Hopkins Applied Physics Laboratory (JHU/APL) and the Johns Hopkins Medicine Armstrong Institute Center for Health Care Human Factors have partnered to explore enhancements to infection control within the built environment and workflows within, for the nation’s operating rooms (ORs) and other clinical spaces.

A Human Factors and Systems Engineering Approach for Understanding the Diagnostic Process and Associated Hazards in the Emergency Department

AHRQ R01HS027198-01: [09/30/19-09/29/22]

The aim of this project is to understand provider (physician and advanced practice provider) work involved in ED diagnosis and identify associated performance shaping factors, to understand collaborative work involved in ED diagnosis and identify associated performance shaping factors and to conduct a proactive risk assessment of the diagnostic process in the ED.

Strategies for Improving Opioid Use in Perioperative Pain Management

CDC R01CE003150-01-00: [09/30/19-09/29/22]

We developed a Perioperative Pain Program (PPP) to coordinate the continuum of care for surgical patients on chronic opioid therapy throughout the perioperative period. The objective of the proposed project is to evaluate the implementation and effectiveness of the PPP.

PROMIS Learning Lab: Partnership in Resilience for Medication Safety

AHRQ-JHU sub to UTA R18HS027277-01: [10/01/19-09/30/23]

The goal of the project is to develop and test innovative tools and design guidelines to enable partnering between patients/families and professionals to reduce harms from inappropriate practices of medication use. 

  • AHRQ R18HS026640-01

    This project aims to reduce health and financial harm for patients with lower respiratory tract infection caused by a fragmented emergency care system. We intend to support and improve decision-making by emergency clinicians that relates to diagnosis, treatment, and disposition of patients with respiratory tract infections. This will be achieved through the development of clinical decision support software tools that can be integrated into the electronic health record and easily shared among medical institutions.

  • AHRQ R01HS026599

    The goal of this multi-site study is to characterize threats to older adult safety from multiple perspectives, and refine and pilot test an intervention bundle that will enable skilled home healthcare agencies to identify and act upon threats to older adults’ safety in real time during care transitions.

  • AHRQ 1R01HS027819-01

    The goal of this project is to validate, implement, and benchmark a surveillance definition for CLABSI in home infusion therapy, develop a reporting platform, and test the impact of an evidence-based toolkit to reduce home infusion CLABSI on CLABSI rates.

  • AHRQ R01HS027793-01

  • AHRQ, MUSC R01HS26625 

  • NIHCD, JHU sub to Ohio State University R01HD100455-01


Past Projects

  • AHRQ R01HS23837-05

    This proposal is aimed at developing a deep and broad understanding of the cognitive work of clinician teams and family members involved in pediatric trauma care transitions in order to design usable and useful health information technologies.

  • NIA R03AG063083
    [04/15/19 - 03/31/21]

    The overall goal of the study is to engage older adults with ADRD, their caregivers, and home health nurses in an interactive process to develop strategies to address unmet needs related to medication management when coming home from the hospital.

  • NIA R21AG061482

  • AHRQ R21HS026584

    The objective of this project is to assess the usability and impact of electronic prescription cancellation (CancelRx) on medication errors in large-scale implementation in ambulatory care at Johns Hopkins.

  • CDC U01CK000554-Supplement

    The goals of this COVID-19 supplement are to evaluate appropriate reuse strategies for N95 respirators, understand the epidemiology of spread of COVID-19 in nursing homes, and develop approached to improve physical distancing in the hospital.

  • NIDDK R44DK115325-02A1

    This project involves development of a human factors designed training program for a novel G-tube insertion method, along with a clinical trial of the device’s feasibility.

  • AHRQ 3R18HS027277-01S1


Other Faculty Projects 

  • NIOSH CDC 1 K01OH011733-01-00 (Benishek)

    The purpose of this project is to (1) Refine an integrated, transdisciplinary conceptual model that describes core components of high-quality connections (HQCs) and identify a list of candidate HQC interventions; (2) Identify and select individual and system-level interventions for a multi-pronged intervention package to improve HQCs in healthcare; and (3) pilot test the HQC intervention package and evaluation tools within an anesthesiology department.

  • ASN No Number (Benishek)

    The specific aims of the proposed work are to (1) develop and (2) pilot test a brief Safety Climate Thermometer adapted specifically for use within departments of surgery.

  • NCE NASA NNX17AB55G (Rosen)

    The objective of this investigation is to advance the science and practical methods of diagnostic measurement of long-duration space exploration (LDSE) competencies for selection using a blended approach involving sociometric and traditional assessment methods.

  • AHRQ HHSP233201500020I/HHSP23337004 (Rosen)

    The purpose of this task order is to measurably improve patient outcomes by increasing the implementation of enhanced recovery after surgery (ERAS) practices in hospitals, through the use of an adaptation of CUSP.

  • AHRQ NCE 1R03HS024591-01 (Rosen)

  • AHRQ R18HS023159-02 (Rosen)

    The goal of this grant is to develop the initial design and application of an organizational simulation for senior executive leaders in healthcare through a distributed gaming application.

  • 1R21HS025238 (Xie)

    In this self-contained health information technology study, we propose to develop an electronic health record-embedded clinical decision support tool based on the understanding of individual and team cognitive work to facilitate data-driven naturalistic decision-making and reduce unnecessary BC utilization in critically ill children.

  • R01 CE003150 (Hanna & Xie)

    The proposed project aims to evaluate and improve an innovative Perioperative Pain Program (PPP) for chronic opioid users undergoing surgery.

  • 140D6318C0018 (Novstrup) Stottler Henke SBIR Phase II – JHU is subcontractor

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