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Research in the John McCloskey Lab focuses on quality improvements in the operating room and pediatric intensive care unit (PICU). Our work aims to improve the throughput of adolescents undergoing spinal fusions in order to better define interventions to ameliorate anesthesia emergence delirium and to improve protocols for sedation. One of our projects established an early oral feeding program for critically ill patients. Our goal is to enhance the delivery and quality of children’s health care while making it safer and more affordable.
Research in the John Ulatowski Lab explores the regulatory mechanisms of oxygen delivery to the brain and cerebral blood flow. Our work includes developing and applying new techniques and therapies for stroke as well as non-invasive techniques for monitoring brain function, fluid management and sedation in brain injury patients. We also examine the use of novel oxygen carriers in blood. We’ve recently begun exploring new methods for perioperative and periprocedural care that would help to optimize patient safety in the future.
The Jon Russell lab focuses on thyroid and parathyroid pathology as well as improving patient safety and education using healthcare technology. Additional focuses include utilizing new technology to advance on the techniques of minimally invasive neck surgery. Current and previous efforts include the development of mobile and web-based applications to educate physicians and patients, utilizing ultrasound for vocal cord imaging, understanding the nuances of advanced thyroid cancer, and exploring the role of scarless thyroid surgery in a North American population.
The Lynette Mark Lab primarily studies topics within the field of anesthesiology. Our team also researches various aspects of patient safety, including best practices for patient safety reporting systems.
Research in the Michael A. Rosen Lab primarily focuses on patient safety and simulation-based health care training and technology. Recent work provided examples of how human factors experts can collaborate with health care professionals and simulationists (experts in the design and implementation of simulation) to use contemporary simulation to improve health care delivery. Another recent study examined the anesthesia practice at two tertiary care hospitals in Sierra Leone, West Africa, where anesthesia is associated with high mortality rates. We identified gaps in the application of internationally recommended anesthesia practices at both hospitals, likely caused by lack of available resources.
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The Nestoras Mathioudakis Lab focuses on improving patient safety and quality for hospitalized diabetes patients. Our interests include inpatient glucose management, type 2 diabetes mellitus and diabetic foot ulcers.
Work in the Nicole Shilkofski Lab aims to improve patient safety in critical care settings, with a focus on resuscitation scenarios. Our research is conducted as part of the research group of the Johns Hopkins Medical Simulation Center. We investigate the communication and functionality of teams during medical crisis situations. As part of those efforts, we are designing a web-based curriculum to teach pediatric resuscitation through mannequin simulation and computer-based simulation techniques.
Research in the Rahul Koka Lab focuses on pediatric airways, patient safety and health disparities. Recent studies have focused on the relationship between socioeconomic status and perioperative outcomes and patient safety factors related to interoperative cardiac arrests. We also performed effects analyses of the maintenance and repair of anesthetic equipment in various medical environments.
Research in the Rebecca Riggs Lab focuses on developing safer, less-invasive ways to detect traumatic brain injury and abusive head trauma. We are exploring the use of bedside ophthalmic ultrasonography to find retinal lesions associated with abusive head trauma, as well as investigating the use of other types of sonography to monitor intracranial hypertension. Such tools would be safer than current methods, which are often invasive or emit high levels of radiation. Additionally, portable monitors could be used outside of the hospital, in settings such as football games, to better and more quickly diagnose concussions.
Research in the Sanjay Desai Lab focuses primarily on clinical outcomes in survivors of critical illnesses, such as acute lung injury. We also investigate techniques to improve graduate medical education and are conducting a clinical trial on the comparative effectiveness of models that optimize patient safety and resident education. Our research examines factors such as residency work-hour reform, hand hygiene practices and the use of etiquette-based communication.
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