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College of Nursing


Health Process Redesign Center

Projects

Completed Primary Research Projects

Grant Title:

Medication Administration Process Analysis Pilot Study
Summer 2010

Funding Agency:

South Carolina Commission on Higher Education SmartState Endowed Chair Research Funds

Investigators:

Rita Snyder, PhD, RN (Co-PI, USC Nursing)
Nathan Huynh, PhD (Co-PI, USC Engineering)
Bo Cai, PhD (Biostatistician, USC Arnold School of Public Health, Biostatistics)
José Vidal, PhD (Consultant, USC Computer Science)

Aims:

This pilot psychometric study was conducted in a clinical simulation laboratory to develop and pilot test an observational data capture device to assess its reliability and validity with a simulated medication administration process.

   

Grant Title:

Medication Administration Process Computer Simulation Pilot Study
Fall 2010 - Fall 2011

Funding Agency:

South Carolina Commission on Higher Education Smart State Endowed Chair Research Funds

Investigators:

Nathan Huynh, PhD (PI, USC Engineering)
José Vidal, PhD (Co-PI, USC Computer Science)
Rita Snyder, PhD, RN (Co-PI, USC Nursing)
Bo Cai, PhD (Biostatistician, USC Arnold School of Public Health, Biostatistics)

Aims:

This pilot technology development study was conducted in a an engineering laboratory environment to: 1) develop a baseline MAP computer simulation model using the observational data set from pilot study #1; and 2) create MAP redesign models from the baseline MAP model to assess safety risk as measured by number and type of interruptions, and efficiency as measured by total process completion time.

   

Grant Title:

Development of a Computer Simulation Clinical Process Redesign Prototype

Fall 2010 - Spring 2013

Funding Agency:

 South Carolina Commission on Higher Education Smart State Endowed Chair Research Funds

Investigators:

Rita Snyder, PhD, RN (Co-PI, USC Nursing)
Nathan Huynh, PhD (Co-PI, USC Engineering) 
José Vidal, PhD (Co-PI, USC Computer Science) 
Bo Cai, PhD (Biostatistician, USC Arnold School of Public Health, Biostatistics) 

Aims:

Aims: This pilot field study was conducted to: 1) record medication administration process (MAP) observations on two hospital medical-surgical clinical units to identify nurse and clinical unit environmental characteristics that influence medication administration; 2) use field MAP observation data to develop a baseline MAP computer simulation prototype using a hybrid modeling approach comprised of discrete-event (process) and agent-based (behavioral) modeling techniques; and 3) verify and statistically validate the prototype to ensure that the final prototype accurately portrays the MAP.

 

Pending Research Projects

Grant Title:

Reducing Medication Administration Process Redesign Risk through
Computer Simulation

Submitted June 2013

Funding Agency:

National Institute of Biomedical Imaging and Bioengineering (NIBIB),
National Institute of Nursing Research (NINR, and
Office of Behavioral and Social Sciences Research (OBSSR)

FOA:

R01 PAR-11-314

Investigators:

Rita Snyder, PhD, RN (PI, USC Nursing)
Kevin Bennett, PhD (Co-I, USC Medicine)
Bo Cai, PhD (Co-I, Arnold School of Public Health, Biostatistics)
Nathan Huynh, PhD (Co-I, USC Engineering)
José Vidal, PhD (Co-I, USC Computer Science)
DeAnne Messias, PhD, RN (Co-I, USC Nursing)
Boris Sobolev, PhD (Consultant, University of British Columbia, Canada)

Aims:

Aims: This study aims to: 1) identify work system contextual characteristics (i.e., nurse, patient, clinical unit) that influence the MAP, and MAP workflow characteristics; 2) apply statistical and computer simulation modeling techniques to Aim #1 data to develop baseline MAP models; and 3) use MAP computer simulation models to assess a) degree of MAP procedural failure; b) the impact of potential MAP redesign interventions on procedural failure and medication administration process error warnings, and c) the implementation feasibility of potential MAP redesign interventions.