Veterans Engineering Resource Center (VERC)
VERC has four centers nationwide that serve as collaborations between VA professionals, healthcare programs, and academic programs, such as, business, engineering, psychology, and medicine. The centers are places that facilitate innovative solutions to healthcare delivery challenges. The intent is then to integrate systems engineering principles across the VA delivery system.
Wisconsin Institute for Healthcare Systems Engineering (WIHSE)
WIHSE is an organization formed at the University of Wisconsin Madison. It is a research initiative out of the College of Engineering. Its purpose is to be a place where healthcare practitioners, scientists and engineers can come together to do research and design better systems in healthcare. The have a variety of events and annual meetings. WISHE is also in the process of putting together an industry consortium to transform healthcare through engineering.
National Pressure Ulcer Advisory Panel (NPUAP)
This organization brings together professionals from a variety of backgrounds to provide leadership, education, research and policy that promotes pressure injury prevention. The group has worked with international resources to issue guidelines for the prevention and treatment of pressure ulcers and injuries.
This website is a resource that serves as a destination for housing and communicating the most up to date research related to the use of peripherally inserted central catheters (PICCs). The organization partners with a variety of stakeholders, but excludes industry and device makers to ensure objectivity of the site. In addition to providing a centralized repository of information, the webpage contains research based evidence and an app (MAGIC) for use in real-time selection of vascular access devices.
Alliance for Vascular Access Teaching and Research (AVATAR)
In 2007, Dr. Claire Rickard, a professor in nursing at Griffith University in Australia, founded this group as an independent research team with the purpose of developing scientific data related to vascular access devices. The team shares its research findings and maintains a website that is dedicated to eliminating complications related to vascular access. AVATAR is one of few groups offering rigorous, independent performance evaluation of multiple commercially available catheter dressing and securement devices used in routine clinical practice. AVATAR offers partnerships with hospitals, universities, consumers, and industry and has received educational grants from several vascular access device manufacturers, but are not affiliated with any one company. The group does offer collaborative research and consultancy to industry clients.
With support from the Robert Wood Johnson Foundation, MakerNurse was formed in 2013. MakerNurse is enabled by the MakerHealth program, a group of international trained engineers and health science technology faculty trained by Massachusetts Institute of Technology (MIT) which are guided by a research foundation from MIT lab. This program brings machines, tools and materials to hospitals that allow nurses to prototype their ideas. Once formed, the program also has resources to help the prototypes be shared and implemented within healthcare settings, but the group is not an incubator for ideas. The goal is to empower nurses to create. MakerNurse maintains a website and blog where designs can be shared and highlighted.
Kidney Health Initiative (KHI)
In 2012 the American Society of Nephrology (ASN) and the FDA joined to form the KHI, a public-private partnership to bring together various stakeholders in healthcare that develop, deliver, and monitor patients with kidney disease. The KHI mission, to “advance scientific understanding of the kidney health and patient safety implications of new and existing medical products and to foster development of therapies for diseases that affect the kidney by creating a collaborative environment in which FDA and the greater nephrology community can interact to optimize evaluation of drugs, devices, biologics, and food products” is a welcomed interdisciplinary effort. The KHI facilitates discussions, designs clinical trials, drafts white papers, and opens lines of communication amongst stakeholders. Involvement in the KHI is open to patient, physician and professional organizations, industry, dialysis providers, research institutions, government agencies, and foundations.
Medical Device Industry Consortium (MDIC)
In 2012, members of the medical device industry and the FDA collaborated to form a public-private partnership to advance the processes that allows medical devices to come to market more quickly, safely and economically. MDIC hosts public events, provides tools, and maintains a website in effort to connect industry, regulatory agencies, and patients. Membership is offered to those involved in the research, development, treatment, and education related to medical devices. In 2016, MDIC undertook an initiative with a grant from the FDA and formed the National Evaluation System for Health Technology Coordinating Center (NESTcc). The purpose of the NESTcc is to support and capture real-world evidence of a medical device performance over its lifecycle. This includes real world data generated by patients, providers, and payers during clinical care and daily life. NESTcc was developed as a third-party entity to avoid conflict of interest and maintain objectivity of the data.
Nursing Institute for Healthcare Design (NIHD)
NIHD was started as a non-profit association in 2010. The institute provides public events, education, mentoring, research and maintains a website to connect their members. Members include nurses, clinicians, architects, contractors, facility managers, hospital administrators, and others. Partnership is offered to both academic and professional organizations. NIHD's vision is to shape the future of healthcare environments by engaging and integrated clinical expertise into design and planning processes.
National Pressure Ulcer Advisory Panel (NPUAP)
This organization brings together professionals from a variety of backgrounds to provide leadership, education, research and policy that promotes pressure injury prevention. The group has worked with international resources to issue guidelines for the prevention and treatment of pressure ulcers and injuries.
Multidisciplinary Assessment of Technology Centre for Healthcare (MATCH)
National Institute of Nursing Research
Society of Nurse Scientists Innovators and Entrepreneurs & Leaders
https://aami.org/utility-navigation/AAMI-Foundation/aami-foundation-new/research
ISO 80369-1:2018, Small-bore connectors for liquids and gases in healthcare applications
“This document provides the methodology to assess non-interconnectable characteristics of small-bore connectors based on their inherent design and dimensions in order to reduce the risk of misconnections between medical devices or between accessories for different applications as specified in this document as well as those that will be developed under future parts of the ISO 80369 series.”
University of Minnesota Nursing Magazine, https://nursing.umn.edu/news-events/engineering-nursing-solutions, April 2021
Global Healthcare Leadership Summit Speaker, https://www.linkedin.com/pulse/integrity-insight-innovation-weinstein-csp-ms-crni-r-faan/, October 2021
UPenn Colloquium, Innovative Bioengineers, December 2021
AJN Interview, https://podcast.app/karen-k-giuliano-and-kelly-landsman-authors-of-health-care-innovation-embracing-the-nurseengineer-partnership-e306036809/, February 2022
Hidden Brain, Learning from Your Mistakes
See You Now: Radio Advisory: Addressing the Workforce Crisis
Up Next for Patient Safety Episode 17
Up Next for Patient Safety Episode 16
Up Next for Patient Safety Episode 15
https://works.trustedhealth.com/handoff/redesigning-workflows-by-empowering-nurse-voices
Calls to Unite Nursing and Engineering
Kester KM, Hatton J, Kelly J, Carroll M, Lindsay M, Jordan N, Fuchs MA, Patel MR, Engel J, Granger B. Moving nursing innovation to prime time through the use of creative partnerships. Nurs Outlook. 2022 Nov-Dec;70(6):820-826. doi: 10.1016/j.outlook.2022.07.002. Epub 2022 Sep 22. PMID: 36154773. [PubMed]
Zhou Y, Li Z, Li Y. Interdisciplinary collaboration between nursing and engineering in health care: A scoping review. Int J Nurs Stud. 2021 May;117:103900. doi: 10.1016/j.ijnurstu.2021.103900. Epub 2021 Feb 7. PMID: 33677250. [PubMed]
Oerther S, Oerther DB. Nurses must collaborate beyond the bedside in education and practice. Nurse Educ Pract. 2022 Feb;59:103280. doi: 10.1016/j.nepr.2021.103280. Epub 2021 Dec 21. PMID: 34959207. [PubMed]
The American Nurse Today, 12(11), 50-51. 2017. Nurse-Scientists and Nurse-Engineers: Nurse- driven device innovations and inventions can improve patient care. Davis, C.R., & Smith Glasgow, M.E. [PubMed]
J Nurs Scholarsh. 2018 Nov;50(6):601-611. Epub 2018 Sep 17. The Nurse-Engineer: A New Role to Improve Nurse Technology Interface and Patient Care Device Innovations. Glasgow MES1, Colbert A, Viator J, Cavanagh S. [PubMed]
Nurs Outlook. 1986 Jul-Aug;34(4):196-8. Needed: nurse engineers to link theory and practice. Harrell JS. [PubMed]
Comput Nurs. 1990 Jan-Feb;8(1):23-8. Expert nurses and expert systems. Research and development issues. Woolery L. [PubMed]
Comput Nurs. 1993 Mar-Apr;11(2):67-71. The nurse engineer: a way to better nursing information systems. Hendrickson MF. [PubMed]
AACN Clin Issues. 1997 Feb;8(1):71-7. The evolving health-care environment: new arguments for closer collaboration between cardiac surgical intensive-care nurses and clinical engineers. Kelly TJ. [PubMed]
J Nurs Adm. 2004 Sep;34(9):423-7. The NEAT Project: Nursing Engineering Ambassador Team. Maxwell S, Burns R Jr. [PubMed]
Nurs Times. 2006 Jun 27-Jul 3;102(26):36-9. The nurse's role in contributing to new device development. Weir H, Grocott P, Ram MB. [Link]
J Nurs Manag. 2010 Apr;18(3):248-57. Persistent isolationist or collaborator? The nurse's role in interprofessional collaborative practice. Orchard CA. [PubMed]
Prog Transplant. 2010 Jun;20(2):148-54. The role of a clinical engineer within a mechanical circulatory support device program: a single center's experience. Princer K. [PubMed]
Johns Hopkins Nursing. Summer 2011. Latest in Hybrid Healthcare. Hill, M. [Link]
Industrial Engineer: IE, 47(8), 24. 2015. The time has come for nursing engineering. Eisenhauer, W. [Link]
Nurs Manag (Harrow). 2015 Jun;22(3):35-40. Evidence-based development in nurse-led interprofessional teams. Pilon B, Ketel C, Davidson H. [PubMed]
Implementation Science (2016) 11:97 External facilitators and interprofessional facilitation teams: a qualitative study of their roles in supporting practice change. Lessard et al. [Link]
J Nurs Scholarsh. 2018 Jan;50(1):20-27. doi: 10.1111/jnu.12359. Epub2017 Nov 14.
Developing and Sustaining a Career as a Transdisciplinary Nurse Scientist. Hickey KT1. [PubMed]
Dykes S, Chu CH. Now more than ever, nurses need to be involved in technology design: lessons from the COVID-19 pandemic. J Clin Nurs. 2021 Apr;30(7-8):e25-e28. doi: 10.1111/jocn.15581. Epub 2020 Dec 16. PMID: 33289230; PMCID: PMC7753642. [PubMed]
Matinolli HM, Mieronkoski R, Salanterä S. Health and medical device development for fundamental care: Scoping review. J Clin Nurs. 2020 Jun;29(11-12):1822-1831. doi: 10.1111/jocn.15060. Epub 2019 Oct 1. PMID: 31512288.[PubMed]
Hendrickson MF. The nurse engineer: a way to better nursing information systems. Computers in Nursing. 1993 Mar-Apr;11(2):67-71. PMID: 8457936. [PubMed]
https://psnet.ahrq.gov/primer/human-factors-engineering
https://nursejournal.org/articles/nursing-stem-profession/
https://magazine.nursing.jhu.edu/2019/03/nurse-intuition-plus-engineering-know-how/
https://magazine.nursing.jhu.edu/2019/03/on-pi-day-nursing-meets-engineering/
Engineering in Healthcare/Nursing
National Academy of Engineering (US) and Institute of Medicine (US) Committee on Engineering and the Health Care System. Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, editors. Washington (DC): National Academies Press (US); 2005. PMID: 20669457. [PubMed]
Perry SJ, Catchpole K, Rivera AJ, Henrickson Parker S, Gosbee J. 'Strangers in a strange land': Understanding professional challenges for human factors/ergonomics and healthcare. Appl Ergon. 2021 Jul;94:103040. doi: 10.1016/j.apergo.2019.103040. Epub 2021 Mar 3. PMID: 33676061; PMCID: PMC8145749. [PubMed]
Powell-Cope G, Nelson AL, Patterson ES. Patient Care Technology and Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 50. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2686/ [PubMed]
Bogner, M. S. (Ed.). (1994). Human error in medicine.
IEE Explore. 2013. Why don’t engineers and clinicians talk the same language – and what to do about it. Wyatt, J. [Link]
Cardiovasc Eng Technol. 2016 Mar;7(1):1-6. Epub 2016 Feb 8. Clinical Immersion and Biomedical Engineering Design Education: "Engineering Grand Rounds". Walker M 3rd1, Churchwell AL2 [PubMed]
Health Aff (Millwood). 2009 Jul-Aug;28(4): Epub 2009 Jun 12. The role of nurses in improving hospital quality and efficiency: real-world results. Needleman J1, Hassmiller S. [PubMed]
Scaling Nurse Innovation
Rigtering C, Spaans LJ, de Jong JPJ. How to bridge the nurse innovation-diffusion gap? An in-depth case study of Create4Care. Front Public Health. 2023 Aug 3;11:1209965. doi: 10.3389/fpubh.2023.1209965. PMID: 37601181; PMCID: PMC10434511. [PubMed]
J Prof Nurs. 2016 Jul-Aug;32(4):300-5. Epub 2016 Jan 12. Strengthening the Role of Nurses in Medical Device Development. Castner J1, Sullivan SS2, Titus AH3, Klingman KJ4. [PubMed]
Am J Crit Care. 2010 Nov;19(6):500-9. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Henneman EA1, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. [PubMed]
J Nurs Adm. 2010 Mar;40(3):109-14. Nurse-driven programs to improve patient outcomes: transforming care at the bedside, integrated nurse leadership program, and the clinical scene investigator academy. Kliger J1, Lacey SR, Olney A, Cox KS, O'Neil E. [PubMed]
J Nurs Care Qual. 2012 Jan-Mar;27(1):56-62. The clinical scene investigator academy: the power of staff nurses improving patient and organizational outcomes. Lacey SR1, Olney A, Cox KS. [PubMed]
OJIN: The Online Journal of Issues in Nursing Vol. 21, No. 3, Manuscript 3. (September 30, 2016). Registered Nurses Leading Innovative Changes. Thomas, T.W., Seifert, P.C., Joyner, J.C. [PubMed]
Koszalinski, R.S., Kagan, O., Littlejohn, J., Nadel, H., (September 22, 2021) "Nurses as Content Experts, Mentors, and Judges at Collaborative Innovation Sprints" OJIN: The Online Journal of Issues in Nursing Vol. 26, No. 3. [PubMed]
Other Articles of Interest
Biomedical Instrumentation & Technology: November 2009, Vol. 43, No. 6, pp. 476-478. Revisiting To Err Is Human a Decade Later. Bogner, MS. [PubMed]
Crit Care Nurse. 2012 Aug;32(4):60-8. Medical devices and patient safety. Mattox E1. [PubMed]
Infection Control and Hospital Epidemiology. June 2013. 34(6):615-618. Safety-Engineered Devices in 2012: The Critical Role of Healthcare Workers in Device Selection. Jagger, J and Perry, J. [PubMed]
Healthcare IT News. March 16, 2015. Nurses blame interoperability woes for medical errors. McCann, E. [Link]
Harris Poll. WestHealth. March 2015. Missed Connections: A Nurses Survey on Interoperability and Improved Patient Care. [Link]
Nursing2106. August 2016. 46(8):63-65. Simple steps to reduce medication errors. Chu, R. [Link]
Int J Technol Assess Health Care. 2007 Winter;23(1):131-7. Benefits of and barriers to involving users in medical device technology development and evaluation. Shah SG1, Robinson I [PubMed]
Jones, P.H. (2013). Design for Care: Innovating Healthcare Experience. New York: Rosenfeld Media. [Link]
Do It By Design: An Introduction to Human Factors in Medical Devices (draft), Rockville, MD, FDA, Center for Devices and Radiological Health, 1996. [Link]
Penn Wharton Public Policy Initiative. Vol. 4 No. 2. The FDA and the Regulation of Medical Device Innovation: A Problem of Information, Risk, and Access. Grennan, M and Town, R. [Link]
U.S. Department of Health and Human Services. Contract No. HHS23320095635. February 2016. The Impact of Reimbursement Policies and Practices on Healthcare Technology Innovation. Bruen, B, Docteur, E, Lopert, R, Cphen, J, DiMasi, J, Dor, A, Neumann, P, DeSantis, R, Shih, C. [Link]
U.S. Food and Drug Administration. FDA Statement. November 26, 2018. Transformative new steps to modernize FDA’s 510(k) program to advance the review of the safety and effectiveness of medical devices. Gottlieb, S and Shuren, J. [Link]
International Futures Forum. Transformative Innovation in Healthcare. Accessed 01JAN2019. [Link]
Ann Fam Med. 2014 Nov; 12(6): 573–576. doi: 10.1370/afm.1713 From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider. Bodenheimer, T and Sinsky, C [PubMed]
J Nurs Adm. 2007 Dec;37(12):558-63. Achieving quality and fiscal outcomes in patient care: the clinical mentor care delivery model. Burritt JE1, Wallace P, Steckel C, Hunter A. [PubMed]
J Biomed Inform. 2015 Jun;55:218-30. Epub 2015 May 6. A concept ideation framework for medical device design. Hagedorn TJ1, Grosse IR2, Krishnamurty S3. [PubMed]
Front. Public Health 5:27. Enabling Continuous Quality Improvement in Practice: The Role and Contribution of Facilitation. Harvey G and Lynch E (2017) [PubMed]
Healthc (Amst). 2017 Dec;5(4):158-164. doi: 10.1016/j.hjdsi.2016.10.004. Epub2016 Dec 6. Advancing medical device innovation through collaboration and coordination of structured data capture pilots: Report from the Medical Device Epidemiology Network (MDEpiNet) Specific, Measurable, Achievable, Results-Oriented, Time Bound (SMART) Think Tank. Reed TL1, DrozdaJP Jr2, Baskin KM3, TchengJ4, Conway K5, Wilson N6, Marinac-DabicD7, HeiseT8, KrucoffMW4. [PubMed]
Stud Health TechnolInform. 2017;237:49-54. Meeting End User Needs in Collaborative Medical Device Technology Development Research Projects: A Qualitative Case Study. Strisland F1, SvagårdIS1, AustadHO1, ReitanJ2. [PubMed]
Work. 2012;41 Suppl1:1904-10. doi: 10.3233/WOR-2012-0406-1904. Recognizing nurse stakeholder dissonance as a critical determinant of patient safety in new healthcare information technologies. Samaras EA1, Real SD, Curtis AM, Meunier TS. [PubMed]
Clin Nurse Spec. 2008 May-Jun;22(3):132-40; quiz 141-2. doi: 10.1097/01.NUR.0000311693.92662.14. Describing the influence of technologies on registered nurses' work. Zuzelo PR1, GettisC, HansellAW, Thomas L. [PubMed]
BMC Health ServRes. 2013 May 11;13:175. doi: 10.1186/1472-6963-13-175.
Nurses' workarounds in acute healthcare settings: a scoping review. Debono DS1, Greenfield D, TravagliaJF, Long JC, Black D, Johnson J, Braithwaite J. [PubMed]
PhysiolMeas. 2006 Aug;27(8):R49-62. Epub 2006 Jun 13. Capturing user requirements in medical device development: the role of ergonomics. Martin JL1, Murphy E, Crowe JA, Norris BJ. [PubMed]
Samaras EA, Real SD, Curtis AM, Meunier TS. Recognizing nurse stakeholder dissonance as a critical determinant of patient safety in new healthcare information technologies. Work. 2012;41 Suppl 1:1904-10. doi: 10.3233/WOR-2012-0406-1904. PMID: 22316994. [PubMed]
Samaras EA, Samaras GM. Confronting systemic challenges in interoperable medical device safety, security & usability. J Biomed Inform. 2016 Oct;63:226-234. doi: 10.1016/j.jbi.2016.08.024. Epub 2016 Aug 29. PMID: 27586864. [PubMed]
https://www.rwjf.org/en/library/research/2016/12/boon-or-bane-.html
https://www.sciencedirect.com/science/article/pii/S0899588518300054
https://campaignforaction.org/resource/charting-nursings-future-news-in-brief-summer-2018/
https://www.whitehouse.gov/wp-content/uploads/2023/09/PCAST_Patient-Safety-Report_Sept2023.pdf
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