United States Department of Veterans Affairs
United States Department of Veterans Affairs

VA GAPS Center

Publications

   Journal Articles 

  1. Saleem JJ, Patterson ES, Militello L, Render ML, Orshansky G, Asch SM. Exploring Barriers and Facilitators to the Use of Computerized Clinical Reminders. 2005 Mar 31 J Am Med Inform Assoc. 2005;12:438-47.
  2. Render ML, Kim HM, Deddens J, Sivaganesin S, Welsh DE, Bickel K, Freyberg R, Timmons S, Johnston J, Connors AF, Wagner D, Hofer TP.  Variation in outcomes in Veterans Affairs ICUs with a computerized severity measure. Crit Care Med. 2005 May;33(5):930-939.
  3. Patterson ES, Rogers ML, Chapman RJ, Render ML. Compliance with Intended Use of Bar Code Medication Administration in Acute and Long-Term Care: An Observational Study. Hum Factors. 2004. In Press.
  4. Rogers ML, Patterson ES, Chapman RJ, Render ML. (2005). Usability Testing and the Relation of Clinical Information Systems to Patient Safety Advances in Patient Safety: From Research to Implementation. Volumes 1-4, AHRQ Publication Nos. 050021 (1-4). February 2005. Agency for Healthcare Research and Quality, Rockville, MD. 
  5. Render ML, Hirschhorn L. An irreplaceable safety culture. Crit Care Clin. 2005 Jan;21 (1):31-41.
  6. Nugent GN, Hendricks A, Nugent L, Render ML. Value for Taxpayers’ Dollars: What VA Care Would Cost at Medicare Prices. Med Care Res Rev 2004.;61(4):495-508.
  7. Patterson ES, Rogers ML, Render ML. Simulation-based embedded probe technique for human-computer interaction evaluation.   Cognition, Technology, and Work, 2004; 6(3), 197-205.
  8. Patterson ES, Cook RI, Woods DD, Render ML. Examining the complexity behind a medication error: Generic patterns in communication.  IEEE Transactions on Systems, Man and Cybernetics - Part A: Systems and Humans 2004;34(6), 749-756.
  9. Rogers ML, Cook RI, Bower R, Molloy M, Render ML. Barriers to implementing wrong site surgery guidelines: a cognitive work analysis. IEEE Transactions on Systems, Man and Cybernetics - Part A: Systems and Humans. 2004;34(6):757-763.
  10. Patterson ES, Rogers ML, Render ML. Fifteen Best Practice Recommendations to Improve the Effectiveness of Bar Code Medication Administration.  Joint Commission Journal on Quality and Safety . Jt Comm J Qual Saf. 2004 Jul;30(7):355-65.Render ML. Research and design is better than warnings and rules. Crit Care Med. 2004;32(4):1074-1075.
  11. Ebright PR, Patterson ES, Chalko B, Render ML. Understanding the complexity of registered nurse work in acute care setting.  J Nurs Adm. 2003; 33(12):630-638.
  12. Render ML, Kim HM, Welsh D, Timmons S, Johnston J, Hui S, Connors AF, Wagner D, Daley J, Hofer T for the VA ICU Severity Adjustment (VISA) investigators. Automated Intensive Care Unit Risk Adjustment: Results from a National Veterans Affairs study. Crit Care Med. 2003;31(6):1638-1646.
  13. Render ML, Roselle GA, Franchi E, Nugent L. Methods for Estimating Private Sector Payments for VA Acute Inpatient Stays. Med Care. 2003;41(6) Suppl. P.II – 11.
  14. Render ML, Nowak J, Hammond EK, Roselle GA. Methods for Estimating and Comparing VA Outpatient Drug Benefits With the Private Sector. Med Care 2003;41(6) Suppl. P.II – 61.
  15. Render ML, Taylor P, Plunkett J, Nugent G. Methods to Estimated and Compare VA Expenditures for Assistive Devices to Medicare Payments.   Med Care 2003;41(6) Suppl. P. II – 70.
  16. Roselle GA, Render ML, Nugent L, Hendricks A, Nugent G. Estimating Private Sector Professional Fees for VA Providers. Med Care 2003;41(6) Suppl. P. II – 23.
  17. Nugent G, Roselle G, Nugent L, Render ML. Methods to Determine Private Sector Payment for VA Outpatient Services; Institutional Payments to Providers. Med Care 2003;41(6) Suppl. P. II – 33.
  18. Patterson ES, Cook RI, Render ML. Improving Patient Safety by Identifying Side Effects from Introducing Bar Coding in Medication Administration. J Am Med Inform Assoc. 2002; 9 (5):540-553.
  19. Johnston JA, Wagner DP, Timmons S, Welsh D, Tsevat J, and Render ML, "Impact of Different Measures of Comorbid Disease on Predicted Mortality of Intensive Care Unit Patients,” Med Care. 2002 Oct;40(10):929-940.
  20. Ebright PR, Patterson E, Render ML. The "New Look" approach to patient safety: A guide for clinical nurse specialist leadership. Clin Nurs Spec. 2002 Sep;16(4):247-253.
  21. Render ML, Welsh D, Kollef M, Lott J, Hui S, Weinberger M, Tsevat J, Hayward R, Hofer T, for the SISVISTA Investigators. Automated computerized Intensive care unit severity of illness measure in the VA: preliminary study. Crit Care Med 2000 Oct; 28(10):3540 – 3546.
  22. Cook RI, Render ML, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ 2000 Mar 18;328(7237):791-794.
  23. Woods, DD. Cook, RI. Perspectives on human error: hindsight biases and local rationality. In Durso, RS., ed. Handbook of applied cognition. NY: Wiley, 1999: 141-171.
  24. Shaffer J, Simbartl L, Render ML, Snow E, Chaney C, Nishiyama H, Rauf G, Wexler LF.   Patients With Stable Chronic Pulmonary Disease (COPD) Can Safely Undergo Intravenous Dipyramidole Thallium 201 Imaging.  Am Heart J, 1998 Aug;136(2):307-13.
  25. Cook, RI. Woods, DD. Adapting to new technology in the operating room. Human Factors. 1996; 38(4): 593-613.
  26. Render ML, Weinstein AS, Blaustein AS: Left ventricular dysfunction in deteriorating patients with chronic obstructive pulmonary disease. Chest 1995 Jan;107 (1):162-68.
  27. Cook, RI. Woods, DD. Operating at the sharp end: the complexity of human error. In Bogner, MS, ed. Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum, 1994: 225-310.
  28. Sahebjami H, Doers J, Render ML, Bond TL.  Anthropomorphic and pulmonary function test profiles of stable outpatients with chronic obstructive pulmonary disease, Am J Med 1993 May; 94(5):469-474.
  29. Render ML, Rounds S. Studies on the mechanism of decreased neutrophil adherence to postconfluent cultured endothelial cells. Am Rev Respir Dis 1988 Nov;138(5):1115-1123.
  30. Rounds S, Farber HW, Render ML, Barnard FA.  Effects of hypoxia and hypercarbia and cultured endothelial cells. Chest 1988 Mar;93(3Suppl):156S- 157S. 
      

    Proceeding Papers and Technical Reports

  1. Chapman RJ, Rogers ML, Render ML. The tradeoffs and side-effects of migrating from wireless computer to PDA-based support for medication administration. Proceedings of the Human Factor and Ergonomics Society 48th Annual meeting. September 20-24, New Orleans, LA. 2004 In Press.
  2. Patterson ES, Rogers ML, Chapman RJ, Render ML. Differences in the Use of Bar Code Medication Administration (BCMA) in Acute Care and Nursing Home Settings. Proceedings of the Human Factors and Ergonomics Society 47th Annual Meeting.   October 13 – 17, 2003, Denver, Colorado, pp 1471-1475.
  3. Rogers ML, Cook RI, Molloy M, Bower R, Render ML. Barriers To Implementing Wrong Site Surgery Guidelines: A Cognitive Work Analysis.   Proceedings of the Human Factors and Ergonomics Society 47th Annual Meeting.  October 13-17, 2003, Denver, Colorado. In Press.
  4. Rogers ML, Patterson ES, Ebright PL, Render ML. Impact of setting on Bar Coding in Medication Administration. Proceedings of the VA Health Services Research 2003 Annual Meeting: Diverse Veteran Populations. February 12-14, 2003, Washington DC.
  5. Render ML, Nugent GN, Nugent L, Franchi E, Hendricks A and the VA Cost Evaluation Research Group. Methodology for Evaluating VA Costs: A Technical Report Submitted.
  6. Cook RI, O’Connor M, Render ML, Woods DD. Human Factors and Patient Safety. American College of Surgeons Patient Safety Manual. 2003.
  7. Sheridan T, Roth EM, Battles J, Dierks M, Gosbee J, Render ML. Seizing the Moment Translating Human Factors Research into Patient Safety Intervention. Proceedings of the Human Factors and Ergonomics’ Society’s 46th Annual Meeting. September 30-October 4, 2002, Baltimore, MD. pp. 1433-1437.
  8. Eisenlohr A, Render ML, Patterson ES, Creating Patient Safety with Organizational Learning: A Case-based Learning Intervention at a Public and Private Hospital. Proceedings of the Human Factors and Ergonomics’ Society’s 46th Annual Meeting. September 30-October 4, 2002, Baltimore, MD. pp. 1438-1442.
  9. Patterson ES, Render ML, Ebright PR, Repeating Human Performance Themes in Five Health Care Adverse Events. Proceedings of the Human Factors and Ergonomics Society’s 46th Annual Meeting. September 30-October 4, 2002, Baltimore, MD. pp.1418-1422.
  10. Ebright    PR, Patterson ES, Render ML. Patient Safety: Theoretical Basis and Practical Applications. Proceedings of the National Association of Clinical Nurse Specialists National Conference, March 14-17, 2002, Atlanta, GA.
  11. Ebright PR, Patterson ES, Chalko B, Render ML. Identification of Environmental Factors That Increase Complexity in Acute Care Settings. Proceedings of the Midwest Nursing Research Society 2002 Annual Research Conference, Nursing Research: International Perspectives. March 1-4, 2002, Chicago, IL, p 148.
  12. Patterson ES, Rogers M, Eisenlohr A, Render ML. Usability Test of Bar Code Medication Administration (BCMA). Proceedings of the VA Health Service Research 2002 Annual Meeting: Improving Access and Outcomes. February 13-15, 2002, Washington, DC, p. 128.
  13. Patterson ES, Cook RI, Woods DD, Render ML. New Arctic Air Crash Aftermath Role-Play Simulation: Orchestrating a Fundamental Surprise. Proceedings of the Human Factors and Ergonomics Society 45th annual meeting. October 8-12, 2001, Minneapolis, MN, pp. 371-375.
  14. Patterson ES, Coelho DA, Render ML, Coyle G, Woods DD, Cook RI. Medication Administration Error and BCMA: Preliminary Findings. Proceedings of the 19th Annual Meeting VA Health Services Research: Improving Access and Outcomes. February 14-16, 2001, Washington DC, p. 5.
  15. Ebright, P. Render ML, Cook RI, Woods .D, Patterson ES, Eisenlohr A.   Human performance theory-based approach to patient safety and the clinical nurse specialist.  Proceedings of the National Association of Clinical Nurse Specialists National Conference.  March 8-10, 2001, Indianapolis, Indiana.
  16. Eisenlohr A, Patterson ES, Ebright PR, Ford DK, Render ML. Enhancing a Safety Culture: Assessment and Adult Learning Opportunities through Patient Safety Fairs. Proceedings of the 19th Annual Meeting VA Health Services Research: Improving Access and Outcomes, February 14-16, 2001, Washington DC, p. 204.
  17. Patterson ES, Coelho DA, Woods DD, Cook RI, Render ML. The natural history of technology change: How introducing bar coding changes medication administration. Proceedings of the Fifth Conference on Naturalistic Decision Making.   May 26-28, 2000, Tammsvik, Sweden, [CD-ROM]
  18. Patterson ES, Cook RI, Render ML., Woods DD, Coelho D. Assessing the Impact of Bar Code Technology on the Process of Medication Administration. Proceedings of naturalistic decision making. March 00.
  19. Coelho, DA, Render ML, Patterson ES, Woods DD, Cook RI, Dahlman, S (2000).  The impact of new technology on patient safety, in Ergon-Axia 2000, Ergonomics and safety for global business quality and productivity ed. by Podgórski, D. and Karwoski, W., Central Institute for Labour Protection, Warsaw, pp. 261-265. 2000.
  20. Cahill W, Render ML. Dynamic Simulation of ICU Bed Availability in Proceedings of the 1999 Winter Simulation Conference, Farrington PA, Nembhard HB, Sturrock ST, Evans GW eds. Page 1573.
  21. Nugent GN, Render ML, Hendricks A, Graham G, Franchi E, Nugent L.  Data Accuracy and Compliance with HCFA requirements in the Department of Veterans Affairs. VHA White Paper.

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