Published Results
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Total Shared Knowledge (TSK): An Actionable Measure Linking Patient Safety Culture and Safety Outcomes Data. Journal of Healthcare Management (ACHE), Nov/Dec 2026
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Shows a measurable link between safety culture and safety outcomes, i.e., teams who see safety the same way have better, more consistent safety outcomes
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This pattern is the basis for the framework and the team profiles I use with clients
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Gives leaders a way to see whether culture efforts are changing how teams work, beyond survey averages
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Publication forthcoming
ProvenCare Perinatal: A Model for Delivering Evidence/Guideline-Based Care for Perinatal. The Joint Commission Journal on Quality and Patient Safety
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Co-led a systemwide redesign of perinatal care across 22 sites and 65 providers
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NICU admissions fell from 9.4% to 7.3%
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Insulin-dependent gestational diabetes diagnoses fell from 4.2% to 1.5%
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Primary C-section rates fell 32% at one delivery site
All changes statistically significant
Quantifying the Impact of Patient Boarding on Emergency Department Length of Stay - JACEP Open
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First author; analysis of 466,000+ encounters across two EDs
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Found that ED boarding extends length of stay for every admitted patient, not just those boarding — a finding that changed how the hospital system measured the true cost of crowding
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Each additional boarding patient added 12–14 minutes to every other admitted patient's ED stay
Utilizing Clinical Microsystems to Improve Mislabeled Specimen Occurrences in the Emergency Department. Journal of Emergency Nursing
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Senior author on a Clinical Microsystems-based redesign of ED specimen labeling
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Cut mislabeling to near-zero and sustained the result for 3+ years
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Addressed a patient safety problem with limited prior published solutions