Research
Patterson has authored journal articles,conference papers,and book chapters. [10] Her research has contributed to developing a national standard for summative usability testing for electronic health records in the United States,as well as accreditation standards for hospitals,medical residency programs,and shift change handovers. [11]
Patterson's early work at NASA Johnson Space Center,resulting in a paper titled "Handoff strategies in settings with high consequences for failure:lessons for health care operations",provided insights on the characteristics of an effective patient handover. [12] Much of her health information technology research focuses on improving patient safety in healthcare by utilizing human factors engineering,emphasizing streamlining workflows in hospital settings. Her work identified side effects from implementing health information technology,i.e.,bar code medication administration,highlighting the significance of human factors engineering in workarounds. [13] [14] She extended this research with Kelly Neville and colleagues from The MITRE Corporation to create a conceptual framework for work system resilience to support Resilience-Aware Development and Transition. [15]
Patterson is a key contributor to the technical reports published by the National Institute of Standards and Technology (NIST). [16] She co-authored the national standard for summative usability testing for electronic health records (NIST 7804), [17] that has been cooperatively published by the FDA and (NISTIR 7804–1). [18]
Patterson worked on formulating a certificate for educating health science students regarding the use of methods in NIST technical reports and introduced it as an approved certificate program known as "Usability and User Experience in Healthcare" at the Ohio State University in 2020. [11] Concentrated on addressing the telemetry alarm problem in the medical center,her joint work applied human factors engineering to the alarm problem. [19] Her team developed an alarm classification system based on priority,an increased positive predictive value (PPV),and information content. [20]
Macrocognitive communication
Another area of Patterson's work is communication during the transition of care. She conducts qualitative research using macrocognition as a conceptual framework,which has ramifications for health informatics. Together with Janet E. Miller,she has conducted research on the theoretical foundations of macrocognition,discussed a new set of macrocognitive metrics,and elaborated on how the metrics can be used in different approaches. [21] In her 2016 ethnographic observational research,she investigated the differences in how the patient handovers were conducted by attending and resident physicians [22] and later put an emphasis on the use of a macrocognition framework in the healthcare-built environment (HCBE). [23] Research on HCBE has contributed to recommendations for more patient-centered and family-centered design of hospital rooms. [24]
Patterson has also used macrocognition for conducting formative usability tests at the VHA,resulting in software changes for increased usability and patient safety. [25] Her early research works have evaluated the patient handoff tool (PHT) for improving patient handoffs, [26] showed how the technology-supported handovers could be optimized, [27] and examined the influence of the computerized decision support on the ability to evaluate and supervise resident physician sign-outs. [28]
Patterson has also conducted research on medical education accreditation. In a collaborative work with Ingrid Philibert from the Accreditation Council for Graduate Medical Education (ACGME),she defined high-quality patient handovers at the University Otolaryngologists/Otolaryngology Program Directors Organization meeting,and in a related effort,developed an online training course for resilient communication during the shift handovers. [29]
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