In this episode, part 1 of a 2 part series, of the EMSEduCast we discuss the Sedgwick County Medication Administration Cross-Check program with Paul Misasi and Dr. Joseph Keebler.
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Paul Misasi is the Deployment & Quality Improvement Manager for Sedgwick County EMS, the largest EMS agency in the state of Kansas where he spent eight years as a field medic. He holds a Master’s of Science in Emergency Health Services and Bachelors of Science in Health Service Organization & Policy. He also serves as adjunct faculty for the Cowley County Community College paramedic program where he facilitated the establishment of the college as a host site for the CCEMTP course.
He is engaged in the study of human factors & cognitive psychology under Drs. Joe Keebler & Alex Chaparro, and is currently analyzing data from a research partnership between Sedgwick County EMS and Wichita State University on medication administration practices. The abstract from their initial research has recently been accepted for presentation at the American College of Emergency Physicians Research Forum and publication in the Annals of Emergency Medicine.
He is a driving force in his organizations’ adoption of a systems approach to quality and safety improvement, as well as the just culture management philosophy. He brings an aviation background, including pilot licensure and education in crew resource management from Oklahoma State University, and is a strong proponent for incorporating CRM into EMS practice.
Dr. Joseph Keebler: My research is focused on training and teamwork in medical, military, and consumer systems. As director of the Training Research and Applied Cognitive Engineering laboratory, I work on multiple efforts examining these topics. These projects include: Understanding expertise, cognition, and training for decision making in high-risk tasks; exploring the effects of augmented reality on embodied learning; integration of human teams in military and medical systems; and the study of human-robot interaction in unmanned vehicle command-and-control.
I have co-authored publications including articles in Theoretical Issues in Ergonomic Science, the Journal of Ergonomics, and the Journal of Cognitive Engineering and Decision Making. I have also co-authored multiple awarded grants. My current grants are examining topics such as the efficacy of augmented reality training systems in identifying combat vehicles, teamwork on virtually dispersed teams, and the development of the ideal handoff protocol for pediatric hospitalists.
I am familiar with various research methodologies ranging from experimental laboratory research to field research. I have taught statistics and advanced research methods throughout my graduate and professional career, and I have expertise in statistical analysis and complex statistical modeling techniques.
Links, Resources, and Books
- EMCrit Podcast 99 – Combat Aviation Paradigms for Resuscitationists
- Crew Resource Management: Principles and Practices textbook
- Just a Routine Operation video featuring Martin Bromiley, founder of the Clinical Human Factors group
- The Field Guide to Understanding Human Error
- Joseph Keebler, PhD. Wichita State biography
- Institute of Medicine (IOM) report: To Err is Human: Building a Safer Health System
- Human Error by James Reason
- WHO Surgical Safety Checklist and Implementation Manual
- Back the MACC: Medication Administration Cross Check presentation by Dr. Braithwaite to the 2013 Eagles Conference
Recommendations and Endorsements
- Greg - Coursera Cardiac Arrest, Hypothermia, and Resuscitation Science
- Rob - Coursera Cardiac Arrest, Hypothermia, and Resuscitation Science
- Joe – Wisdom of the Collectives
- Paul – Field Guide to Investigating Human Error (book) and Collaborative Cross Checking to Enhance Resilience (article)