Our Vision:

We are empowering hearts and minds to be better tomorrow than today.

Our Mission:

We do this by developing, implementing, researching, and supporting a culture and infrastructure for continuous improvement and patient safety.

Our People:

DHE Faculty and Staff List


What We Do:

​​​Operations Improvement​

Lean, Event Reporting, Outpatient Services Goals, A3 for Problem Solving


​Human Factors Engineering, Transformation of Healthcare Professionals

Quality and Patient Safety: Broadly speaking, quality and patient safety is an area of research that examines system and process design with overarching goals to reduce errors,  increase efficiency, increase patients/providers’ satisfaction, and improve access and overall quality of healthcare. We are most interested in translating quality assurance/control/improvement principles and methodologies from high reliability organizations (e.g. aviation, car manufacturing [Toyota/Lean], nuclear power, gas and oil) to improve healthcare quality and patient safety.

Currently, our research is focused on the following two specific areas: 

  • Healthcare providers’ engagement with patient safety and continuous improvement efforts: Over the last decade, our work has led to the development of a theoretical model of individual transformation to Lean Thinking (or in other words, the individual engaging in proactive and prospective (vs. reactive and retrospective) error reporting and problem solving). At this individual-level of analysis, we focused on understanding the driving and restraining forces needed to stimulate and sustain the effective improvement behaviors by healthcare professionals. Our work in this area focuses on implementation and assessment of improvement programs aimed at increasing Lean thinking by individuals in healthcare organizations; thus, improving healthcare delivery quality and patient safety. We believe that this research area/direction is well aligned with the strategic vision and goals of the UNC Health Care System.
  • Providers’ interactions with health IT: Care delivery is done in complex and stressful environments. Workers often need to perform multiple tasks concurrently while being subjected to many hand-offs and cross-coverage situations. To better understand such circumstances, we have created a human-factors laboratory where we have been successfully investigating measures of task demands, task difficulty, workload, and performance during providers’ interactions with health IT. Our work in this area focuses on:
    • Developing and testing various simulation-based training approaches to enhance awareness among healthcare professionals of their performance during interactions with health IT.
    • Designing and testing improvements to functionality and usability of electronic health records (EHRs) in order to improve providers’ performance.
    • Testing potentially transformative and disruptive approaches to improve providers’ feelings of burnout and depression (e.g., neuro-feedback as means to improve self-regulations of such feelings).


Educatio​n & Teaching​

​Teaching at UNC School of Information and Library Science​