My program of research is focused on increasing the accuracy and utilization of electrocardiographic (ECG) monitoring in hospitalized adults. My work in ECG monitoring is focused on identifying myocardial ischemia among hospitalized patients with acute coronary syndrome (i.e., heart attack, unstable angina), arrhythmia's and exploring alarm fatigue, a patient safety hazard associated with high numbers of false ECG alarms. Following my research training at UCSF (Masters 1996; PhD 2001), I started my independent research career in 2004, in the school of Nursing at the University of Nevada, Reno. I was awarded an R21 from NINR in 2010, and was a Co-Investigator for the NHLBI sponsored R01 REMOTE-HF Study. I have been involved with several other NIH funded studies. In 2015, I was given the opportunity to return to UCSF as an Assistant Professor and assume the directorship of the ECG Monitoring Research Lab, the lab I trained in, following the retirement of my mentor Barbara J. Drew, RN, PhD, FAAN. The ECG Monitoring Research Lab is recognized as a leader in the science of electrocardiology.
ADN, 1988 - Nursing, Truckee Meadows Community College
Clinical significance of premature ventricular contraction among adult patients: protocol for a scoping review.
A Statewide Assessment of Prehospital Electrocardiography Approaches of Acquisition and Interpretation for ST-Elevation Myocardial Infarction Based on Emergency Medical Services Characteristics.
Cardiovascular responses to ENERGY drinks in a healthy population during eXercise: The C-Energy-X Study.
Technological Distractions (Part 2): A Summary of Approaches to Manage Clinical Alarms With Intent to Reduce Alarm Fatigue.
Understanding heart rate alarm adjustment in the intensive care units through an analytical approach.
Evaluation of ECG algorithms designed to improve detect of transient myocardial ischemia to minimize false alarms in patients with suspected acute coronary syndrome.
Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics.
ECG-derived Cheyne-Stokes respiration and periodic breathing in healthy and hospitalized populations.
Two-Step Screening for Depressive Symptoms and Prediction of Mortality in Patients With Heart Failure.
Recurrent Myocardial Ischemia & Symptoms Are Precursors to Unplanned Transfer from Telemetry to the Coronary Care Unit In Hospitalized Patients with Suspected Acute Coronary Syndrome.
Unplanned transfer from the telemetry unit to the intensive care unit in hospitalized patients with suspected acute coronary syndrome.
Electrocardiographic indicators of acute coronary syndrome are more common in patients with ambulance transport compared to those who self-transport to the emergency department journal of electrocardiology.
Among Unstable Angina and Non-ST-Elevation Myocardial Infarction Patients, Transient Myocardial Ischemia and Early Invasive Treatment Are Predictors of Major In-hospital Complications.
Is the Sequence of SuperAlarm Triggers More Predictive Than Sequence of the Currently Utilized Patient Monitor Alarms?
Changes in Depressive Symptoms and Mortality in Patients With Heart Failure: Effects of Cognitive-Affective and Somatic Symptoms.
Clinical Utility of Ventricular Repolarization Dispersion for Real-Time Detection of Non-ST Elevation Myocardial Infarction in Emergency Departments.
Randomized, controlled trial to improve self-care in patients with heart failure living in rural areas.
A research method for detecting transient myocardial ischemia in patients with suspected acute coronary syndrome using continuous ST-segment analysis.
Are there symptom differences in patients with coronary artery disease presenting to the ED ultimately diagnosed with or without ACS?
The impact on anxiety and perceived control of a short one-on-one nursing intervention designed to decrease treatment seeking delay in people with coronary heart disease.
Relationship of persistent symptoms of anxiety to morbidity and mortality outcomes in patients with coronary heart disease.
Who listens to our advice? A secondary analysis of data from a clinical trial testing an intervention designed to decrease delay in seeking treatment for acute coronary syndrome.
Improving nurses' ability to identify anatomic location and leads on 12-lead electrocardiograms with ST elevation myocardial infarction.
A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome.
The effect of a short one-on-one nursing intervention on knowledge, attitudes and beliefs related to response to acute coronary syndrome in people with coronary heart disease: a randomized controlled trial.
Electrocardiographic monitoring in the medical-surgical setting: clinical implications, basis, lead configurations, and nursing implications.
Interpreting 12-lead electrocardiograms for acute ST-elevation myocardial infarction: what nurses know.
Designing prehospital ECG systems for acute coronary syndromes. Lessons learned from clinical trials involving 12-lead ST-segment monitoring.
Optimal leads, estimation, and continuous monitoring improve detection of acute MI and transient ischemia.
Transient myocardial ischemia is an independent predictor of adverse in-hospital outcomes in patients with acute coronary syndromes treated in the telemetry unit.
Association of transient myocardial ischemia with adverse in-hospital outcomes for angina patients treated in a telemetry unit or a coronary care unit.
Frequency, characteristics, and clinical significance of transient ST segment elevation in patients with acute coronary syndromes.
Comparison of a new reduced lead set ECG with the standard ECG for diagnosing cardiac arrhythmias and myocardial ischemia.
Frequency of silent myocardial ischemia with 12-lead ST segment monitoring in the coronary care unit: are there sex-related differences?
Accuracy of the EASI 12-lead electrocardiogram compared to the standard 12-lead electrocardiogram for diagnosing multiple cardiac abnormalities.
12-lead ST-segment monitoring vs single-lead maximum ST-segment monitoring for detecting ongoing ischemia in patients with unstable coronary syndromes.
Bedside diagnosis of myocardial ischemia with ST-segment monitoring technology: measurement issues for real-time clinical decision making and trial designs.
Comparison of standard and derived 12-lead electrocardiograms for diagnosis of coronary angioplasty-induced myocardial ischemia.
ST segment monitoring with a derived 12-lead electrocardiogram is superior to routine cardiac care unit monitoring.
Acute Coronary Syndrome
Acute Coronary Syndrome
Intensive Care Unit